HESI (NCLEX-PN) Exam – Teaching and Learning – Patient Education

Teaching and Learning – Patient Education

•             What instructions should the nurse give to the parents of a toddler? Select all that apply.

•             A client who menstruates regularly every 30 days asks a nurse on what day she is most likely to ovulate. Because the client’s last menses started on January 1, the nurse should tell her that ovulation should occur on which day in January?

•             An infant who was in a motor vehicle collision has undergone open repair of a fractured sternum and now has a chest tube. What should the nurse explain to the infant’s parents about the chest tube?

•             A nurse is teaching menu planning to a client who has a high triglyceride level.

Which nutrient avoided by the client indicates that teaching about foods that are high in fat was understood?

•             A client exhibits blurred and double vision and muscular weakness, and diagnostic tests are prescribed. The client is informed that a diagnosis of multiple sclerosis (MS) has been made. The client becomes visibly upset. How should the nurse respond?

•             A pregnant client at 37 weeks’ gestation is taught about signs and symptoms that should be reported immediately to the primary care provider. The nurse determines that the client understands the information presented when she states that she will immediately report what?

•             Neomycin, 1 gram, is prescribed preoperatively for a client with cancer of the colon. The client asks why this is necessary. How should the nurse respond?

•             The nurse should teach a client receiving isocarboxazid (Marplan) that failure to adhere to the necessary dietary restrictions can result in what?

•             A nurse is teaching a class of new parents how to position their infants for sleep during the first few weeks of life. Which position should the nurse tell the parents is the safest?

•             A sonogram performed on a client in the third trimester reveals a low-lying placenta. What should the nurse inform the client that she is at risk for?

•             The nurse teaches a group of clients that nutritional support of natural defense mechanisms indicates the need for a diet high in what?

•             Three days after birth, a breastfeeding newborn becomes jaundiced. The parents bring the infant to the clinic and blood is drawn for an indirect serum bilirubin determination, which reveals a concentration of 12 mg/dL. The nurse explains that what the infant has is physiological jaundice, a benign condition, caused by what?

•             A client with respiratory difficulties asks why the percussion procedure is being performed. What will the nurse tell the client is the purpose of percussion?

•             A pregnant client uses a computer almost continuously during her working hours. This has implications for her plan of care during pregnancy. What should the nurse recommend?

•             A client who abused intravenous drugs was diagnosed with the human immunodeficiency virus (HIV) several years ago. The nurse explains that the diagnostic criterion for acquired immunodeficiency syndrome (AIDS) has been met when the client does what?

•             A nurse who is teaching a growth and development class to a group of parents at the daycare center explains that the toddler strives for a sense of what?

•             A client is scheduled for a laparoscopic bilateral tubal ligation. What should the nurse include in preoperative teaching?

•             To be most effective when teaching colostomy care to a client, what must the nurse first do?

•             A primary healthcare provider prescribes carbamazepine for a client. The nurse teaches the client about effects of the drug that should be reported to the primary healthcare provider. Which effects does the nurse include? Select all that apply.

•             What should the nurse’s initial discussion include to best help new parents understand the unique characteristics of a newborn?

Explanation & Answer

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