HESI Exam V3 Q/A
1.Professional Issues - Basic Nursing - Nutritional education
2. Home care- risk for constipation - immobility, older adults, dehydration, narcotics or BP medications.
3. Basic Nursing - - Diarrhea after disaster- cause= contaminated water
4. Medical Surgical - Neurological/Physical Assessment – Migraine - Headache= assess for pain
5. Professional Issues - Cultural/Spiritual/Leadership – Target approach
6. Community Hlth/Professional Issues - Leadership - Assignments-UAP home care
7. Psychiatric/Mental Hlth - Psychoses - Schizophrenia-priority case= is a priority case because of safety
8. MODS (Multiple Organ Dysfunction Syndrome)- Abdominal Gun shot wound - Apply pressure & keep
flat
9. Critical Care/Medical Surgical - Respiratory - Ventilator-ET= to check placement listen to breath sounds
10. Reduce noise= silence alarms, close door, private room, reduce noise at nurses station
11. Fundamentals – Nosocomial -prevention= handwashing
12. Fundamentals - Basic Nursing Skills/Mobility/Safety - fall risk
13. Fundamentals - Soft diet-select= yogurt, chicken soup, cottage cheese.
14. Anaphylactic-bracelet - patient should wear bracelet stating he is allergic to certain medication
15. Fundamentals - Med Administration - IV med incompatible= start a new line
16. Med Administration - Medication reaction-rash= rash stop the med they are having a reaction
17. Med Administration - Prolonged half life= give several doses of antagonist,
18. Med Administration - Verify prescription= read order back to doctor to make sure it is correct
19. Fundamentals - Med Administration/Math - IM-ml
20. Fundamentals - Med Administration/Math - IV-Heparin dose
21. Fundamentals - Med Administration/Math - PO-liquid ml
22. Basic Nursing Skills - Alzheimer's-incontinence = these patients are incontinent, put condom catheter
23. Maternity - Med Administration/Math/Intrapartum - IV MAT magnesium sulfate ml/hr
24. Professional Issues - Newborn/Teaching - SIDS-prevention = supine position, sleep on back
25. Fundamentals/Medical Surgical - Basic Nursing Skills - Palpated systolic BP -
26. Medical Surgical - Amputation-phantom limb pain = pain is real, medicate patient
27. Fundamentals – Pneumatic compression devices = used to prevent DVT, improves venous circulation
28. Fundamentals - Crohn's - diet choice= low residue, low fat, high protein, high calorie, no dairy products
29. Fundamentals - BP- lymphedema = inform UAP no blood pressure on that arm
30. Fundamentals – Chemotherapy - Thrombocytopenia= increased risk for bleeding. Bleeding precautions
31. Fundamentals/Medical Surgical - Basic Nursing Skills/Safety - Pharyngeal rattle= palliative care
32. Fundamentals/Medical Surgical - Med Administration - Adverse drug reaction
33. Fundamentals - Insulin pen benefits= convenient, easy to use, travel benefits, mistake free,
34. Medication - Sucralfate – PN Administration= (carafate) give 1hr b4 meals on empty stomach
35. Morphine- constipation= morphine causes constipation its expected, you give colace and push fluids
36. Fundamentals – Burns – Parkland formula - The Parkland Formula is as follows. Fluid for first 24
hours (ml) = 4 * Patient's weight in kg * %BSA (%burned) Afterwards, the first half of this amount is
delivered in the first 8 hours, and the remaining half is delivered in the remaining 16 hours. Example:
Pt burned on 50% of BSA, Pt weighs 80kg = 4ml/kg/hr = 4 x 50 x 80 = 16000ml total needed to be
given 8000ml given in the first 8hrs and remaining 16 hrs give 8000ml.
