HESI Exit Version 1 Exam Latest 2025 Qs And As
With Complete Solutions
how do you care for a client with liver failure at the end of life? - answer-decrease meds
give antacids, vitamins, diuretics
I&O's, daily weights, rest
decrease protein and sodium
bleeding precautions
how do you provide hospice care? - answer-talk about what the client wants to talk about
listen with compassion
focus on creating a peaceful environment
touch and facial expression are important
use lotion, give back rub, offer cool towel
nutrition is less important when body is shutting down- offer liquids and soft foods
teach family that this is a normal process
where is the apical pulse? - answer-5th ICS MCL
how do you care for a pediatric client who is impulsive? - answer-distract by redirecting to
other activities
consequences for bad behavior
reward for good behavior
,what do you assess for in a victim of partner abuse? - answer-chronic pain
when can a venipuncture be given to a pediatric client? - answer-2 years old
median cubital, cephalic veins
dorsal hand veins
basilic vein on pinkie side of arm only used when there is not another more prominent arm vein
foot and ankle veins used as last resort
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
FIRST action for late decels? - answer-give O2
what do you give a premature infant with RDS? - 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? - answer-aspirate
what would you teach a client about getting pregnant who just received a Rubella vaccine? -
answer-don't get pregnant for 3 months
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do? -
answer-increase O2
a pt returns from TURP surgery, what can the RN delegate? - 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? - answer-can discontinue suction, but
cannot turn back on
With Complete Solutions
how do you care for a client with liver failure at the end of life? - answer-decrease meds
give antacids, vitamins, diuretics
I&O's, daily weights, rest
decrease protein and sodium
bleeding precautions
how do you provide hospice care? - answer-talk about what the client wants to talk about
listen with compassion
focus on creating a peaceful environment
touch and facial expression are important
use lotion, give back rub, offer cool towel
nutrition is less important when body is shutting down- offer liquids and soft foods
teach family that this is a normal process
where is the apical pulse? - answer-5th ICS MCL
how do you care for a pediatric client who is impulsive? - answer-distract by redirecting to
other activities
consequences for bad behavior
reward for good behavior
,what do you assess for in a victim of partner abuse? - answer-chronic pain
when can a venipuncture be given to a pediatric client? - answer-2 years old
median cubital, cephalic veins
dorsal hand veins
basilic vein on pinkie side of arm only used when there is not another more prominent arm vein
foot and ankle veins used as last resort
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
FIRST action for late decels? - answer-give O2
what do you give a premature infant with RDS? - 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? - answer-aspirate
what would you teach a client about getting pregnant who just received a Rubella vaccine? -
answer-don't get pregnant for 3 months
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do? -
answer-increase O2
a pt returns from TURP surgery, what can the RN delegate? - 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? - answer-can discontinue suction, but
cannot turn back on
