HESI ADULT HEALTH 1 NEWEST
ACTUAL EXAM 2025 STUDYGUIDE
WITH DETAILED CORRECT ANSWERS |
A+ GRADE STUDYGUIDE
Scope of an RN Correct Answer Initial Shift Assessment,
Use of Nursing process/ Care plan development, Triage,
Telephone or verbal orders , Patient Teaching/ Health
Promotion
Scope of UAP Correct Answer Ambulation , Specimen
collection (usually limited to stool and urine), Client
transport , ROM exercises, Assist with ADL care,
Positioning, Bathing and Grooming, Companion Care,
Housekeeping
Scope of LVN or LPN Correct Answer UAP plus the
following, Administering oral medications, Administering
intramuscular injections, Administering subcutaneous
injections: not insulin, Changing dressings , Patient
teaching if reading off what is written for RN, only RN can
answer Q's, Intravenous medications (refer to facility
policy): left up to facility to decide, no blood!
prioritizing nursing actions: ABC's Correct Answer -Airway:
is it obstructed, are they choking, is their gag reflex
absent?
,-Breathing: vital signs, assess for cyanosis (late sign), are
the restless and irritated (early sign), raise the head of the
bed and give emergency O2, auscultate lung, are they
aspirating from fluid in their lungs?
-Circulation: are they hemorrhaging, do they have a board
like abdomen or ecchymosis pooling, are they pale and
cool, are they having tachycardia and hypotensive (shock)
Culture & Nutrition Correct Answer -Muslim: No pork,
alcohol; Ramadan fasting from sunrise to sunset;
Ritualized methods for animal slaughtering
-Christianity: Baptists - minimal or no alcohol consumption;
Catholics - Lent and meatless days
-Hinduism: No meats, alcohol
-Judaism: No pork, mixing with milk or dairy products with
meat dishes
-Church of Christ of Latter-Day Saints: No alcohol,
tobacco, and caffeine
Asians: yin yang Correct Answer -yin foods are cold; eaten
with hot illness
-yang foods are hot; eaten with cold illness
nutrition Correct Answer -clear liquid: can see through
liquid in liquid state; coffee bouillon gelatin fat free broth
-full liquid: milk oj ice cream yogurt plus all clear liquids,
cream soup cream of wheat pudding grits milk; clear liquid
plus foods listed above
-If immuno-compromised: no raw fruits or veggies
-Sit patients up in high fowlers during and after meals!
,-Feed patients with unilateral weakness on their strong
side
-High protein and vitamin c for patients with infections!
-Use the clock method for patients who are visually
impaired
Levels of Care Correct Answer -Primary Care: health
promotion ex: exercise, nutrition services, family planning
-Preventive Care: immunizations, blood pressure
screening, cancer screenings, legislation
-Secondary Acute Care: ER, Acute care facilities, ER test
such as X rays
-Tertiary Care: intensive care, sub acute care
-Restorative Care: Sports rehab, cardio rehab
-Continuing Care: assisted living, psychiatric faculties
Levels of Prevention Correct Answer -Primary: True
prevention, you are stopping the disease from occurring (
exercise, vaccine, education and legislation)
-Secondary: the disease has already occurred but you are
trying to prevent it from getting worse (blood pressure
screening, mammograms) (cancer is there regardless, you
are just screening to prevent it from spreading)
-Tertiary: the illness is ongoing and you are trying to
reduce the lasting effects ( stroke rehab)
--Think of levels of prevention and levels of care
separately, they overlap but are different
, Standard precaution PPE Correct Answer -Gloves and
hand washing, followed for every patient in hospital unless
they are on isolation precaution ( Hep. C HIV C Diff)
-Hand hygiene: before after and between contact with
patient: Purell for all but C. diff patients: wash hands for
them
-Regular Gloves
-They can have roommates, private room is not necessary
Isolation precaution: Contact Correct Answer -Ex: (MRSA
or RSV, wounds)
-Can be bunked with patients having same infection,
otherwise private room
-PPE: Gown and gloves, hand hygiene, patient must wear
gown when leaving room, have their own stethoscope and
thermometer
-Remove PPE before leaving room
Isolation: Droplet Correct Answer -Ex: Pertussis(
whopping cough), Pneumonia (depends on which,
typically gram neg are droplet precaution) and Influenza
-If necessary to put droplet patients with a roommate,
keep them 3 feet away from the patient not infected with
same disease
-Immune compromised or patients at high risk of infection
should not be bunked with droplet patient
-Change PPE in between patients even if in same room
-PPE: Surgical mask, gown, and gloves
-Patient PPE: must wear mask when leaving the room and
clean gown
-Dedicated supplies: thermometers, stethoscope