37. Fundamentals - Pediculosis capitis= use fine toothed comb, don’t cut hair, white matter to the hair
38. Fundamentals/Pediatrics - Med Administration/Math - IV- ml/hour - PEDI Vanco
39. Diabetes - nutrition teen – Carb counting is the ideal meal-planning tool for teens on insulin. To keep it
simple, teen need try to eat same amount of carb at each meal
40. Professional Issues - Basic Nursing Skills/Legal/Ethical – DNR – Notify the family.
41. Basic Nursing Skills/Safety/Legal/Ethical - AMA-IV= RN removes IV, sign the document AMA form
42. Fundamentals/Professional Issues - Cultural/Spiritual – Cultural – Allow family visits
43. Fundamentals/Professional Issues - Leadership/Legal/Ethical - Nurse Practice Act-confidentiality
44. Med error- action= Assess pt, incident report, notify doctor, document amt prescribed, and dosage given.
45. Basic Nursing - High BP- diet choice = low cholesterol, low NA
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, 46. Fundamentals - Decision making-impaired provider = call subordinate
47. Fundamentals - Teaching – Insulin admin- teaching= rotate sites of injection, no aspiration, 90* angle
48. Maternity - Antepartum - PIH-S&S=classic s/s: hypertension, protenuria, and edema.
49. Maternity - Antepartum - Signs of pregnancy= nausea, tender breast, morning sickness, fatigue
50. Maternity - Intrapartum - Couple request= stay in waiting room
51. Maternity - Fetal scalp pH= determine if the baby is getting enough oxygen & during intrapartum patient
52. Maternity - Postpartum - Inverted nipples –teach how to use breast shield.
53. Postpartum – Twins - Atony is failure of uterus to contract following delivery. Most common cause of PP
hemorrhage. Massage uterus, give oxytocin and fluids, and oxygen and empty the bladder.
54. Maternity/Pediatrics - Newborn - Newborn choking = suction airway with bulb syringe
55. Antepartum/Leadership - Antepartal unit –transfer to step down unit.
56. Antepartum/Leadership - BPP- Fetal well being is a test done to ascertain fetal well-being. Five things
are assessed, fetal breathing movements, gross body movements, fetal tone, fetal heart rate, and amniotic
fluid volume. A score of 10 shows fetus is well.
57. Medical Surgical - Cardiovascular – Coreg = BB lowers BP. Contraindicated in HF, HB & COPD
patients
58. Cardiovascular – Dysrhythmias = disturbance in heart rate and rhythm. Medication to anticipate is
PROCAINAMIDE (no lidocaine) patient can wear a holter monitor to record heart rate
59. Medical Surgical - Cardiovascular - Heart failure = inability of the heart to pump enough blood to meet
the 02 tissue demands. Left sided HF is pulmonary congestion (lung stuff) right sided heart failure is
peripheral congestion. Weigh patient daily and restrict sodium. Position bed elevated to assist in breathing
60. Medical Surgical - Cardiovascular - Heparin administration = when administering heparin with a heparin
lock you administer saline 1st then the med then saline again followed by heparin. SASH and Monitor PTT.
61. Medical Surgical - Cardiovascular – Shock –hemorrhagic = give isotonic 0 .9% NS or LR.
62. Medical Surgical - Cardiovascular - Transvenous pacemaker = Transvenous pacemaker is inserted into
the venous system threw a catheter; the electrodes are in direct contact with the heart tissue. It is used to
treat bradycardia that doesn’t respond to drug therapy.
