EXIT HESI VERSION 1
QUESTIONS & 100% CORRECT
ANSWERS
what do you screen for on a newborn baby?
CORRECT ANSWER hypothyroidism
check T4 level (decreased)
what would the potassium level be in a pt with diabetes insipidus?
CORRECT ANSWER hypokalemia
what is an expected side effect of Solu-Medrol?
CORRECT ANSWER bleeding, bruising
what does Pilocarpine treat?
CORRECT ANSWER glaucoma
antidote is atropine sulfate
may get a dry mouth
TPN
CORRECT 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?
CORRECT 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?
CORRECT ANSWER bread & cream of wheat
FIRST action for late decels?
CORRECT ANSWER give O2
what do you give a premature infant with RDS?
CORRECT ANSWER 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?
CORRECT ANSWER aspirate
what would you teach a client about getting pregnant who just received a Rubella vaccine?
CORRECT ANSWER don't get pregnant for 3 months
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do?
CORRECT ANSWER increase O2
a pt returns from TURP surgery, what can the RN delegate?
CORRECT ANSWER weigh daily
I&O's- subtract irrigate from output
kegal exercises for temporary incontinence
what can be delegated to a nursing assistant or UAP?
CORRECT 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?
CORRECT 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?
CORRECT 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?
CORRECT ANSWER UOP
it is more important than drainage
what is important when caring for pt in skeletal traction?
CORRECT 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?
CORRECT ANSWER immobilize extremity
QUESTIONS & 100% CORRECT
ANSWERS
what do you screen for on a newborn baby?
CORRECT ANSWER hypothyroidism
check T4 level (decreased)
what would the potassium level be in a pt with diabetes insipidus?
CORRECT ANSWER hypokalemia
what is an expected side effect of Solu-Medrol?
CORRECT ANSWER bleeding, bruising
what does Pilocarpine treat?
CORRECT ANSWER glaucoma
antidote is atropine sulfate
may get a dry mouth
TPN
CORRECT 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?
CORRECT 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?
CORRECT ANSWER bread & cream of wheat
FIRST action for late decels?
CORRECT ANSWER give O2
what do you give a premature infant with RDS?
CORRECT ANSWER 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?
CORRECT ANSWER aspirate
what would you teach a client about getting pregnant who just received a Rubella vaccine?
CORRECT ANSWER don't get pregnant for 3 months
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do?
CORRECT ANSWER increase O2
a pt returns from TURP surgery, what can the RN delegate?
CORRECT ANSWER weigh daily
I&O's- subtract irrigate from output
kegal exercises for temporary incontinence
what can be delegated to a nursing assistant or UAP?
CORRECT 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?
CORRECT 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?
CORRECT 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?
CORRECT ANSWER UOP
it is more important than drainage
what is important when caring for pt in skeletal traction?
CORRECT 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?
CORRECT ANSWER immobilize extremity
