HESI Version 1 A+Exit Exam Solutions
2024
what do you screen for on a newborn baby? - ANS-hypothyroidism
check T4 level (decreased)
what would the potassium level be in a pt with diabetes insipidus? - ANS-hypokalemia
what is an expected side effect of Solu-Medrol? - ANS-bleeding, bruising
what does Pilocarpine treat? - ANS-glaucoma
antidote is atropine sulfate
may get a dry mouth
TPN - ANS-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? - ANS-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? - ANS-bread & cream of wheat
FIRST action for late decels? - ANS-give O2
what do you give a premature infant with RDS? - ANS-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? - ANS-aspirate
, what would you teach a client about getting pregnant who just received a Rubella
vaccine? - ANS-don't get pregnant for 3 months
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do
you do? - ANS-increase O2
a pt returns from TURP surgery, what can the RN delegate? - ANS-weigh daily
I&O's- subtract irrigate from output
kegal exercises for temporary incontinence
what can be delegated to a nursing assistant or UAP? - ANS-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? - ANS-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? - ANS-assessment, diagnose, analyze, plan, evaluate,
teach, monitor
receive and give report
triage
invasive lines
sterile technique
new admissions
pre-op & post-op assessment
2024
what do you screen for on a newborn baby? - ANS-hypothyroidism
check T4 level (decreased)
what would the potassium level be in a pt with diabetes insipidus? - ANS-hypokalemia
what is an expected side effect of Solu-Medrol? - ANS-bleeding, bruising
what does Pilocarpine treat? - ANS-glaucoma
antidote is atropine sulfate
may get a dry mouth
TPN - ANS-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? - ANS-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? - ANS-bread & cream of wheat
FIRST action for late decels? - ANS-give O2
what do you give a premature infant with RDS? - ANS-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? - ANS-aspirate
, what would you teach a client about getting pregnant who just received a Rubella
vaccine? - ANS-don't get pregnant for 3 months
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do
you do? - ANS-increase O2
a pt returns from TURP surgery, what can the RN delegate? - ANS-weigh daily
I&O's- subtract irrigate from output
kegal exercises for temporary incontinence
what can be delegated to a nursing assistant or UAP? - ANS-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? - ANS-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? - ANS-assessment, diagnose, analyze, plan, evaluate,
teach, monitor
receive and give report
triage
invasive lines
sterile technique
new admissions
pre-op & post-op assessment
