Hondros HESI PN Comprehensive a comprehensive
set of questions and verified answers grade a+.
Nurses should not delegate to Non Certified personnel - ANSWER: E - evaluate
A - assess
T - teach
S/S Addisons Disease - ANSWER: Down, down, down, up, down
Hyponatremia, hypotension, low blood volume, hyperkalemia, hypoglycemia
S/S Cushings Disease - ANSWER: Up, up, up, down, up
Hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia
If there is no urine output
No Pee - ANSWER: Do not give Potassium
No K
For perfusion = EleVate - ANSWER: Veins
For perfusion = DAngle - ANSWER: Arteries
TRANSMISSION-BASED PRECAUTIONS
**AIRBORNE** - ANSWER: MY = measles
CHICKEN = chicken pox/varicella
HEZ = herpez zoster/shingles
TB
TRANSMISSION-BASED PRECAUTIONS
DROPLET - ANSWER: SPIDERMAN
S = sepsis, scarlett fever, streptococcal pharyngitis
1
,P = parvovirus B19, PNA, pertussis (whooping cough)
I = Influezna
D = diptheria (pharyngeal)
E = epiglottitis
R = rubella
M =meningitis, mumps
AN = Adenovirus (private room or cohort mark)
USE CONTACT PRECAUTIONS WITH...... - ANSWER: MRS. WEE
M = multidrug resistant organisms
R = respiratory infection
S = skin infection
W = wound infection
E = enteric infection - c-diff
E = eye infeciton - conjunctivitis
TYPES OF SKIN INFECTIONS - ANSWER: VCHIPS
V - varicella zoster
C - cutaneous diphtheria
H - herpez simpex
I - impetigo
P - pediculosis
S - scabies
APGAR - ANSWER: A = appearance ( color all pink, pink and blue, blue (pale))
P = pulse (>100, <100, absent)
G = grimace ( cough, grimace, no response)
A = activity (flexed, flaccid, limp)
R = respirations (strong cry, weak cry, absent)
2
,S/S Air/Pulmonary Embolism - and tx - ANSWER: Chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom.
TX: turn pt to LEFT side and lower head of bead
S/S Woman in labor w/un-reassuring FHR - and tx - ANSWER: late decels, decreased
variability, fetal bradycardia, etc
TX: turn on LEFT side and give O2, stop Pitocin, and increase IV fluids
TX for Tube Feeding w/Decreased LOC - ANSWER: Position pt on right side (promotes
emptying of the stomach) with HOB elevated to prevent aspirations
Position during Epidural Puncture - ANSWER: Side Lying
TX after lumbar puncture - ANSWER: Pt is to lie in FLAT SUPINE to prevent headache and
leaking of CSF (Cerebrospinal fluid)
Position for pt w/ Heat Stroke - ANSWER: Lie FLAT w/ LEGS ELEVATED
Position during CBI (Continuous Bladder Irrigation) - ANSWER: Catheter is taped to thigh
so leg should be kept straight. No other positioning restrictions.
Position after MYRINGOTOMY (procedure of eardrum or tympanic membrane) -
ANSWER: Position on side of AFFECTED EAR after surgery (allows drainage of
secretions)
Position AFTER Cataract Surgery - ANSWER: Pt will sleep on UNAFFECTED SIDE with
night shield for 1-4 weeks
Position AFTER THYROIDECTOMY - ANSWER: Low or semi-Fowlers (HOB 30-45
degrees) - support head, neck, and shoulders
Position InFant w/SPINA BIFIDA - ANSWER: Position PRONE on abdomen so that sac
does not rupture.
3
, BUCK's TRACTION - ANSWER: (skin traction) elevate foot of bed for counter traction
Position AFTEr TOTAL HIP REPLACEMENT - ANSWER: DO NOT sleep on operated
side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees.
Maintain hip abduction by separating thighs with pillows.
Position w/ Prolapsed Cord for the Mother - ANSWER: Knee-Chest position or
Trendelenburg (face up feet higher than the head).
After surgery: Position for Infant w/Cleft Lip - ANSWER: Position on back or in infant seat
to prevent trauma to suture line. While feeding, hold in upright position.
After post-operative ulcer/stomach surgeries
TO PREVENT DUMING SYNDROME: - ANSWER: EAT IN RECLINING POSITION,
LIE DOWN AFTER MEALS FOR 20-30 MINUTES. (restrict fluids during meals, low CHO
and fiber diet, small frequent meals.)
Positioning after ABOVE THE KNEE AMPUTATION - ANSWER: Elevate for first 24
hours on pillow, position prone daily to provide for hip extension.
Positioning after BELOW KNEE AMPUTATION - ANSWER: Foot of bed elevated for first
24 hours, position prone daily to provide for hip extension.
Detached Retina Position - ANSWER: Area of detachment should be in the dependent
position.
Administration of Fleet Enema - ANSWER: Position patient in LEFT SIDE-LING (Sim's)
with knee flexed.
After Supratentorial Surgery
(behind the hairline) - ANSWER: Elevate HOB 30-45 degrees.
After Infratentorial Surgery
(incision at nape of neck) - ANSWER: Position pt flat and lateral on either side.
