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HESI Comprehensive Exam A Practice Questions & Answers.docx

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11. Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)? a) The patient’s blood glucose level is 174 mg/dL. b) The patient is scheduled for a chest x-ray in an hour. c) The patient has gained 2 lb (0.9 kg) in the past 24 hours. d) The patient’s blood urea nitrogen (BUN) level is 52 mg/dL. ANS: D The BUN indicates possible renal failure, and metformin should not be used in patients with renal failure. The other findings are not contraindications to the use of metformin. 12. A patient who has diabetes and reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline ? a) Amitriptyline decreases the depression caused by your foot pain. b) Amitriptyline helps prevent transmission of pain impulses to the brain. c) Amitriptyline corrects some of the blood vessel changes that cause pain. d) Amitriptyline improves sleep and makes you less aware of nighttime pain. ANS: B Tricyclic antidepressants (TCAs) decrease the transmission of pain impulses to the spinal cord and brain. TCAs also improve sleep quality and are used for depression, but that is not the major purpose for their use in diabetic neuropathy. The blood vessel changes that contribute to neuropathy are not affected by TCAs. 13. A patient who has type 2 diabetes is being prepared for an elective coronary angiogram. Which information would the nurse anticipate might lead to rescheduling the test? a) The patient’s most recent A1C was 6.5%. b) The patient’s blood glucose is 128 mg/dL. c) The patient took the prescribed metformin today. d) The patient took the prescribed captopril this morning. ANS: C To avoid lactic acidosis, metformin should be discontinued a day or 2 before the coronary angiogram and should not be used for 48 hours after IV contrast media are administered. The other patient data will also be reported but do not indicate any need to reschedule the procedure. 14. Which action by a patient indicates that the home health nurse’s teaching about glargine and regular insulin has been successful? a) The patient administers the glargine 30 minutes before each meal. This study source was downloaded by from CourseH on :33:49 GMT -05:00 HESI Comprehensive b) The patient’s family prefills the syringes with the mix of insulins weekly. c) The patient discards the open vials of glargine and regular insulin after 4 weeks. d) The patient draws up the regular insulin and then the glargine in the same syringe. ANS: C Insulin can be stored at room temperature for 4 weeks. Glargine should not be mixed with other insulins or prefilled and stored. Short-acting regular insulin is

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HESI Leadership


HESI Leadership Exam
(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM
AND OTHER HESI EXAMS)
Finding a client sitting on the floor, nurse calls for help from UAP


Get a BP cuf

Assigning a UAP to assist client with personal care

Prescribed activity level

The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one nurse must float
to the ICU

Staf nurse who was cross-trained to work in the critical
care dept


Charge nurse developing guidelines for a coronary care unit

The scope of standards of practice from the American
nurses association


Which patient should be assigned to a nurse that is floated from maternity unit

Post op hysterectomy


There has been a major disaster. Triage nurse should give which patient priority

Cut over eye


Delegate to LPN
Dressing change

Move which patient to medical surgical unit
Patient with ABNL liver levels

One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do

, Take patient to ICU and arrange for respiratory patient to
stay in PACU

UAP giving complete bath-which patient is more concern


Patient with dyspnea (SOB when lying flat)


ER nurse getting moved to L&D, what patient should leader assign
Patient with episiotomy infection

DNR


Notify the family

Against medical Advice (AMA)with and IV


RN removes IV, sign the document AMA form

Prescriptions-telephone


repeat order back to doctor to make sure it is correct

Assign UAP
hygiene, feeding, ADLS, ROM, ambulation
R180,18
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