Exit HESI Version 1 131 Questions With Correct Answers

Exit HESI Version 1 131 Questions With Correct Answers what do you screen for on a newborn baby? - Correct Answer hypothyroidism check T4 level (decreased) what would the potassium level be in a pt with diabetes insipidus? - Correct Answer hypokalemia what is an expected side effect of Solu-Medrol? - Correct Answer bleeding, bruising what does Pilocarpine treat? - Correct Answer glaucoma antidote is atropine sulfate may get a dry mouth TPN - Correct Answer central venous catheter check for cloudiness refrigerate- warm before administration monitor electrolytes everyday monitor for hyperglycemia and infection change tubing with each new bag nothing else goes through this line what drug would you give is extravasation has occurred? - Correct Answer phentolamine (Regitine)- it's a vasodilator and will increase blood flow to the area to prevent necrosis what diet would be chosen for a pt with CKD? - Correct Answer bread & cream of wheat FIRST action for late decels? - Correct Answer give O2 what do you give a premature infant with RDS? - Correct Answer surfactant betamethasone (Celestone) stimulates surfactant production in alveolar space causing less tension when infant breaths- given IM to mother in preterm labor FIRST action for a newborn choking? - Correct Answer aspirate what would you teach a client about getting pregnant who just received a Rubella vaccine? - Correct Answer don't get pregnant for 3 months pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do? - Correct Answer increase O2 a pt returns from TURP surgery, what can the RN delegate? - Correct Answer weigh daily I&O's- subtract irrigate from output kegal exercises for temporary incontinence what can be delegated to a nursing assistant or UAP? - Correct Answer can discontinue suction, but cannot turn back on grooming & hygiene feeding VS ROM I&O's obtain clean urine specimen transport client transfer from bed to chair; help with bed to stretcher help with turning and repositioning ambulate what can be delegated to a LPN? - Correct Answer PO meds and injections routine data collection, dressing change, catheter insertion, suctioning reinforce teaching; basic, simple teaching (turn, cough, deep breath) assist HCP in procedures when RN is unavailable (NGT insertion) can perform specific tasks in unstable situations what can the RN not delegate? - Correct Answer assessment, diagnose, analyze, plan, evaluate, teach, monitor receive and give report triage invasive lines sterile technique new admissions pre-op & post-op assessment what should you be monitoring in a client who has had a nephrectomy? - Correct Answer UOP it is more important than drainage what is important when caring for pt in skeletal traction? - Correct Answer pin care; sterile technique; remove crust; serous drainage is ok what do you do if the pins come out of someone with skeletal traction? - Correct Answer immobilize extremity do not re-insert how do you deal with a rude doctor that is avoided by the nurses? - Correct Answer staff meeting what are some diet recommendations for a client with anorexia who has become hypoglycemic? - Correct Answer simple sugars- milk, coke, juice, raisins once sugar is up, eat complex carbs & protein- PB and crackers low fat, high calorie, high protein what would you teach a pt taking disulfiram (Antabuse)? - Correct Answer must sign consent form stating they will avoid all alcohol many preparations contain alcohol- cough syrup, mouthwash, aftershave, cologne what is confrontation? - Correct Answer calling attention to inconsistent behaviors