Hesi Module 7 Question And Answers (All Solved) LATEST UPDATE 2022 100% CORRECT, SATISFACTIONS GUARANTEED 

HESI Module 7 (A Graded) Latest Questions and

Complete Solutions

An older adult client tells the nurse that she is tired during the day because she awakens frequently during the night.

Which information should the nurse provide to the client?

She should avoid napping during the day

The only thing that will help is a sleeping pill

This is a normal occurrence as a person gets older Correct

She needs to stay up later at night to prevent these awakenings

A nurse is preparing a list of measures that will help promote sleep. Which measures that would be included on the

list? Select all that apply.

Exercise just before bedtime.

Drink a glass of wine at bedtime.

Drink a cup (236 ml) of black tea before bedtime

Adjust the room temperature to a comfortable level. Correct

Eliminate lights, noise, and other environmental distractions. Correct

Get up at the same time each day and avoid naps during the day. Correct

A client asks a nurse about complementary and alternative measures to promote sleep. What should the nurse

suggest?

Rationale: The total amount of sleep a person needs does not change with increasing age. However, the quality of

sleep appears to deteriorate for many older adults, giving rise to complaints of feeling less rested. An older adult

awakens more often during the night than a younger person does, and it may take an older adult longer to fall

asleep. Therefore the other options are incorrect. Additionally, measures other than medication should be

implemented to promote rest and sleep.

Test-Taking Strategy: First, eliminate the option that contains the closed-ended word “only.” To select from the

remaining options, recall aging-related changes in the sleep pattern, which will direct you to the correct option.

Review sleep pattern changes in the older adult

Rationale: A variety of measures may be used to promote and enhance sleep. These measures include avoiding

caffeinated beverages (caffeine is a stimulant) for at least 2 hours before bedtime, avoiding alcohol, maintaining a

regular exercise schedule but not exercising immediately before bedtime, getting up at the same time each day,

avoiding naps during the day, adjusting the room temperature to a comfortable level, and eliminating lights, noise,

and other environmental distractions. Alcohol can lighten and fragment sleep. Exercising just before bedtime

promotes stimulation and may prevent sleep. Black tea contains caffeine.

Test-Taking Strategy: Focus on the subject, measures to promote and enhance sleep. Think about each measure in

terms of its enhancing or preventing sleep to identify the correct measures. Review measures to promote sleep

Herbal therapy

Acupuncture

Muscle relaxation techniques Correct

Traditional Chinese medicine

A nurse notes that a client has a diagnosis of acute back pain. The nurse plans care based on which characteristic

of acute pain?

It has a prolonged presence

It is a result of injury Correct

It lasts longer than 6 months

It is usually the result of a chronic disorder

The nurse is assigned to care for four clients. Which client does the nurse expect is likely to experience chronic

pain?

A client with osteoarthritis Correct

A client with angina pectoris

A client who has undergone appendectomy

A client with a leg fracture who is in skeletal traction

Rationale: A simple technique such as muscle relaxation can help ease any existing anxiety and promote sleep. In

acupuncture, special needles are inserted into specific points on the body as a means of modifying the perception of

pain, normalizing physiological function, or preventing or treating disease. Traditional Chinese medicine is focused

on restoring and maintaining a balanced flow of vital energy; interventions in this discipline include acupressure,

acupuncture, herbal therapies, diet, meditation, and tai chi and qigong (forms of exercise focused on breathing,

visualization, and movement). Herbal therapy involves the use of herbs (plants or plant parts). Some herbs have

been found to be safe, but others, even in small amounts, can be toxic, and the nurse would not recommend the

use of such a therapy to a client. If the client is taking prescription medications, the client should consult with the

healthcare provider regarding the use of herbs, because serious interactions may occur.

Test-Taking Strategy: Note the relationship between the subject, promoting sleep, and the correct option. Also note

that the incorrect options are comparable or alike in that they are invasive measures. Review complementary and

alternative therapies that will assist in promoting sleep.

Rationale: Acute pain follows acute injury, disease, or surgical intervention and is rapid in onset and variable in

intensity (mild to severe). It lasts a brief time, usually less than 6 months. The incorrect options are descriptions of

chronic pain.

Test-Taking Strategy: Focus on the subject, acute pain. Note that the incorrect options are comparable or alike in

that they suggest a long-term problem. Review the characteristics of acute and chronic pain

A nurse develops a plan of care for a postoperative client who is receiving intravenous morphine sulfate every 4

hours as needed for pain. Which priority intervention does the nurse include in the plan?

Encouraging oral fluid intake

Maintaining the client in a supine position

Encouraging coughing and deep breathing Correct

Administering the morphine sulfate around the cloc