HESI Review NUR 301 Exam Questions With
Complete Solutions
Risk |Factors |for |DM |- |CORRECT |ANSWER✔✔-stress
age
obesity
inactivity
race
family |history |(1st |degree |relative)
pregnancy |(giving |birth |to |baby |>9lb)
HTN
High |cholesterol |(low |HDL)
certain |medications |
*polycystic |ovary |syndrome
*other |clinical |conditions |consistent |with |insulin |resistance |such |as |acanthosis |nigricans
Clinical |manifestations- |Which |type |of |DM? |
nonspecific-fatigue, |recurrent |infections, |prolonged |wound |healing, |visual |changes |- |CORRECT |
ANSWER✔✔-Type |II |Diabetes |Mellitus
Regular-Acting |insulin
Onset: |
Peak:
Duration: |- |CORRECT |ANSWER✔✔-Onset: |1/2hr
Peak: |2hr
,Duration: |8hr
Lantus |
Levemir |- |CORRECT |ANSWER✔✔-Long-acting |insulin
Type |1 |Diabetes |Complication |
-includes |profound |hyperglycemia, |ketosis, |acidosis, |and |dehydration |
-present |with |dry |mouth, |abdominal |pain, |N/V, |confusion, |fruity |breath, |tachycardia, |Kussmaul
|respirations, |fever, |urinary |frequency, |glycosuria, |ketonuria, |ketonemia, |glucose |>250
-treated |with |IV |fluids
-monitor |VS, |LOC, |cardiac |rhythm, |O2 |sat, |urine |output, |breath |sounds, |glucose |and |potassium
-have |this |patient |on |a |heart |monitor |- |CORRECT |ANSWER✔✔-Diabetic |Ketoacidosis
Type |II |Diabetes |Complication |
-caused |by |acute |illness |or |a |new |diagnosis
-present |with |somnolence |(sleepiness), |coma, |seizures, |hemiparesis, |aphasia, |glucose |level |
<600, |do |not |have |ketones |present
-treated |with |IV |fluids |- |CORRECT |ANSWER✔✔-HHNS |(hyperosmolar |hyperglycemic |nonketotic
|syndrome)
S+S |of |hypoglycemia |- |CORRECT |ANSWER✔✔-confusion
weakness
visual |disturbances
difficulty |speaking
irritability
diaphoresis
tremors
,hunger
weakness
loss |of |consciousness
death
What |type |of |IV |solution |should |be |questioned |if |ordered |for |a |Diabetic? |- |CORRECT |
ANSWER✔✔-D5W |should |not |be |given |to |a |Diabetic
What |kind |of |fluids |will |be |given |to |someone |with |Hypernatremia? |- |CORRECT |ANSWER✔✔-
Hypotonic |solutions
-1/4 |or |1/2 |NS
What |kinds |of |fluids |will |be |given |to |someone |with |prolonged |vomiting? |- |CORRECT |
ANSWER✔✔-Isotonic |solutions
-LR |or |NS
What |kinds |of |fluids |will |be |given |to |someone |with |Hyponatremia? |- |CORRECT |ANSWER✔✔-
Hypertonic |solutions
-3 |or |5% |NaCl
Air |embolism |S+S |(5) |
-may |lead |to |stroke, |MI, |or |death |- |CORRECT |ANSWER✔✔-chest |pain
dyspnea
tachycardia |
hypotension
dizziness
, If |someone |has |an |air |embolism, |what |side |should |you |immediately |turn |them |to? |What |else |
should |you |initiate? |- |CORRECT |ANSWER✔✔-Left |side
-get |them |on |oxygen
Interventions |for |extravasation |(3) |- |CORRECT |ANSWER✔✔-Stop |the |infusion
Disconnect |tubing |and |aspirate |medication
Call |provider
Name |the |stages |of |Kubler-Ross's |theory |of |the |grief |response |- |CORRECT |ANSWER✔✔-Denial
Anger
Bargaining
Depression |
Acceptance
What |are |the |three |types |of |sensory |alterations? |- |CORRECT |ANSWER✔✔-Sensory |Overload
Sensory |Deprivation |
Sensory |Deficit
Who |is |most |at |risk |for |depression?
