HESI Exit Version 1 Questions With Detailed Answers
what can be delegated to a nursing assistant or UAP? - ANSWER-
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? - ANSWER-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? - ANSWER-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? - ANSWER-UOP
it is more important than drainage
,what is important when caring for pt in skeletal traction? -
ANSWER-pin care; sterile technique; remove crust; serous drainage
is ok
what do you do if the pins come out of someone with skeletal
traction? - ANSWER-immobilize extremity
do not re-insert
what do you screen for on a newborn baby? - ANSWER-
hypothyroidism
check T4 level (decreased)
what would the potassium level be in a pt with diabetes insipidus? -
ANSWER-hypokalemia
what is an expected side effect of Solu-Medrol? - ANSWER-bleeding,
bruising
what does Pilocarpine treat? - ANSWER-glaucoma
, antidote is atropine sulfate
may get a dry mouth
TPN - ANSWER-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? -
ANSWER-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? - ANSWER-bread &
cream of wheat
what can be delegated to a nursing assistant or UAP? - ANSWER-
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? - ANSWER-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? - ANSWER-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? - ANSWER-UOP
it is more important than drainage
,what is important when caring for pt in skeletal traction? -
ANSWER-pin care; sterile technique; remove crust; serous drainage
is ok
what do you do if the pins come out of someone with skeletal
traction? - ANSWER-immobilize extremity
do not re-insert
what do you screen for on a newborn baby? - ANSWER-
hypothyroidism
check T4 level (decreased)
what would the potassium level be in a pt with diabetes insipidus? -
ANSWER-hypokalemia
what is an expected side effect of Solu-Medrol? - ANSWER-bleeding,
bruising
what does Pilocarpine treat? - ANSWER-glaucoma
, antidote is atropine sulfate
may get a dry mouth
TPN - ANSWER-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? -
ANSWER-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? - ANSWER-bread &
cream of wheat
