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Vista previa 2 fuera de 15 páginas
Examen

Hesi Exit Exam with latest questions and answers 2024 updated.

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Vista previa 2 fuera de 15 páginas

Hesi Exit Exam with latest questions and answers 2024 updated. A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse need? (Enter numeric value only.) - correct answers.200ml . 25 ml of full strength feeding mixed with 25ml of water provided 50ml of half strength. 25ml × 8 hours= 200ml An elderly male client is experiencing urinary incontinence. What is the best initial nursing action? - correct answers.Apply an external condom catheter 3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow fluids to enter his body once he is cleansed for prayer. What action should the nurse implement? - correct answers.Reschedule administration of the antibiotic until after he completes his prayers UAP using a hand sanitzers that is alcohol for 2 minutes - correct that hand sanitizer use is less 2min 5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer - correct answers.Answer: 800 Rationale: First, convert the child's weight to kg: 44 pounds divided by 2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg 6. While assisting a postpartum client with perineal care, the nurse notes that her vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is firm and the client's vital signs are pulse 88 beats/minute; respiratory rate, 21 breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse take next? - correct answers.Compare current vital signs with previous vital signs A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in his eye. Which action should the school nurse take? - correct answers.Have the parent take the child for emergency help Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought processes, secondary to" what condition? - correct answers.Postpartum psychosis The nurse identifies a priority diagnosis of, "Altered comfort related to menstrual cramps" for a 25-year-old female client. Which self-care activity should the nurse emphasize in the client's teaching plan? - correct answers.Regular aerobic exercise. Psych/Alcohol/Tylenol overdose antidote - correct answers.Give Mucomyst Medical Surgical/Laxative abuses - correct answers.Patient -taking Milk of Magnesium Spiritual/Documentation - correct answers.Native American - Allow pt's family to stay in the room Leadership- Interpreter informed consent - correct answers.Pt should sign the consent Geriatrics/Emergency Rib fractures fall - correct answers.Pulmonary embolism A client diagnosed with major depression is being allowed a weekend pass from the psychiatric unit. Which instruction should the nurse provide to the client's family? - correct answers.Involve the client in usual at home activities Upon assessment, the nurse discovers that a postpartum client has persistent red lochia. Which of the following does this assessment finding suggest to the nurse? - correct answers.Coagulation disorders The healthcare provider performs peritoneal dialysis on a client, after which 2 liters of fluid is drained. What action should the nurse complete first? - correct answers.Assess vital signs. After administering a medication through a nasogastric tube connected to suction, what action should the nurse take first? - correct answers.Clamp the tube The nurse is caring for four clients: Client A 94% o2 saturation, Client B, hemoglobin of 8.; Client C, potassium level of 3.8 and Client D appendectomy who has a white blood cell count of 15,000. What should the nurse implement? - correct answers.Determine if Client B has two units of packed cells available in the blood bank. Triage question with a train wreck The psychiatric nurse is called to a train derailment that was likely caused by a terrorist bomb. In triaging those in need of immediate care, what is the priority ranking for these cases? (arrange these cases in order or priority with the top item requiring the most immediate care and the bottom item requiring the least priority care) - correct answers.A mother and father have just arrived on the . A crying child being held by another passenger. A woman sitting on the ground with a blanket. A middle-aged man who is wandering around (arrange in order) = middle age woman bleeding- woman w/ blanket- child crying- mother and father. (Mine didn't have a middle age woman bleeding, instead it had an old man wandering and - correct ct order is: wandering old man, woman w/blanket, man holding baby, and mother & father) The nurse in the emergency department is using the simple triage and rapid transport (START) system to assess victims of a hurricane. Which statement correctly describes a yellow disaster tag? - correct answers.A yellow disaster tag means critical injuries and require immediate intervention. What makes a baby frontal bulge or rises - correct g Which of the following is a nursing intervention for a 3-year-old client who is going in for sugery in 8 hours that has an order for fluid restriction? - correct answers.Do not allow the child to drink fluids The ear, where do u pull to give a ear drop - correct a picture so look it up online (KNOW CHILD & ADULT) (pull the pinnae top side of ear; u can look at a picture to see exactly where pinnae is) (Mine had a picture of ear and put it on the lobule of the pinnae it is the ear lobe). The eye picture asked to find the macula or the fovea centralis (there are 2 prominent spots on the eye - choose the DARK spot to the left not the spot where the light is) Know your serum levels? - correct answers.K- 3.5-5.1, Na - 135-145, Ca 9-11, BUN - 10-20 When to use drug for motion sickness drug question - correct answers.Take Zofran 4 hours before going on trip via sea.


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Subido en
1 de enero de 2024
Número de páginas
15
Escrito en
2023/2024
Tipo
Examen
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