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STUDY GUIDE - EXAM FOR: IS-700.A: NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS) AN INTRODUCTION 3/17/2016 1/6 Study Guide - Exam for: IS-700.a: National Incident Management System (NIMS) An Introduction 1. Interoperability: A. Involves oversight by the Federal Communications Commission for assigning emergency frequencies. B. Is the ability of emergency management/response personnel to interact and work well together. C. Requires nongovernmental and private-sector organizations to p...

HESI FUNDAMENTALS PRACTICE EXAM HESI Fundamentals Practice Exam The nurse observes that a male client has removed the covering form an ice pack applied to his knee. What action should the nurse take first? Observe the appearance of the skin under the ice pack. The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the solution at a rate of 5mcg/kg/min to a client weighing 182lbs. Using a drip factor of 60gtt/ml, how many drops permin should the client receive? 124gtt/...

HESI MED SURG RESPIRATORY HESI Med Surg Respiratory How does fever cause dehydration? D/t excessive fluid loss from diaphoresis. Increased temperature also increased metabolism and the demand for O2. Clients at high risk for pneumonia: ALOC, depressed or absent gag and cough reflex, susceptible to aspirating oropharyngeal secretions, including alcoholics, anesthetized patients, brain injury, drug overdose, stroke victim, immunocompromised, immobile, cigarette smokers, other neuro diso...

HESI MATERNAL HESI MATERNAL 1. When taking the health history of a child, the nurse know what which finding is an early indication of hypothyroidism in children? a. Cessation of growth in a child that had been normal a.i. Since the thyroid gland is responsible for metabolism, cessation of growth which as previously w/ in normal range, is the most common for hypothyroidism in children. The child w/ hypothyroidism is likely to be HYPOactive not (HYPERactive), although there is delay in the ...

HESI MED-SURG RESPIRATORY HESI Med-Surg Respiratory What is a common adverse effect of the tetracycline antibiotics? Photosensitivity Why should tetracyclines be avoided in pregnant clients and children under 8 years? It can cause yellow-brown discoloration of teeth and growth retardation Antibiotics ending in -mycin are usually? nephrotoxic and ototoxic What is the patho behind chronic bronchitis? Chronic sputum with cough production on a daily basis for a minimum of 3 months in each...

HESI MED STROKE HESI MED STROKE The ED nurse is completing the admission assessment. Nancy is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. Which additional clinical manifestations should the nurse expect to find if Nancy's symptoms have been caused by a brain attack (stroke)? A. Difficulty swallowing B. Decreased bowel sounds C. A carotid bruit D. Elevated blood pressure E. Hyperreflexic deep tendon reflexes A. ...

RESPIRATORY EXAM MEDSURG Respiratory Exam Med-Surg The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. What is the minimum length of time the nurse should plan to hold pressure on the puncture site? A. 2 minutes B. 5 minutes C. 10 minutes D. 15 minutes B. 5 minutes After obtaining blood for an arterial blood gas measurement, the nurse should hold pressure on the puncture site for 5 m...

HESI MED SURG HESI MED SURG The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) A. Frequent vital signs. B. Determine if the client is allergic to aspirin. D. Offer fluids of choice. F. Monitor infusion of IV nitroglycerine. In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test results to indicate a dec...

HESI RN FUNDAMENTALS HESI RN Fundamentals An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? A. Massage any reddened areas for at least five minutes. B. Encourage active range of motion exercises on extremities. C. Position the client laterally, prone, and dorsally in sequence. D. Gently lift the client when moving into a desired position. To avoid shearing forces when repositioning, the client should be l...

HESI RN ADAPTIVE QUIZ Chris jay HESI RN adaptive quiz A 20-year-old woman comes into the clinic after missing her menstrual period 2 weeks ago and states that she suspects that she is pregnant. As the nurse is reviewing her medications, the client says that she is taking isotretinoin. What should the nurse consider regarding isotretinoin? it is a teratogen A nurse is teaching skin and basic care to the mother of a 6-month-old infant with eczema. Which statement indicates that the mother ...