63. Medical Surgical - Cardiovascular - Venous insufficiency - POC= elevate lower extremities to promote
circulation or apply compression dressings
64. Medical Surgical - Cardiovascular/Neurological – TIA - patho= stroke may be coming. Temporary
reduction or cessation of cerebral blood flow due to low flow of occluded vessel
65. Medical Surgical - Cardiovascular/Neurological/Trauma/Emergency - Heat stroke= increase IV fluids to
200ml/hr, apply cool packs to persons body
66. Medical Surgical - Cardiovascular/Trauma/Emergency - CPR-absent lung sounds= ventilate with two
mouth to mouth breaths over 1 second and make the chest rise then palpate for pulse, if no pulse do CPR
67. Medical Surgical - Endocrine - Chvostek's sign - Tetany= decreased calcium (tingling) tap cheek and
check for wink, twitch or grimace
68. Medical Surgical - Endocrine - Diabetes-exercise= eat a carb snack before exercising
69. Medical Surgical - Endocrine - DKA-POC= IV insulin in 0.9 normal saline
70. Medical Surgical - Endocrine - DM-teaching= foot care check foot before putting shoes on use mirror to
look at bottom of foot. Rotate injection sites when administering insulin
71. Medical Surgical - Endocrine - Myxedema coma S&S= hypothermia, bradycardia, hypotension, res.
Acidosis. Happens when patient suddenly stops taking thyroid med. Give thyroid replacement meds, Airway
must be kept open.
72. Endocrine/- Thyroidectomy- subtotal = postop be prepared for the possibility of laryngeal edema, put a
trach set at bedside along with 02 and suction machine. Calcium gluconate should be easily available.
73. Medical Surgical - GI/Hepatic - H2 action= decreases production of acid in the stomach
74. Medical Surgical - GI/Hepatic - NGT-cyanosis= means aspiration so you suction
75. Medical Surgical - GI/Hepatic – PUD (peptic ulcer disease) -risk for bleeding-POC = Endoscopic
therapy
76. Medical Surgical - Tylenol testing = Elevated liver enzymes
77. Fosamax –Teach pt to take with full glass of water. Fosamax slows bone loss while incr bone mass
This study source was downloaded by 100000840456397 from CourseHero.com on 02-06-2022 04:01:54 GMT -06:00
