hesi v1 Exam Questions with Complete Rationales.

hesi v1 Exam Questions with Complete Rationales pt w dementia confused next day of admission (confusions dx is not in record) what would the nurse do? - ANS: record this in the chart nurse should report what to charge nurse after PPD of HIV? - ANS: 5 mm induration (immunocompromised) nurse should report what to charge nurse during ATBx infusion? - ANS: Hives and pruritus What would the nurse choose when removing IV line? - ANS: gauze, tape, normal gloves (1 more) Client is taking nasal glucocorticoid spray. What would the nurse ask? - ANS: check finger stick before and after admin of med new parents are about to be discharged. What would the nurse check? - ANS: Proper feeding techniques Giving baby asprin to an 8 yr old - ANS: better to attain children acetaminophen washing hands with alcohol - ANS: after you interlace fingers ventrogluteal - ANS: Dorsogluteal - ANS: PPE video - ANS: removed gloves wrong CNA + pt yelling at eachother. What should you do? - ANS: tell CNA to leave 6signs of child abuse? - ANS: brother hitting little sister marks on childs body one more choice how to see if UAP/ CNA knows how to do a skill? 1. ask if they have done the skill before? 2. watch if they can actually do it? - ANS: watch if they can actually do it what is the next step for a pt that is going to get several days of complete bed rest? 1. put shoes on 2. dangle their feet 3. get them up - ANS: dangle their feet question about skeletal traction (wt, ropes, pulleys used to apply force to tissues surrounding a broken bone) - ANS: alignment ventricular fibrillation - ANS: check to see if conscious begin CPR picture of a dressing that has been reinforced by the nurse. What should the nurse do next? - ANS: take VS case study w exhibit 1,2,3 (safe is 1:8) - ANS: focus on 3 where it shoes lab value 1:5 rubella admin rubella vaccine which group of populations the nurse should asses for scoliosis? - ANS: young girl mother of a 10 yr old say son "fell out of tree" what indication of child abuse? - ANS: hx of children hx of mother are different s/s of pneumomia - ANS: cough, fever, chills, tachycardia, dyspnea pt admitted to ER w dx of pneumonia what interventions should you do to avoid further complications? - ANS: ambulate w pt doctor prescribed 120mg of med, patient already have 30mg/tab and has already received 2. How many will the nurse administer? - ANS: 120/30= 4 4/2= 2 give 2 more patient has carotid endarterectomy. How to observe for s/s of bleeding? - ANS: Check area around the neck and elbow a nurse is talking loudly in the hall and everybody can hear h