HESI MED-SURG (RESPIRATORY) HESI Med-Surg (Respiratory) List four common symptoms of pneumonia that the nurse might note on a physical examination. Fever and chills, diminished breath sounds, productive cough and tachypnea State 4 nursing interventions for assisting the client to cough productively Encourage deep breathing, staying hydrated, humidify to loosen secretions, and suction airway to stimulate coughing. What symptoms of pneumonia might the nurse expect to see in an older clien...

HESI RN MED SURG II HESI RN Med Surg II A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client: Hangs the irrigation bag on the door clothes hook during fluid insertion Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the best nursing response? Assess the client's ab...

FUNDAMENTAL HESI Fundamental HESI Which assessment data would provide the most accurate determination of proper placement of a nasogastric tube? A) Aspirating gastric contents to assure a pH value of 4 or less. B) Hearing air pass in the stomach after injecting air into the tubing. C) Examining a chest x-ray obtained after the tubing was inserted. D) Checking the remaining length of tubing to ensure that the correct length was inserted. C) Examining a chest x-ray obtained after the tubin...

HESI RN FUNDAMENTALS HESI RN Fundamentals B 1.What is the rationale for using the nursing process in planning care for clients? A. As a scientific process to identify nursing diagnoses of a clients' healthcare problems. B. To establish nursing theory that incorporates the biopsychosocial nature of humans. C. As a tool to organize thinking and clinical decision making about clients' healthcare needs. D. To promote the management of client care in collaboration with other healthcare profes...

HESI RN EXIT V2 HESI RN EXIT V2 1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My sleeping baby lies so cute in the crib with the little buttocks stuck up ...

HESI RN MEDICAL SURGICAL EXAM HESI RN Medical Surgical EXAM The nurse is assessing a clients laboratory values following the administration of chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome? A. Hemoglobin of 10 g/dl B. Serum calcium of 5mg/dl C. Serum PTT of 10 seconds D. Oxygen saturation of 90% Answer: B TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A serum calcium level of 5 is low an...

HESI RN MEDICAL SURGICAL EXAM QUESTIONS ANSWERS & RATIONALES HESI RN MEDICAL SURGICAL EXAM Questions Answers & Rationales The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very restless and has scant urine output. Oxygen is being administered at 2 L/min, and a saline lock is in place. Which intervention should the nurse implement first? A. Measure the urine specific gravity. B. Obtain IV fluids for infusion per protocol. C. Prepare for insert...

NURSING PROCESS: ASSESSMENT Section 1 Nursing Process: Assessment The nurse admits Raymond to a private room at the end of the hall. According to hospital protocol, the nurse puts on a mask before starting the admission process. Raymond tells the nurse that his significant other is downstairs and that he would like for him to stay in the room with him. How should the nurse respond? "Your healthcare provider (HCP) wants you to get some rest." Raymond is requesting an opportunity for p...

HESI STROKE HESI STROKE Which statement about transient ischemic at- tack (TM) is accurate? a. TIAs do not cause permanent brain damage. b. TIA increases the risk of stroke. c. Symptoms of a TIA usually resolve in 10- 15 minutes. d. After a TIA, a patient is prescribed a beta blocker. B The nurse is preparing to discharge a patient with transient ischemic attacks. What treatment areas does the nurse include in discharge teaching? (Select all that apply.) a. Reduction of high blood pres...

MANAGEMENT OF A PEDIATRIC UNIT Management of a Pediatric Unit Which phone message requires the most immediate response by Ms. Sanku? A school social worker who is reporting that a local teenager who often hangs out around the clinic has made death threats and expressed thoughts of suicide. Which situation requires the most immediate follow-up by the nurse? A mother expressing concern that her baby refuses to take formula, stating that the infant's "soft spot" seems more sunken. Whic...