HESI EXIT PN EXAM 1 WITH COMPLETE SOLUTIONS
A nurse is following this PBSA cycle for quality of improvement which action will
the nurse take for A - answers-Act
The nurse is trying to determine how a certain health plan compares with another
with this data which information will the nurse utilize? - answers-Health care
effectiveness data and infromation set
The nurse is using research findings to improve clinical practice which technique
is the nurse using? - answers-Performance improvement
An older adult has extensive wound care and needs care after discharge which
facility should the nurse discuss with the patient? - answers-Skill
A nurse working in a ED provides care to pt having chest pain what level of care is
she providing? - answers-Tertiary
A nurse is teaching effects of globalization which info should the nurse include in
teaching? - answers-Increased spread of communicable diseases
,Which finding best indicates quality improvement process? - answers-Staff
identifies wait in waiting room is too long
Nurse provides care to a home bound pt treated with IV and paternal nutrition
what is the home health nurse primary objective? - answers-Education
A nurse hears a co-worker state that anybody could be a nurse since it is so
automated with infusion devices and electronic monitoring; technology is doing the
work. What is the nurse's best response? - answers-Technology use has to be
combined with nursing judgment
If a nurse is talking to you about an MDS where are they most likely working? -
answers-Skilled nursing center
Fluid balance - answers-Proper levels of water and electrolytes being in the
various body compartments according to their needs.
Orally, IV - answers-How we take in fluids
Sweating, defecation, urination, vomiting - answers-How you excrete fluids
,1/2 to 2/3 - answers-Water makes up this much of a persons weight
Water intake - answers-What must balance water loss
1 1/2 to 2 quarts - answers-How much a person should drink a day
Dehydration - answers-Body loses more water than it takes in
Vasopressin (ADH) - answers-Stimulates kidneys to conserve water and excrete
less urine
Thirst, Pituitary gland - answers-Mechanisms that maintain water balance
Vasopressin - answers-When the body is low in water, the pituitary gland secretes
this hormone into the blood stream
Osmosis - answers-Water flows passively from one compartment of the body to
another by this
, Isotonic - answers-Concentration of dissolved particles or tonicity equal to that of
intracellular fluid. (same pressure inside and outside of the cell wont shrink nor
swell)
D5W (isotonic) - answers-Used for fluid loss, dehydration, and hypernatremia--
DO NOT use for resuscitation, as it can cause hyperglycemia, use cautiously in
renal or cardiac disease pt.
NS (isotonic) - answers-Used for shock, hyponatremia, blood transfusion,
resuscitation, fluid challenges, metabolic alkalosis, hypercalcemia, DKA fluid
replacement-- DO NOT use in patients with heart failure, edema, or hypernatremia
as it can cause fluid overload.
LR (isotonic) - answers-Used for dehydration, burns, lower GI tract fluid loss,
acute blood loss, hypovolemia, milk metabolic acidosis, salicylate overdose. This
solution contains potassium-- DO NOT use in patients with renal failure, liver
disease, and do not use if pt pH is greater than 7.5
D5 1/2 NS (hypertonic) - answers-Used for DKA after initial treatment with NS and
1/2 NS prevents hypoglycemia and cerebral edema --ONLY use in pt with DKA
when glucose falls below 250
A nurse is following this PBSA cycle for quality of improvement which action will
the nurse take for A - answers-Act
The nurse is trying to determine how a certain health plan compares with another
with this data which information will the nurse utilize? - answers-Health care
effectiveness data and infromation set
The nurse is using research findings to improve clinical practice which technique
is the nurse using? - answers-Performance improvement
An older adult has extensive wound care and needs care after discharge which
facility should the nurse discuss with the patient? - answers-Skill
A nurse working in a ED provides care to pt having chest pain what level of care is
she providing? - answers-Tertiary
A nurse is teaching effects of globalization which info should the nurse include in
teaching? - answers-Increased spread of communicable diseases
,Which finding best indicates quality improvement process? - answers-Staff
identifies wait in waiting room is too long
Nurse provides care to a home bound pt treated with IV and paternal nutrition
what is the home health nurse primary objective? - answers-Education
A nurse hears a co-worker state that anybody could be a nurse since it is so
automated with infusion devices and electronic monitoring; technology is doing the
work. What is the nurse's best response? - answers-Technology use has to be
combined with nursing judgment
If a nurse is talking to you about an MDS where are they most likely working? -
answers-Skilled nursing center
Fluid balance - answers-Proper levels of water and electrolytes being in the
various body compartments according to their needs.
Orally, IV - answers-How we take in fluids
Sweating, defecation, urination, vomiting - answers-How you excrete fluids
,1/2 to 2/3 - answers-Water makes up this much of a persons weight
Water intake - answers-What must balance water loss
1 1/2 to 2 quarts - answers-How much a person should drink a day
Dehydration - answers-Body loses more water than it takes in
Vasopressin (ADH) - answers-Stimulates kidneys to conserve water and excrete
less urine
Thirst, Pituitary gland - answers-Mechanisms that maintain water balance
Vasopressin - answers-When the body is low in water, the pituitary gland secretes
this hormone into the blood stream
Osmosis - answers-Water flows passively from one compartment of the body to
another by this
, Isotonic - answers-Concentration of dissolved particles or tonicity equal to that of
intracellular fluid. (same pressure inside and outside of the cell wont shrink nor
swell)
D5W (isotonic) - answers-Used for fluid loss, dehydration, and hypernatremia--
DO NOT use for resuscitation, as it can cause hyperglycemia, use cautiously in
renal or cardiac disease pt.
NS (isotonic) - answers-Used for shock, hyponatremia, blood transfusion,
resuscitation, fluid challenges, metabolic alkalosis, hypercalcemia, DKA fluid
replacement-- DO NOT use in patients with heart failure, edema, or hypernatremia
as it can cause fluid overload.
LR (isotonic) - answers-Used for dehydration, burns, lower GI tract fluid loss,
acute blood loss, hypovolemia, milk metabolic acidosis, salicylate overdose. This
solution contains potassium-- DO NOT use in patients with renal failure, liver
disease, and do not use if pt pH is greater than 7.5
D5 1/2 NS (hypertonic) - answers-Used for DKA after initial treatment with NS and
1/2 NS prevents hypoglycemia and cerebral edema --ONLY use in pt with DKA
when glucose falls below 250