4
set of questions and verified answers grade a+.
Nurses should not delegate to Non Certified personnel - ANSWER: E - evaluate
A - assess
T - teach
S/S Addisons Disease - ANSWER: Down, down, down, up, down
Hyponatremia, hypotension, low blood volume, hyperkalemia, hypoglycemia
S/S Cushings Disease - ANSWER: Up, up, up, down, up
Hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia
If there is no urine output
No Pee - ANSWER: Do not give Potassium
No K
For perfusion = EleVate - ANSWER: Veins
For perfusion = DAngle - ANSWER: Arteries
TRANSMISSION-BASED PRECAUTIONS
**AIRBORNE** - ANSWER: MY = measles
CHICKEN = chicken pox/varicella
HEZ = herpez zoster/shingles
TB
TRANSMISSION-BASED PRECAUTIONS
DROPLET - ANSWER: SPIDERMAN
S = sepsis, scarlett fever, streptococcal pharyngitis
1
,P = parvovirus B19, PNA, pertussis (whooping cough)
I = Influezna
D = diptheria (pharyngeal)
E = epiglottitis
R = rubella
M =meningitis, mumps
AN = Adenovirus (private room or cohort mark)
USE CONTACT PRECAUTIONS WITH...... - ANSWER: MRS. WEE
M = multidrug resistant organisms
R = respiratory infection
S = skin infection
W = wound infection
E = enteric infection - c-diff
E = eye infeciton - conjunctivitis
TYPES OF SKIN INFECTIONS - ANSWER: VCHIPS
V - varicella zoster
C - cutaneous diphtheria
H - herpez simpex
I - impetigo
P - pediculosis
S - scabies
APGAR - ANSWER: A = appearance ( color all pink, pink and blue, blue (pale))
P = pulse (>100, <100, absent)
G = grimace ( cough, grimace, no response)
A = activity (flexed, flaccid, limp)
R = respirations (strong cry, weak cry, absent)
2
,S/S Air/Pulmonary Embolism - and tx - ANSWER: Chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom.
TX: turn pt to LEFT side and lower head of bead
S/S Woman in labor w/un-reassuring FHR - and tx - ANSWER: late decels, decreased
variability, fetal bradycardia, etc
TX: turn on LEFT side and give O2, stop Pitocin, and increase IV fluids
TX for Tube Feeding w/Decreased LOC - ANSWER: Position pt on right side (promotes
emptying of the stomach) with HOB elevated to prevent aspirations
Position during Epidural Puncture - ANSWER: Side Lying
TX after lumbar puncture - ANSWER: Pt is to lie in FLAT SUPINE to prevent headache and
leaking of CSF (Cerebrospinal fluid)
Position for pt w/ Heat Stroke - ANSWER: Lie FLAT w/ LEGS ELEVATED
Position during CBI (Continuous Bladder Irrigation) - ANSWER: Catheter is taped to thigh
so leg should be kept straight. No other positioning restrictions.
Position after MYRINGOTOMY (procedure of eardrum or tympanic membrane) -
ANSWER: Position on side of AFFECTED EAR after surgery (allows drainage of
secretions)
Position AFTER Cataract Surgery - ANSWER: Pt will sleep on UNAFFECTED SIDE with
night shield for 1-4 weeks
Position AFTER THYROIDECTOMY - ANSWER: Low or semi-Fowlers (HOB 30-45
degrees) - support head, neck, and shoulders
Position InFant w/SPINA BIFIDA - ANSWER: Position PRONE on abdomen so that sac
does not rupture.
3
, BUCK's TRACTION - ANSWER: (skin traction) elevate foot of bed for counter traction
Position AFTEr TOTAL HIP REPLACEMENT - ANSWER: DO NOT sleep on operated
side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees.
Maintain hip abduction by separating thighs with pillows.
Position w/ Prolapsed Cord for the Mother - ANSWER: Knee-Chest position or
Trendelenburg (face up feet higher than the head).
After surgery: Position for Infant w/Cleft Lip - ANSWER: Position on back or in infant seat
to prevent trauma to suture line. While feeding, hold in upright position.
After post-operative ulcer/stomach surgeries
TO PREVENT DUMING SYNDROME: - ANSWER: EAT IN RECLINING POSITION,
LIE DOWN AFTER MEALS FOR 20-30 MINUTES. (restrict fluids during meals, low CHO
and fiber diet, small frequent meals.)
Positioning after ABOVE THE KNEE AMPUTATION - ANSWER: Elevate for first 24
hours on pillow, position prone daily to provide for hip extension.
Positioning after BELOW KNEE AMPUTATION - ANSWER: Foot of bed elevated for first
24 hours, position prone daily to provide for hip extension.
Detached Retina Position - ANSWER: Area of detachment should be in the dependent
position.
Administration of Fleet Enema - ANSWER: Position patient in LEFT SIDE-LING (Sim's)
with knee flexed.
After Supratentorial Surgery
(behind the hairline) - ANSWER: Elevate HOB 30-45 degrees.
After Infratentorial Surgery
(incision at nape of neck) - ANSWER: Position pt flat and lateral on either side.
4