https://www.coursehero.com/file/20109867/HESI-RN-EXIT-V3-similar-to-exit/
1.Professional Issues - Basic Nursing - Nutritional education
2. Home care- risk for constipation - immobility, older adults, dehydration, narcotics or BP medications.
3. Basic Nursing - - Diarrhea after disaster- cause= contaminated water
4. Medical Surgical - Neurological/Physical Assessment – Migraine - Headache= assess for pain
5. Professional Issues - Cultural/Spiritual/Leadership – Target approach
6. Community Hlth/Professional Issues - Leadership - Assignments-UAP home care
7. Psychiatric/Mental Hlth - Psychoses - Schizophrenia-priority case= is a priority case because of safety
8. MODS (Multiple Organ Dysfunction Syndrome)- Abdominal Gun shot wound - Apply pressure & keep
flat
9. Critical Care/Medical Surgical - Respiratory - Ventilator-ET= to check placement listen to breath sounds
10. Reduce noise= silence alarms, close door, private room, reduce noise at nurses station
11. Fundamentals – Nosocomial -prevention= handwashing
12. Fundamentals - Basic Nursing Skills/Mobility/Safety - fall risk
13. Fundamentals - Soft diet-select= yogurt, chicken soup, cottage cheese.
14. Anaphylactic-bracelet - patient should wear bracelet stating he is allergic to certain medication
15. Fundamentals - Med Administration - IV med incompatible= start a new line
16. Med Administration - Medication reaction-rash= rash stop the med they are having a reaction
17. Med Administration - Prolonged half life= give several doses of antagonist,
18. Med Administration - Verify prescription= read order back to doctor to make sure it is correct
19. Fundamentals - Med Administration/Math - IM-ml
20. Fundamentals - Med Administration/Math - IV-Heparin dose
21. Fundamentals - Med Administration/Math - PO-liquid ml
22. Basic Nursing Skills - Alzheimer's-incontinence = these patients are incontinent, put condom catheter
23. Maternity - Med Administration/Math/Intrapartum - IV MAT magnesium sulfate ml/hr
24. Professional Issues - Newborn/Teaching - SIDS-prevention = supine position, sleep on back
25. Fundamentals/Medical Surgical - Basic Nursing Skills - Palpated systolic BP -
26. Medical Surgical - Amputation-phantom limb pain = pain is real, medicate patient
27. Fundamentals – Pneumatic compression devices = used to prevent DVT, improves venous circulation
28. Fundamentals - Crohn's - diet choice= low residue, low fat, high protein, high calorie, no dairy products
29. Fundamentals - BP- lymphedema = inform UAP no blood pressure on that arm
30. Fundamentals – Chemotherapy - Thrombocytopenia= increased risk for bleeding. Bleeding precautions
31. Fundamentals/Medical Surgical - Basic Nursing Skills/Safety - Pharyngeal rattle= palliative care
32. Fundamentals/Medical Surgical - Med Administration - Adverse drug reaction
33. Fundamentals - Insulin pen benefits= convenient, easy to use, travel benefits, mistake free,
34. Medication - Sucralfate – PN Administration= (carafate) give 1hr b4 meals on empty stomach
35. Morphine- constipation= morphine causes constipation its expected, you give colace and push fluids
36. Fundamentals – Burns – Parkland formula - The Parkland Formula is as follows. Fluid for first 24
hours (ml) = 4 * Patient's weight in kg * %BSA (%burned) Afterwards, the first half of this amount is
delivered in the first 8 hours, and the remaining half is delivered in the remaining 16 hours. Example:
Pt burned on 50% of BSA, Pt weighs 80kg = 4ml/kg/hr = 4 x 50 x 80 = 16000ml total needed to be
given 8000ml given in the first 8hrs and remaining 16 hrs give 8000ml.
37. Fundamentals - Pediculosis capitis= use fine toothed comb, don’t cut hair, white matter to the hair
38. Fundamentals/Pediatrics - Med Administration/Math - IV- ml/hour - PEDI Vanco
39. Diabetes - nutrition teen – Carb counting is the ideal meal-planning tool for teens on insulin. To keep it
simple, teen need try to eat same amount of carb at each meal
40. Professional Issues - Basic Nursing Skills/Legal/Ethical – DNR – Notify the family.
41. Basic Nursing Skills/Safety/Legal/Ethical - AMA-IV= RN removes IV, sign the document AMA form
42. Fundamentals/Professional Issues - Cultural/Spiritual – Cultural – Allow family visits
43. Fundamentals/Professional Issues - Leadership/Legal/Ethical - Nurse Practice Act-confidentiality
44. Med error- action= Assess pt, incident report, notify doctor, document amt prescribed, and dosage given.
45. Basic Nursing - High BP- diet choice = low cholesterol, low NA
This study source was downloaded by 100000840456397 from CourseHero.com on 02-06-2022 04:01:54 GMT -06:00
https://www.coursehero.com/file/20109867/HESI-RN-EXIT-V3-similar-to-exit/
, 46. Fundamentals - Decision making-impaired provider = call subordinate
47. Fundamentals - Teaching – Insulin admin- teaching= rotate sites of injection, no aspiration, 90* angle
48. Maternity - Antepartum - PIH-S&S=classic s/s: hypertension, protenuria, and edema.
49. Maternity - Antepartum - Signs of pregnancy= nausea, tender breast, morning sickness, fatigue
50. Maternity - Intrapartum - Couple request= stay in waiting room
51. Maternity - Fetal scalp pH= determine if the baby is getting enough oxygen & during intrapartum patient
52. Maternity - Postpartum - Inverted nipples –teach how to use breast shield.
53. Postpartum – Twins - Atony is failure of uterus to contract following delivery. Most common cause of PP
hemorrhage. Massage uterus, give oxytocin and fluids, and oxygen and empty the bladder.
