{"id":112785,"date":"2023-08-15T20:30:37","date_gmt":"2023-08-15T20:30:37","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=112785"},"modified":"2023-08-15T20:30:39","modified_gmt":"2023-08-15T20:30:39","slug":"hesi-exit-family-nurse-practioner-final-exam-b-2023-2024-actual-exam-questions-and-correct-answers-may-2023-update-agrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/hesi-exit-family-nurse-practioner-final-exam-b-2023-2024-actual-exam-questions-and-correct-answers-may-2023-update-agrade\/","title":{"rendered":"HESI EXIT FAMILY NURSE PRACTIONER FINAL EXAM B 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (MAY 2023 UPDATE) ||AGRADE"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">HESI EXIT FAMILY NURSE PRACTIONER FINAL EXAM<br>B 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT<br>ANSWERS (MAY 2023 UPDATE) ||AGRADE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which of the following nursing actions demonstrates that the nurse<br>understands the nursing process?<br>a) Prioritizing patient goals, documenting all health records precisely,<br>conducting the health history, and documenting the nursing diagnosis<br>b) Reviewing health record, documenting patient goals, identifying etiology of<br>the nursing problem, and evaluating treatment outcome.<br>c) Assessing for allergies, administering analgesic, obtaining baseline vital<br>signs, and documenting nursing diagnosis as acute pain<br>d) Obtaining vital signs, documenting nursing diagnosis as acute pain,<br>administering analgesic, and evaluating comfort level<br>d) Obtaining vital signs, documenting nursing diagnosis as acute pain,<br>administering analgesic, and evaluating comfort level<br>Rationale: Steps of the nursing process in order are: Assessment, Diagnosis,<br>Planning, Implementation, and Evaluation. Assessment is the systematic<br>collection of data to determine the patient&#8217;s health status and any actual or<br>potential health problems. Nursing diagnoses are actual or potential health<br>problems that can be managed by independent nursing interventions. Planning<br>is the development of goals and outcomes. Implementation is the actualization<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">of the plan of care through nursing interventions. Evaluation is the<br>determination of the patient\u2019s responses to the nursing interventions and the<br>extent to which the outcomes have been achieved.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>The nurse educator is planning a teaching session for nursing students related<br>to treatment and management of gestational diabetes. The nurse educator<br>arranges for a dietitian, pharmacist, and physician assistant to participate in the<br>lesson plan. Which professional nurse competency is the nurse educator<br>demonstrating?<br>a) Evidence-based practice<br>b) Patient-centered care<br>c) Interdisciplinary teamwork<br>d) Quality improvement measures<br>c) Interdisciplinary teamwork<br>Rationale: By integrating interdisciplinary core competencies into their<br>respective curricula the nurse educator is demonstrating interdisciplinary<br>teamwork. A case-study approach planning care around individual patient<br>preferences is an example of patient-centered care. Conducting an evidencebased literature review related to gestational diabetes reflects evidence-based<br>practice. Providing education related to measures\/indicators or tools used to<br>assess the level of care provided within a system of care to populations of<br>patients with gestational diabetes exemplifies a quality improvement measure.<\/li>\n\n\n\n<li>A nursing student observes the home care nurse provide education to a patient<br>with congestive heart failure (CHF). The nurse teaches the patient how to read<br>food labels and calculate sodium content. The nursing student recognizes that<br>the home care nurse is aware of which of the following basic principles of<br>patient education?<br>a) The home care nurse is providing hospital discharge instructions<br>b) The home care nurse has a physician order to teach a 2-g sodium diet<br>c) Patients are required to learn about their therapeutic nutritional regimen<br>d) Patient instruction related to self-care activities promotes patient<br>independence<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">d) Patient instruction related to self-care activities promotes patient<br>independence<br>Rationale: Teaching is a function of nursing to assist patients to alter lifestyle<br>patterns that increase health risk. By teaching the client how to calculate sodium<br>content of foods the nurse is facilitating independence in nutrition disease<br>management. Patients have the right to decide whether or not to learn. Teaching<br>is an independent function of nursing and does not require a physician\u2019s order.