HESI RN EXIT EXAM QUESTIONS AND ANSWERS
ALREADY GRADED A+
/. normal blood pressure - Answer-120/80
/.normal spo2 - Answer-95-100
/.normal pulse - Answer-60-100
/.normal adult respirations
normal children respirations - Answer-16-20
16-30
/.glucose level - Answer-70-110
/.normal wbc
normal platelets - Answer-5000-10,000
150,000-4000,000
/.normal bun - Answer-10-20
/.creatinine - Answer-.6-1.3
/.sodium - Answer-135-145
/.potassium
albumin - Answer-3.5-5.0
/.calcium - Answer-8.6-10.0
/.digoxin level - Answer-.5-2.0
/.magnesium - Answer-1.6-2.6
/.hematocrit - Answer-female 35-45
male 42-52
/.absence seizure - Answer-last only a few seconds
/.tonic clonic seizure - Answer-protect airway
protect pt from injury
,monitor duration of seizure activity
/.status epileptic in er - Answer-protect airway
administer valuim(diazepam)
place IV
protect pt from injury
/.main seizure drugs - Answer-carbamazepine(tegretol) avoid grapefruit
phenytoin(dilantin) extra growth on gums
valproic(dapakote) affects wound healing
/.if G.I symptoms occur while on seizure meds you should advice pt to - Answer-take
with food
/.signs of depression in children - Answer-pretends to be sick
trouble in school
pessimistic attitude
/.TREATMENT FOR DEPRESSION - Answer-antidepressants
counseling
psychotherapy
/.should not take St. johns wort while taking what meds - Answer-antidepressants
/.if a pt is on TPN and it runs out with no more available at the time, the nurse should -
Answer-infuse 10% dextrose with water at 54ml/hr
/.best way to tell if ng tube is correctly in place - Answer-chest x-ray
/.proper use of inhaler - Answer-during inhalation the pt should administer the
medication
/.after a procedure hispanics believe that - Answer-they should drink hot things to
restore balance
/.blood transfusion are forbidden by - Answer-jehovah witness
/.when a pt has a hip replacement the nurse should - Answer-place a pillow between
legs while lying to prevent hip dislocation
/.giving meds through the NG tube the nurse should - Answer-mix them individually
/.if a pt is DNR and the nurse resesitates it is called - Answer-battery
/.miseries mean - Answer-pain
,/.when suction nasotracheal tube you should know what - Answer-never suction longer
then 15 seconds, if you get large amount of yellow secretions but past 15 secs,
reoxygenate and then continue suctioning
/.intramuscular injections in thin patients should be given where - Answer-ventrogluteal
/.landmark for ventrogluteal - Answer-greater trochanter (hip)
/.most effective way to use imagery sensory is - Answer-to include as many images as
possible
/.progressive relaxation activity is accomplished by - Answer-1st-establish regular
breathing pattern
2nd- tense muscle fully
3rd- relax muscle completely
/.when should you teach a pt about how to use a PCA pump - Answer-the day before
surgery
/.teleology means - Answer-ENDS JUSTIFY THE MEANS
/.veracity means - Answer-truthfulness
/.correct deep breathing exercise - Answer-inhale through the nose, exhale slowly
through mouth without pursed lips
/.number one cause of bedsores - Answer-prolonged bedrest
/.what is the number 1 question t ask a pt before surgery - Answer-have you had
anything to eat since midnight
/.when a pt gets anesthesia what is highest priority for nurse to do - Answer-position pt
due to risk of perioperative-positioning injury
/.why does a nurse call a time out before the surgery starts - Answer-for final verification
of procedure, site and right pt.
/.what do you expect to find after surgery - Answer-hypoactive bowel sounds
/.if you have a pt with lt hip replacement, p/o they have moderate sanguinous drainage
nurse should - Answer-observe area under hip (since gravity pulls)
mark amount of drainage on dressing by circling it
/.to help relieve anxiety for a pt who has never been hospitalized the nurse should -
Answer-explain room environment
, /.to help prevent venous thromboembolism - Answer-dorsal & plantar flex of feet
lovenox injections (anticoagulant)
/.proper way to evaluate legs is - Answer-use 2 pillows
place 1 lengthwise under each calf
/.if pt is experiencing right sided weakness - Answer-place at 45* angle on lt side
/.when a pt is starting to fall the nurse should - Answer-gently try to lower to the ground
/.atelectasis can lead to pneumonia, to prevent atelectasis the pt should - Answer-take
10 deep breaths per hour
/.what is atelectasis - Answer-complete or partial collapse of the lung
/.how would a nurse explain to a pt the correct way to deep breath - Answer-place
hands on abdomen above umbilicus, try to make your hands rise (shoulders should not
rise)
/.what does braden scale assess - Answer-pressure ulcers
/.way to prevent pressure ulcer - Answer-reposition q2h , 60* side lying
/.before giving a pt a new med what is most important question to ask - Answer-if you
are allergic to it
/.what helps to increase normal body flora - Answer-buttermilk and yogurt
/.what should you teach a pt with limited ambulation - Answer-isometric exercise of
gluteal and quadriceps
5x Q2h while awake
/.when a nurse is concern with the pt getting constipation due to lack of activity and poor
diet what should the nurse do - Answer-offer bedside commode, which allows pt
independence and correct positioning for bowel action
/.to improve spiritual needs of patient the nurse should - Answer-place a sign on door to
allow quiet time in A.M for prayer
/.lack of sleep causes - Answer-fatigue and pain
/.how is quality of pain described - Answer-dull, sharp, achy, stabbing
/.pain intensity is measured by - Answer-scale 1-10 and faces for children
/.guarding is known as - Answer-common response to an injured area
