PN HESI QUESTIONS AND ANSWERS RATED A

PN HESI QUESTIONS AND ANSWERS RATED A Thyroidectomy patient with hoarse voice Tell the charge nurse What would you expect with a patient with hip replacement cast? Decreased HGB If you are taking out the NG tube and your patient starts gagging, what would you do? Continue removing the NG tube Something with a chamber of 15mL Choose the option to add 5mL to make it 20mL Nurse that has four patients Pick the patient trying to get up (NOT liver biopsy patient) Know where the injection site is on the ass Side top, where the dimple is Patient wants to be DNR Tell the physician of the clients wishes Parkinsons Give levodopa Patient comes in with TB, UTI, nurse looks at prescription and patient complains of tinnitus, which drugs are you going to question? Gentamicin Foods that contain Vitamin K SATA Spinach & broccoli Listening to the sounds of the lungs Give albuterol Cleaning wound that has a drain, how does the PN cleanse that wound Cleaning from the most drainage to the least Husband of a patient is screaming, what stage is he experiencing? Anger Coumadin question that is increasing Just administer the next dose- 5mg. Rationale: It says in the doctors order to give 2mg on the first day on 5 on the rest. Don't get confused with Heparin's INR which will show that it's increasing because thats normal Incentive spirometer that shows they need more teaching Patient who is blowing INTO it Catheter question about vulture sensitivity Use sterile syringe and get urine from the port near the catheter Thrombocytopenic patient Move all clutter out of the environment Correct way to inject insulin (in order) Sit the client up right, clean with swab, pinch, release, and then inject Newborn baby, why is there yellow drainage? they get antibiotic eye drops when they are first born Thyroid patient receiving synthroid (Levothyroxine) Monitor for palpitations How do you know if your patient has jaundice? Observe Teenager being admitted to psycho unit, prior to leaving the room, what do you do? Ask her if she has suicidal tendencies Malpractice question - which of these protect you? Code of ethics Within your scope of practice Nurse Practice Acts PCP tells UAP to cut diabetic toenail Inform the HCP of the diabetic foot care policy 3 month old immunizations Hep B Ear question for toddler Pull up and back for 4+ Cradle cap question Use a soft bristle brush Picture with nurse touching the outside of the sterile box, what would you tell her to do? Apply new sterile gloves Schizophrenic patient is depressed sitting in their room. The next day they're diaphoretic and pacing down the hall Put him near nursing station Continuous feeding G tube and the bed is high and UAP is giving bed bath Stay and watch Lady with hella symptoms that isn't your patient and their IV comes out and she's bleeding. What do you do after? Document it yourself Patient has a leg cast. What lab would be of most concern? HBG 9 What is the most significant to report? Coffee ground emesis Who among the clients should the nurse assess first? Gravida 3 Para 3 who delivered vaginally 2 hours ago If you see your loch getting redder at home, what would you tell the patient to do ? Notify yourPCP and come back Pillow question with abduction Pick picture with legs away from each other not fully bent at knees Where do you go to get bone marrow Iliac crest What patient would you take action for first? When nasal cannula is pressed against her cheek Pregnancy question Termed 3 Abortion 3 Preterm 0 Living 2 Patient has 3 large, semi formed bowel movements while taking bisacodyl dulcolax. What do you do? Tell patient to with a glass of water Kussumail respirations, what's another s/s Fruity breath Client is receiving IV, what s/s would be most significant for the nurse to report? Pruritus and hives Enema put three inches into rectum unclaimed and nothing happens Put the bag of 6 inches higher Mannitol- what would you monitor Input and output Shingles/herpes- What is most concerning? Weeping/crusting of blisters Palliative care for dying man mottled legs Cover him with a blanket Kidney question- What would be most concerning? Decreased creatinine In caring for a client with transient ischemic attacks, a priority nursing diagnosis would be High risk for injury After a cardiac catheterization, the nurse feels for the presence of pedal pulses. The nurse needs to assess which arterial pulse site? SATA Posterior tibial artery Dorsalis pedis artery Which choices would you palpate for? SATA Temp Warm/dry skin Thready pulse The nurse assists a client to the bathroom who had an unmedicated vaginal birth one hour ago. The client has a small to moderate amount of loch at each post-biro assessment, but now has a few small clots mixed in with the urine. How should the nurse document these findings? Client assisted to the bathroom. Small clots passed during urination PN hears a patient screaming at the UAP in their room and the UAP screams back, what do you do? Tell the UAP to leave the room immediately Woman that is 5 months pregnant will usually complain of what? Amenorrhea SATA question on a PN observing a new PN (know what's in the scope of practice) Wash hands Take vitals New order is assigned at 1000 that the patient can't use abs via IV route. What would you administer at 1300? Amoxicillin (or any other -cillin med which is an antibiotic) Thrombocytopenic patient is having BP taken with regular BP cuff. You would Observe the UAP take the BP Patient wanted their atrial fistula then out, you would Explain the risk of stopping treatment Older patients with temperature of 99.9 respirations were 22, BP 108/60 Inform the charge nurse Older female patient was confused and doesn't have a history of confusion Tell her what day of the week it was Wound drainage, you cleaned it, your next step would be to Check vital signs Other thrombocytopenia patient Put bed rails up so she doesn't bump anything Patient complains of tooth being stained after drinking iron, you would Tell them to drink it with a straw Question with choletiasis (gallbladder stones) Question about who would you see first? An infant whose HR is 80 Patient on immunosuppressants Check their weight Patient being given food Cookies Growing girl video is correct Inversion and Eversion is just foot flexing from left to right (they'll show pictures) Math answer 1550 Iron is staining teeth Drink with straw Patient who has schizo keeps to himself and responds with only one-two words. What do you do as a nurse? Observe him throughout the shift Therapeutic effects for a patient on levodopa for parkinson's (Not SATA) Improvement in salivation, bradykinesia, rigidity