Hesi Exit Version 3, HESI LATEST FOR 2024 WITH ALL
QUESTIONS
Cleft Lip - Feeding - ANSWER-Nipples with flange to occlude
cleft
Large, soft nipples with large holes
hold baby at 60-80 degrees
molded nipple
breastfeeding encourages
bubble baby frequently
after surgical procedure feed from the side
Myocardial Infarction (MI) - ANSWER-EKG Changes
ST Elevation
T inversion
Wider Q Wave
Early Decelerations - Fetal Heart Rate - ANSWER-Means Head
compression
mirror image of contraction
Normal fetal HR 120-160
JUST OBSERVE
,CPR in Pregnancy - ANSWER-Cephalad position
L lateral uterine displacement
no Sodium based drugs
Mag toxicity = Calcium Gluconate to fix
Hyperglycemia in elderly - ANSWER-Greater than 110 if fasting
Greater than 140 for 2 hour test
normal is 80-125
Excessive urine output
Have pt. administer their own insulin
Sliding scale insulin
Colorectal cancer - Surgical Care and care of Colostomy -
ANSWER-Monitor vital signs, stoma, Q 4 hours
Should be Beefy Red (normal)
Dusky appearance (necrotic)
Small amount of bleeding is normal
NG suctioning until bowel sounds are present
No lifting greater than 10 lbs or pulling for 6 weeks
,wash with mild soap, warm H20, pat dry
do not wash off markings
KNOW! Low fat, high fiber cruciferous diet (Brussel Sprouts,
cauliflower, broccoli, cabbage )
Osteoporosis plan of care - ANSWER-RISK IS LOW CALCIUM
INTAKE
Watch for stairs, waxed floor, rugs,
medicate for pain
High Protein, High calcium, High iron diet
Weight bearing and strengthening exercises
fall prevention: Non-skid socks
encourage activity of D.L.
Side rails in bathrooms
Ectopic Pregnancy - ANSWER-HCG Elevation
Transvaginal ultrasound
unilateral or bilateral abd. pain
medical emergency
Burn Neck Contractures - ANSWER-Neck stabilized and aligned
, Airway management
Splinting, neck collars
Pedicuosis (head lice) - ANSWER-Direct contact
No sharing personal items
Nits (whitish sacs)
Keeping staff separate
SCHOOL NURSE - send note home to parents
Date Rape - ANSWER-Ask if consensual - had any conceptual
sex recently
DKA Labs - ANSWER-ANION GAP
Metabolic Acidosis - PH < 7.15
Advance Directive - ANSWER-Living Will
Prepared when person is still alive competent, able to make
decisions about life sustaining measures
Pavlik Harness - ANSWER-used for hip dysplasia in infants
Remove only to take baths
QUESTIONS
Cleft Lip - Feeding - ANSWER-Nipples with flange to occlude
cleft
Large, soft nipples with large holes
hold baby at 60-80 degrees
molded nipple
breastfeeding encourages
bubble baby frequently
after surgical procedure feed from the side
Myocardial Infarction (MI) - ANSWER-EKG Changes
ST Elevation
T inversion
Wider Q Wave
Early Decelerations - Fetal Heart Rate - ANSWER-Means Head
compression
mirror image of contraction
Normal fetal HR 120-160
JUST OBSERVE
,CPR in Pregnancy - ANSWER-Cephalad position
L lateral uterine displacement
no Sodium based drugs
Mag toxicity = Calcium Gluconate to fix
Hyperglycemia in elderly - ANSWER-Greater than 110 if fasting
Greater than 140 for 2 hour test
normal is 80-125
Excessive urine output
Have pt. administer their own insulin
Sliding scale insulin
Colorectal cancer - Surgical Care and care of Colostomy -
ANSWER-Monitor vital signs, stoma, Q 4 hours
Should be Beefy Red (normal)
Dusky appearance (necrotic)
Small amount of bleeding is normal
NG suctioning until bowel sounds are present
No lifting greater than 10 lbs or pulling for 6 weeks
,wash with mild soap, warm H20, pat dry
do not wash off markings
KNOW! Low fat, high fiber cruciferous diet (Brussel Sprouts,
cauliflower, broccoli, cabbage )
Osteoporosis plan of care - ANSWER-RISK IS LOW CALCIUM
INTAKE
Watch for stairs, waxed floor, rugs,
medicate for pain
High Protein, High calcium, High iron diet
Weight bearing and strengthening exercises
fall prevention: Non-skid socks
encourage activity of D.L.
Side rails in bathrooms
Ectopic Pregnancy - ANSWER-HCG Elevation
Transvaginal ultrasound
unilateral or bilateral abd. pain
medical emergency
Burn Neck Contractures - ANSWER-Neck stabilized and aligned
, Airway management
Splinting, neck collars
Pedicuosis (head lice) - ANSWER-Direct contact
No sharing personal items
Nits (whitish sacs)
Keeping staff separate
SCHOOL NURSE - send note home to parents
Date Rape - ANSWER-Ask if consensual - had any conceptual
sex recently
DKA Labs - ANSWER-ANION GAP
Metabolic Acidosis - PH < 7.15
Advance Directive - ANSWER-Living Will
Prepared when person is still alive competent, able to make
decisions about life sustaining measures
Pavlik Harness - ANSWER-used for hip dysplasia in infants
Remove only to take baths