ALREADY GRADED A+
/. normal blood pressure - Answer-120/80
/.normal spo2 - Answer-95-100
/.normal pulse - Answer-60-100
/.normal adult respirations
normal children respirations - Answer-16-20
16-30
/.glucose level - Answer-70-110
/.normal wbc
normal platelets - Answer-5000-10,000
150,000-4000,000
/.normal bun - Answer-10-20
/.creatinine - Answer-.6-1.3
/.sodium - Answer-135-145
/.potassium
albumin - Answer-3.5-5.0
/.calcium - Answer-8.6-10.0
/.digoxin level - Answer-.5-2.0
/.magnesium - Answer-1.6-2.6
/.hematocrit - Answer-female 35-45
male 42-52
/.absence seizure - Answer-last only a few seconds
/.tonic clonic seizure - Answer-protect airway
protect pt from injury
,monitor duration of seizure activity
/.status epileptic in er - Answer-protect airway
administer valuim(diazepam)
place IV
protect pt from injury
/.main seizure drugs - Answer-carbamazepine(tegretol) avoid grapefruit
phenytoin(dilantin) extra growth on gums
valproic(dapakote) affects wound healing
/.if G.I symptoms occur while on seizure meds you should advice pt to - Answer-take
with food
/.signs of depression in children - Answer-pretends to be sick
trouble in school
pessimistic attitude
/.TREATMENT FOR DEPRESSION - Answer-antidepressants
counseling
psychotherapy
/.should not take St. johns wort while taking what meds - Answer-antidepressants
/.if a pt is on TPN and it runs out with no more available at the time, the nurse should -
Answer-infuse 10% dextrose with water at 54ml/hr
/.best way to tell if ng tube is correctly in place - Answer-chest x-ray
/.proper use of inhaler - Answer-during inhalation the pt should administer the
medication
/.after a procedure hispanics believe that - Answer-they should drink hot things to
restore balance
/.blood transfusion are forbidden by - Answer-jehovah witness
/.when a pt has a hip replacement the nurse should - Answer-place a pillow between
legs while lying to prevent hip dislocation
/.giving meds through the NG tube the nurse should - Answer-mix them individually
/.if a pt is DNR and the nurse resesitates it is called - Answer-battery
/.miseries mean - Answer-pain
,/.when suction nasotracheal tube you should know what - Answer-never suction longer
then 15 seconds, if you get large amount of yellow secretions but past 15 secs,
reoxygenate and then continue suctioning
/.intramuscular injections in thin patients should be given where - Answer-ventrogluteal
/.landmark for ventrogluteal - Answer-greater trochanter (hip)
/.most effective way to use imagery sensory is - Answer-to include as many images as
possible
/.progressive relaxation activity is accomplished by - Answer-1st-establish regular
breathing pattern
2nd- tense muscle fully
3rd- relax muscle completely
/.when should you teach a pt about how to use a PCA pump - Answer-the day before
surgery
/.teleology means - Answer-ENDS JUSTIFY THE MEANS
/.veracity means - Answer-truthfulness
/.correct deep breathing exercise - Answer-inhale through the nose, exhale slowly
through mouth without pursed lips
/.number one cause of bedsores - Answer-prolonged bedrest
/.what is the number 1 question t ask a pt before surgery - Answer-have you had
anything to eat since midnight
/.when a pt gets anesthesia what is highest priority for nurse to do - Answer-position pt
due to risk of perioperative-positioning injury
/.why does a nurse call a time out before the surgery starts - Answer-for final verification
of procedure, site and right pt.
/.what do you expect to find after surgery - Answer-hypoactive bowel sounds
/.if you have a pt with lt hip replacement, p/o they have moderate sanguinous drainage
nurse should - Answer-observe area under hip (since gravity pulls)
mark amount of drainage on dressing by circling it
/.to help relieve anxiety for a pt who has never been hospitalized the nurse should -
Answer-explain room environment
, /.to help prevent venous thromboembolism - Answer-dorsal & plantar flex of feet
lovenox injections (anticoagulant)
/.proper way to evaluate legs is - Answer-use 2 pillows
place 1 lengthwise under each calf
/.if pt is experiencing right sided weakness - Answer-place at 45* angle on lt side
/.when a pt is starting to fall the nurse should - Answer-gently try to lower to the ground
/.atelectasis can lead to pneumonia, to prevent atelectasis the pt should - Answer-take
10 deep breaths per hour
/.what is atelectasis - Answer-complete or partial collapse of the lung
/.how would a nurse explain to a pt the correct way to deep breath - Answer-place
hands on abdomen above umbilicus, try to make your hands rise (shoulders should not
rise)
/.what does braden scale assess - Answer-pressure ulcers
/.way to prevent pressure ulcer - Answer-reposition q2h , 60* side lying
/.before giving a pt a new med what is most important question to ask - Answer-if you
are allergic to it
/.what helps to increase normal body flora - Answer-buttermilk and yogurt
/.what should you teach a pt with limited ambulation - Answer-isometric exercise of
gluteal and quadriceps
5x Q2h while awake
/.when a nurse is concern with the pt getting constipation due to lack of activity and poor
diet what should the nurse do - Answer-offer bedside commode, which allows pt
independence and correct positioning for bowel action
/.to improve spiritual needs of patient the nurse should - Answer-place a sign on door to
allow quiet time in A.M for prayer
/.lack of sleep causes - Answer-fatigue and pain
/.how is quality of pain described - Answer-dull, sharp, achy, stabbing
/.pain intensity is measured by - Answer-scale 1-10 and faces for children
/.guarding is known as - Answer-common response to an injured area
