Exit HESI Version 1 Exam Questions with Complete Solutions

Exit HESI Version 1 Exam Questions with Complete Solutions what do you screen for on a newborn baby? - ANS: hypothyroidism check T4 level (decreased) what would the potassium level be in a pt with diabetes insipidus? - ANS: hypokalemia what is an expected side effect of Solu-Medrol? - ANS: bleeding, bruising what does Pilocarpine treat? - ANS: glaucoma antidote is atropine sulfate may get a dry mouth TPN - ANS: central venous catheter check for cloudiness refrigerate- warm before administration monitor electrolytes everyday monitor for hyperglycemia and infection change tubing with each new bag nothing else goes through this line what drug would you give is extravasation has occurred? - ANS: phentolamine (Regitine)- it's a vasodilator and will increase blood flow to the area to prevent necrosis what diet would be chosen for a pt with CKD? - ANS: bread & cream of wheat FIRST action for late decels? - ANS: give O2 what do you give a premature infant with RDS? - ANS: surfactant betamethasone (Celestone) stimulates surfactant production in alveolar space causing less tension when infant breaths- given IM to mother in preterm labor FIRST action for a newborn choking? - ANS: aspirate what would you teach a client about getting pregnant who just received a Rubella vaccine? - ANS: don't get pregnant for 3 months pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do? - ANS: increase O2 a pt returns from TURP surgery, what can the RN delegate? - ANS: weigh daily I&O's- subtract irrigate from output kegal exercises for temporary incontinence what can be delegated to a nursing assistant or UAP? - ANS: can discontinue suction, but cannot turn back on grooming & hygiene feeding VS ROM I&O's obtain clean urine specimen transport client transfer from bed to chair; help with bed to stretcher help with turning and repositioning ambulate what can be delegated to a LPN? - ANS: PO meds and injections routine data collection, dressing change, catheter insertion, suctioning reinforce teaching; basic, simple teaching (turn, cough, deep breath) assist HCP in procedures when RN is unavailable (NGT insertion) can perform specific tasks in unstable situations what can the RN not delegate? - ANS: assessment, diagnose, analyze, plan, evaluate, teach, monitor receive and give report triage invasive lines sterile technique new admissions pre-op & post-op assessment what should you be monitoring in a client who has had a nephrectomy? - ANS: UOP it is more important than drainage what is important when caring for pt in skeletal traction? - ANS: pin care; sterile technique; remove crust; serous drainage is ok what do you do if the pins come out of someone with skeletal traction? - ANS: immobilize extremity do not re-insert how do you deal with a rude doctor that is avoided by the nurses? - ANS: staff meeting what are some diet recommendations for a client with anorexia who has become hypoglycemic? - ANS: simple sugars- milk, coke, juice, raisins once sugar is up, eat complex carbs & protein- PB and crackers low fat, high calorie, high protein what would you teach a pt taking disulfiram (Antabuse)? - ANS: must sign consent form stating they will avoid all alcohol many preparations contain alcohol- cough syrup, mouthwash, aftershave, cologne what is confrontation? - ANS: calling attention to inconsistent behaviors what is reflecting? - ANS: paraphrasing or repeating what client said if a manic client is monopolizing group therapy what do you do? - ANS: tell them to stop talking and try to listen to others tell them to take a walk with you how do you communicate with a client who has disordered thinking about food being poisoned? - ANS: open-ended questions & silence what client would most likely be experiencing delirium? - ANS: a client with constant pain or insomnia how would you reduce anxiety in a client who is OCD? - ANS: allow them time to finish their ritual and then talk about it what is the priority for a depressed client who has not slept? - ANS: sleep a client who is bipolar is going home for the weekend to adjust for discharge. what do you tell the family? - ANS: continue normal daily activities how do you position a client with an air embolism? - ANS: trendelenburg (HOB down) what do you do for a client with absent lung sounds? - ANS: check pulse, if no pulse- perform CPR if they have a pulse perform rescue breaths- 1 every 6-8secs if a client has a pulse with absent breath sounds on the left side what do you do? - ANS: prepare to reposition ETT