<br>Teaching related to food labels in the patient home is an appropriate<br>environment for this client. The nurse can use actual foods from the patient\u2019s<br>kitchen.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>A nurse working in the intensive care unit (ICU) refers to the Institute for<br>Healthcare Improvement (IHI) Ventilator Bundle prior to planning patient care.<br>The nurse realizes nursing interventions outlined in the bundle will improve<br>patients\u2019 outcomes. Which of the following statement best describes how IHIestablished nursing interventions should be included in each bundle?<br>a) Nursing interventions found within the IHI bundles were selected based on<br>the ability to provide optimal time management for the nurse<br>b) Best practice derived from valid and reliable research studies guided nursing<br>interventions being added to the IHI bundles<br>c) Nurse case managers serving as patient advocates recommended nursing<br>interventions to be included in the IHI bundles based on patient preference<br>d) Hospitals, physicians, and nurses worked collaboratively to design patient<br>care activities included in IHI bundles<br>b) Best practice derived from valid and reliable research studies guided nursing<br>interventions being added to the IHI bundles<br>Rationale: Bundles include evidence-based practices. Hospitals, physicians, and<br>nurses work collaboratively to provide care directed by bundles. Nurses<br>advocate on behalf of the patient. Effective time management is a key element<br>in the provision of care, however; IHI-based bundles on evidence-based<br>practice.<\/li>\n\n\n\n<li>A 54-year-old woman on a fixed income has had an electrocardiogram (ECG)<br>as part of her annual physical examination. Her physician notes an abnormal Q<br>wave on an otherwise unremarkable ECG. What legislation supports this focus<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">on disease prevention, health promotion, and management of chronic<br>conditions?<br>a) Building a Safer Health System Act<br>b) The Patient Protection and Affordable Care Act<br>c) Healthcare Research and Quality Improvement Bill<br>d) A New Health System for the 21st Century Bill<br>b) The Patient Protection and Affordable Care Act<br>Rationale: The Patient Protection and Affordable Care Act, also known as the<br>ACA, supports access to quality, affordable health care, improved access to<br>innovative and preventive health care programs and therapies, and expanded<br>insurance coverage. \u201cTo Err Is Human: Building a Safer Health System\u201d and<br>\u201cCrossing the Quality Chasm: A New Health System for the 21st Century\u201d are<br>IOM reports. Centers for Medicare and Medicaid Services (CMS) partnered<br>with the Agency for Healthcare Research and Quality (AHRQ) to launch the<br>Hospital Consumer Assessment of Healthcare Providers and Systems<br>(HCAHPS) survey.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>According to Hood and Leddy (2007), which of the following are<br>components of wellness?<br>a) Inability to obtain personal goals<br>b) Expression of disharmony<br>c) Feelings of well-being<br>d) Inability to adapt to changing situations<br>c) Appropriateness of services<br>Rationale: The goals of care management are quality, appropriateness, and<br>timeliness of services as well as cost reduction. Case managers do not have<br>prescriptive authority. Fixed-price reimbursement is a feature of managed care.<br>Case managers do not use the nursing process.<\/li>\n\n\n\n<li>The school nurse informs the mother of a second-grade student that she found<br>lice in her child\u2019s hair. The mother explains to the nurse that she has another<br>child to pick up and cannot stay to receive education related to the treatment of<br>lice at this time. The mother reassures the nurse that she will \u201clook up treatment<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>HESI EXIT FAMILY NURSE PRACTIONER FINAL EXAMB 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECTANSWERS (MAY 2023 UPDATE) ||AGRADE of the plan of care through nursing interventions. Evaluation is thedetermination of the patient\u2019s responses to the nursing interventions and theextent to which the outcomes have been achieved. d) Patient instruction related to self-care activities promotes patientindependenceRationale: Teaching [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112785","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112785","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112785"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112785\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112785"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112785"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}