54. Maternity/Pediatrics - Newborn - Newborn choking = suction airway with bulb syringe
55. Antepartum/Leadership - Antepartal unit –transfer to step down unit.
56. Antepartum/Leadership - BPP- Fetal well being is a test done to ascertain fetal well-being. Five things
are assessed, fetal breathing movements, gross body movements, fetal tone, fetal heart rate, and amniotic
fluid volume. A score of 10 shows fetus is well.
57. Medical Surgical - Cardiovascular – Coreg = BB lowers BP. Contraindicated in HF, HB & COPD
patients
58. Cardiovascular – Dysrhythmias = disturbance in heart rate and rhythm. Medication to anticipate is
PROCAINAMIDE (no lidocaine) patient can wear a holter monitor to record heart rate
59. Medical Surgical - Cardiovascular - Heart failure = inability of the heart to pump enough blood to meet
the 02 tissue demands. Left sided HF is pulmonary congestion (lung stuff) right sided heart failure is
peripheral congestion. Weigh patient daily and restrict sodium. Position bed elevated to assist in breathing
60. Medical Surgical - Cardiovascular - Heparin administration = when administering heparin with a heparin
lock you administer saline 1st then the med then saline again followed by heparin. SASH and Monitor PTT.
61. Medical Surgical - Cardiovascular – Shock –hemorrhagic = give isotonic 0 .9% NS or LR.
62. Medical Surgical - Cardiovascular - Transvenous pacemaker = Transvenous pacemaker is inserted into
the venous system threw a catheter; the electrodes are in direct contact with the heart tissue. It is used to
treat bradycardia that doesn’t respond to drug therapy.
63. Medical Surgical - Cardiovascular - Venous insufficiency - POC= elevate lower extremities to promote
circulation or apply compression dressings
64. Medical Surgical - Cardiovascular/Neurological – TIA - patho= stroke may be coming. Temporary
reduction or cessation of cerebral blood flow due to low flow of occluded vessel
65. Medical Surgical - Cardiovascular/Neurological/Trauma/Emergency - Heat stroke= increase IV fluids to
200ml/hr, apply cool packs to persons body
66. Medical Surgical - Cardiovascular/Trauma/Emergency - CPR-absent lung sounds= ventilate with two
mouth to mouth breaths over 1 second and make the chest rise then palpate for pulse, if no pulse do CPR
67. Medical Surgical - Endocrine - Chvostek's sign - Tetany= decreased calcium (tingling) tap cheek and
check for wink, twitch or grimace
68. Medical Surgical - Endocrine - Diabetes-exercise= eat a carb snack before exercising
69. Medical Surgical - Endocrine - DKA-POC= IV insulin in 0.9 normal saline
70. Medical Surgical - Endocrine - DM-teaching= foot care check foot before putting shoes on use mirror to
look at bottom of foot. Rotate injection sites when administering insulin
71. Medical Surgical - Endocrine - Myxedema coma S&S= hypothermia, bradycardia, hypotension, res.
Acidosis. Happens when patient suddenly stops taking thyroid med. Give thyroid replacement meds, Airway
must be kept open.
72. Endocrine/- Thyroidectomy- subtotal = postop be prepared for the possibility of laryngeal edema, put a
trach set at bedside along with 02 and suction machine. Calcium gluconate should be easily available.
73. Medical Surgical - GI/Hepatic - H2 action= decreases production of acid in the stomach
74. Medical Surgical - GI/Hepatic - NGT-cyanosis= means aspiration so you suction
75. Medical Surgical - GI/Hepatic – PUD (peptic ulcer disease) -risk for bleeding-POC = Endoscopic
therapy
76. Medical Surgical - Tylenol testing = Elevated liver enzymes
77. Fosamax –Teach pt to take with full glass of water. Fosamax slows bone loss while incr bone mass
This study source was downloaded by 100000840456397 from CourseHero.com on 02-06-2022 04:01:54 GMT -06:00
https://www.coursehero.com/file/20109867/HESI-RN-EXIT-V3-similar-to-exit/
