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2021 HESI V2 Final Notes.

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HESI V2 Final Notes
1. Patient is receiving hospice care and become mottled:
 Remove heating pad and place soft blanket
2. Patient is having suicidal thought and suddenly:
 Begin to show signs of improvement
3. A young male in a motorcycle accident in a puddle of water:
 Stabilize the victim’s neck and roll over to evaluate.
4. Nursing problem best for early Parkinson disease:
 Impaired mobility
5. Demonstration of teaching daughter’s eye drop:
 Remind the patient to close her eyes after the drop.
6. Nurse assumed care of a postoperative patient with type 2 diabetic mellitus with a
glucose level of 750:




m
 Assess for signs of fluid volume deficit.




er as
7. Select all that apply for soft food:




co
 Pasta with a cream sauce




eH w
 Pancake with syrup




o.
 Scramble eggs
rs e
 Steamed brown rice
ou urc
8. Unresponsive hyperthyroidism patient:
 Notify Health care provider of a positive Chvoteck’s sign
9. RN Gave medication to patient and patient had an adverse reaction. Place in order.
o

 Stop infusion
aC s


 Assess vital
vi y re



 Contact HCP
 Document
 Initiate report
ed d




10. Young boy with chronic vegetative and the mother wants to take the patient home:
ar stu




 Determine the mother’s basic skills
11. Patient is 41 weeks of gestation what finding should the nurse report:
 Fetal heart rate located in the upper quadrant
is




12. Patient is 34 weeks of gestation with a slight increased level of T4 what needs to be
Th




report immediately:
 Hematocrit level of 28
13. A male client is taking ferrous docusate with no bowel movement in 3 days:
 The addition of a laxative to the current regimen
sh




14. Client with PKD is receiving antibiotic is experience severe pain:
 Teach the client on how to use dry heating pad on the site.
15. Diabetic patient:
 If patient has someone available who can prepare food and oversee his diet.
16. UAP left the patient’s bed in the highest position and sides down:



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