A. |An |18y/o |patient |who |has |just |been |admitted |to |acute |care |with |three |broken |ribs |and |a |
punctured |left |lung |but |will |be |discharged |in |two |days
B. |An |87y/o |admitted |to |the |floor |with |a |staph |infection, |is |on |contact |precautions, |and |has |a |
visual |impairment |
C. |A |36 |y/o |cancer |patient |undergoing |chemotherapy |treatment |and |on |isolation |precautions, |
but |her |family |visits |everyday |- |CORRECT |ANSWER✔✔-B. |An |OA |with |a |sensory |deficit |is |at |a |
disadvantage |when |entering |the |hospital |setting |(since |they |can't |make |sense |of |their |
surroundings), |making |them |most |vulnerable |to |depression |
depression |is |a |clinical |manifestation |of |sensory |deprivation
Complete Solutions
Risk |Factors |for |DM |- |CORRECT |ANSWER✔✔-stress
age
obesity
inactivity
race
family |history |(1st |degree |relative)
pregnancy |(giving |birth |to |baby |>9lb)
HTN
High |cholesterol |(low |HDL)
certain |medications |
*polycystic |ovary |syndrome
*other |clinical |conditions |consistent |with |insulin |resistance |such |as |acanthosis |nigricans
Clinical |manifestations- |Which |type |of |DM? |
nonspecific-fatigue, |recurrent |infections, |prolonged |wound |healing, |visual |changes |- |CORRECT |
ANSWER✔✔-Type |II |Diabetes |Mellitus
Regular-Acting |insulin
Onset: |
Peak:
Duration: |- |CORRECT |ANSWER✔✔-Onset: |1/2hr
Peak: |2hr
,Duration: |8hr
Lantus |
Levemir |- |CORRECT |ANSWER✔✔-Long-acting |insulin
Type |1 |Diabetes |Complication |
-includes |profound |hyperglycemia, |ketosis, |acidosis, |and |dehydration |
-present |with |dry |mouth, |abdominal |pain, |N/V, |confusion, |fruity |breath, |tachycardia, |Kussmaul
|respirations, |fever, |urinary |frequency, |glycosuria, |ketonuria, |ketonemia, |glucose |>250
-treated |with |IV |fluids
-monitor |VS, |LOC, |cardiac |rhythm, |O2 |sat, |urine |output, |breath |sounds, |glucose |and |potassium
-have |this |patient |on |a |heart |monitor |- |CORRECT |ANSWER✔✔-Diabetic |Ketoacidosis
Type |II |Diabetes |Complication |
-caused |by |acute |illness |or |a |new |diagnosis
-present |with |somnolence |(sleepiness), |coma, |seizures, |hemiparesis, |aphasia, |glucose |level |
<600, |do |not |have |ketones |present
-treated |with |IV |fluids |- |CORRECT |ANSWER✔✔-HHNS |(hyperosmolar |hyperglycemic |nonketotic
|syndrome)
S+S |of |hypoglycemia |- |CORRECT |ANSWER✔✔-confusion
weakness
visual |disturbances
difficulty |speaking
irritability
diaphoresis
tremors
,hunger
weakness
loss |of |consciousness
death
What |type |of |IV |solution |should |be |questioned |if |ordered |for |a |Diabetic? |- |CORRECT |
ANSWER✔✔-D5W |should |not |be |given |to |a |Diabetic
What |kind |of |fluids |will |be |given |to |someone |with |Hypernatremia? |- |CORRECT |ANSWER✔✔-
Hypotonic |solutions
-1/4 |or |1/2 |NS
What |kinds |of |fluids |will |be |given |to |someone |with |prolonged |vomiting? |- |CORRECT |
ANSWER✔✔-Isotonic |solutions
-LR |or |NS
What |kinds |of |fluids |will |be |given |to |someone |with |Hyponatremia? |- |CORRECT |ANSWER✔✔-
Hypertonic |solutions
-3 |or |5% |NaCl
Air |embolism |S+S |(5) |
-may |lead |to |stroke, |MI, |or |death |- |CORRECT |ANSWER✔✔-chest |pain
dyspnea
tachycardia |
hypotension
dizziness
, If |someone |has |an |air |embolism, |what |side |should |you |immediately |turn |them |to? |What |else |
should |you |initiate? |- |CORRECT |ANSWER✔✔-Left |side
-get |them |on |oxygen
Interventions |for |extravasation |(3) |- |CORRECT |ANSWER✔✔-Stop |the |infusion
Disconnect |tubing |and |aspirate |medication
Call |provider
Name |the |stages |of |Kubler-Ross's |theory |of |the |grief |response |- |CORRECT |ANSWER✔✔-Denial
Anger
Bargaining
Depression |
Acceptance
What |are |the |three |types |of |sensory |alterations? |- |CORRECT |ANSWER✔✔-Sensory |Overload
Sensory |Deprivation |
Sensory |Deficit
Who |is |most |at |risk |for |depression?
A. |An |18y/o |patient |who |has |just |been |admitted |to |acute |care |with |three |broken |ribs |and |a |
punctured |left |lung |but |will |be |discharged |in |two |days
B. |An |87y/o |admitted |to |the |floor |with |a |staph |infection, |is |on |contact |precautions, |and |has |a |
visual |impairment |
C. |A |36 |y/o |cancer |patient |undergoing |chemotherapy |treatment |and |on |isolation |precautions, |
but |her |family |visits |everyday |- |CORRECT |ANSWER✔✔-B. |An |OA |with |a |sensory |deficit |is |at |a |
disadvantage |when |entering |the |hospital |setting |(since |they |can't |make |sense |of |their |
surroundings), |making |them |most |vulnerable |to |depression |
depression |is |a |clinical |manifestation |of |sensory |deprivation
