LATEST FUNDAMENTAL PN HESI SPECIALTY V2
QUESTIONS WITH ANSWERS EXAM
1. The prescriber wrote for a 40-kg child to receive 25 mg of medication 4
times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse’s
priority?
a. Change the dose to one that is within range.
b. Administer the medication because it is within the therapeutic range.
c. Notify the health care provider that the prescribed dose is in the
d. toxic range.
Notify the health care provider that the prescribed dose is below
the therapeutic range.
ANS: D
The dosage range is 200 to 400 mg a day (5 × 40 = 200 and 10 × 40 = 400). The
prescribed dose is 100 mg/day (4 × 25 = 100), which is below therapeutic range.
The nurse should notify the health care provider first and ask for clarification on
the order. The dose is not above the therapeutic range and is not at a toxic level.
The nurse should never alter an order without the prescriber’s approval and
consent.
2. The supervising nurse is observing several different nurses. Which action will
cause the supervising nurse to intervene?
a. A nurse administers a vaccine without aspirating.
LATEST FUNDAMENTAL PN HESI SPECIALTY V2
QUESTIONS WITH ANSWERS EXAM
, LATEST FUNDAMENTAL PN HESI SPECIALTY V2
QUESTIONS WITH ANSWERS EXAM
A nurse gives an IV medication through a 22-gauge IV needle without
b. blood return.
c
. A nurse draws up the NPH insulin first when mixing a short-
acting and intermediate-acting insulin.
d A nurse calls the health care provider for a patient with
.
nasogastric suction and orders for oral meds.
ANS: C
The supervising nurse must intervene with the nurse who is drawing up the
NPH insulin first; if regular and intermediate-acting (NPH) insulin is ordered,
prepare the regular insulin first to prevent the regular insulin from becoming
contaminated with the intermediate-acting insulin. All the other actions are
appropriate and do not need follow-up. The CDC no longer recommends
aspiration when administering immunizations to reduce discomfort. In some
cases, especially with a smaller gauge (22) IV needle, blood return is not
aspirated, even if the IV is patent. If the IV site shows no signs of infiltration
and IV fluid is infusing without difficulty, proceed with IV push slowly. Oral
meds are contraindicated in patients with nasogastric suction.
3. A nurse is caring for a patient who is receiving pain medication through a
LATEST FUNDAMENTAL PN HESI SPECIALTY V2
QUESTIONS WITH ANSWERS EXAM
QUESTIONS WITH ANSWERS EXAM
1. The prescriber wrote for a 40-kg child to receive 25 mg of medication 4
times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse’s
priority?
a. Change the dose to one that is within range.
b. Administer the medication because it is within the therapeutic range.
c. Notify the health care provider that the prescribed dose is in the
d. toxic range.
Notify the health care provider that the prescribed dose is below
the therapeutic range.
ANS: D
The dosage range is 200 to 400 mg a day (5 × 40 = 200 and 10 × 40 = 400). The
prescribed dose is 100 mg/day (4 × 25 = 100), which is below therapeutic range.
The nurse should notify the health care provider first and ask for clarification on
the order. The dose is not above the therapeutic range and is not at a toxic level.
The nurse should never alter an order without the prescriber’s approval and
consent.
2. The supervising nurse is observing several different nurses. Which action will
cause the supervising nurse to intervene?
a. A nurse administers a vaccine without aspirating.
LATEST FUNDAMENTAL PN HESI SPECIALTY V2
QUESTIONS WITH ANSWERS EXAM
, LATEST FUNDAMENTAL PN HESI SPECIALTY V2
QUESTIONS WITH ANSWERS EXAM
A nurse gives an IV medication through a 22-gauge IV needle without
b. blood return.
c
. A nurse draws up the NPH insulin first when mixing a short-
acting and intermediate-acting insulin.
d A nurse calls the health care provider for a patient with
.
nasogastric suction and orders for oral meds.
ANS: C
The supervising nurse must intervene with the nurse who is drawing up the
NPH insulin first; if regular and intermediate-acting (NPH) insulin is ordered,
prepare the regular insulin first to prevent the regular insulin from becoming
contaminated with the intermediate-acting insulin. All the other actions are
appropriate and do not need follow-up. The CDC no longer recommends
aspiration when administering immunizations to reduce discomfort. In some
cases, especially with a smaller gauge (22) IV needle, blood return is not
aspirated, even if the IV is patent. If the IV site shows no signs of infiltration
and IV fluid is infusing without difficulty, proceed with IV push slowly. Oral
meds are contraindicated in patients with nasogastric suction.
3. A nurse is caring for a patient who is receiving pain medication through a
LATEST FUNDAMENTAL PN HESI SPECIALTY V2
QUESTIONS WITH ANSWERS EXAM
