Hesi Nursing Exit 2024 |Graded A+
normal blood pressure - ans120/80
normal spo2 - ans95-100
normal pulse - ans60-100
normal adult respirations
normal children respirations - ans16-20
16-30
glucose level - ans70-110
normal wbc
normal platelets - ans5000-10,000
150,000-4000,000
normal bun - ans10-20
creatinine - ans.6-1.3
sodium - ans135-145
potassium
albumin - ans3.5-5.0
calcium - ans8.6-10.0
digoxin level - ans.5-2.0
magnesium - ans1.6-2.6
hematocrit - ansfemale 35-45
male 42-52
absence seizure - anslast only a few seconds
tonic clonic seizure - ansprotect airway
protect pt from injury
monitor duration of seizure activity
status epileptic in er - ansprotect airway
administer valuim(diazepam)
place IV
protect pt from injury
main seizure drugs - anscarbamazepine(tegretol) avoid grapefruit
,Hesi Nursing Exit 2024 |Graded A+
phenytoin(dilantin) extra growth on gums
valproic(dapakote) affects wound healing
if G.I symptoms occur while on seizure meds you should advice pt to - anstake with
food
signs of depression in children - anspretends to be sick
trouble in school
pessimistic attitude
TREATMENT FOR DEPRESSION - ansantidepressants
counseling
psychotherapy
should not take St. johns wort while taking what meds - ansantidepressants
if a pt is on TPN and it runs out with no more available at the time, the nurse should -
ansinfuse 10% dextrose with water at 54ml/hr
best way to tell if ng tube is correctly in place - anschest x-ray
proper use of inhaler - ansduring inhalation the pt should administer the medication
after a procedure hispanics believe that - ansthey should drink hot things to restore
balance
blood transfusion are forbidden by - ansjehovah witness
when a pt has a hip replacement the nurse should - ansplace a pillow between legs
while lying to prevent hip dislocation
giving meds through the NG tube the nurse should - ansmix them individually
if a pt is DNR and the nurse resesitates it is called - ansbattery
miseries mean - anspain
when suction nasotracheal tube you should know what - ansnever suction longer then
15 seconds, if you get large amount of yellow secretions but past 15 secs, reoxygenate
and then continue suctioning
intramuscular injections in thin patients should be given where - ansventrogluteal
landmark for ventrogluteal - ansgreater trochanter (hip)
,Hesi Nursing Exit 2024 |Graded A+
most effective way to use imagery sensory is - ansto include as many images as
possible
progressive relaxation activity is accomplished by - ans1st-establish regular breathing
pattern
2nd- tense muscle fully
3rd- relax muscle completely
when should you teach a pt about how to use a PCA pump - ansthe day before surgery
teleology means - ansENDS JUSTIFY THE MEANS
veracity means - anstruthfulness
correct deep breathing exercise - ansinhale through the nose, exhale slowly through
mouth without pursed lips
number one cause of bedsores - ansprolonged bedrest
what is the number 1 question t ask a pt before surgery - anshave you had anything to
eat since midnight
when a pt gets anesthesia what is highest priority for nurse to do - ansposition pt due to
risk of perioperative-positioning injury
why does a nurse call a time out before the surgery starts - ansfor final verification of
procedure, site and right pt.
what do you expect to find after surgery - anshypoactive bowel sounds
if you have a pt with lt hip replacement, p/o they have moderate sanguinous drainage
nurse should - ansobserve area under hip (since gravity pulls)
mark amount of drainage on dressing by circling it
to help relieve anxiety for a pt who has never been hospitalized the nurse should -
ansexplain room environment
to help prevent venous thromboembolism - ansdorsal & plantar flex of feet
lovenox injections (anticoagulant)
proper way to evaluate legs is - ansuse 2 pillows
place 1 lengthwise under each calf
if pt is experiencing right sided weakness - ansplace at 45* angle on lt side
when a pt is starting to fall the nurse should - ansgently try to lower to the ground
, Hesi Nursing Exit 2024 |Graded A+
atelectasis can lead to pneumonia, to prevent atelectasis the pt should - anstake 10
deep breaths per hour
what is atelectasis - anscomplete or partial collapse of the lung
how would a nurse explain to a pt the correct way to deep breath - ansplace hands on
abdomen above umbilicus, try to make your hands rise (shoulders should not rise)
what does braden scale assess - anspressure ulcers
way to prevent pressure ulcer - ansreposition q2h , 60* side lying
before giving a pt a new med what is most important question to ask - ansif you are
allergic to it
what helps to increase normal body flora - ansbuttermilk and yogurt
what should you teach a pt with limited ambulation - ansisometric exercise of gluteal
and quadriceps
5x Q2h while awake
when a nurse is concern with the pt getting constipation due to lack of activity and poor
diet what should the nurse do - ansoffer bedside commode, which allows pt
independence and correct positioning for bowel action
to improve spiritual needs of patient the nurse should - ansplace a sign on door to allow
quiet time in A.M for prayer
lack of sleep causes - ansfatigue and pain
how is quality of pain described - ansdull, sharp, achy, stabbing
pain intensity is measured by - ansscale 1-10 and faces for children
guarding is known as - anscommon response to an injured area
if a pt is having pain and anxiety , it is important to determine what - answhat is causing
the anxiety
before implimenting interventions the nurse should - ansdiscuss it with the pt.
aspirin should be avoid in children, why - ansit causes Raynards Syndrome
for a sprained ankle the treatment should be - ansplace heating pad on, heat promotes
muscle relation and relief of pain
normal blood pressure - ans120/80
normal spo2 - ans95-100
normal pulse - ans60-100
normal adult respirations
normal children respirations - ans16-20
16-30
glucose level - ans70-110
normal wbc
normal platelets - ans5000-10,000
150,000-4000,000
normal bun - ans10-20
creatinine - ans.6-1.3
sodium - ans135-145
potassium
albumin - ans3.5-5.0
calcium - ans8.6-10.0
digoxin level - ans.5-2.0
magnesium - ans1.6-2.6
hematocrit - ansfemale 35-45
male 42-52
absence seizure - anslast only a few seconds
tonic clonic seizure - ansprotect airway
protect pt from injury
monitor duration of seizure activity
status epileptic in er - ansprotect airway
administer valuim(diazepam)
place IV
protect pt from injury
main seizure drugs - anscarbamazepine(tegretol) avoid grapefruit
,Hesi Nursing Exit 2024 |Graded A+
phenytoin(dilantin) extra growth on gums
valproic(dapakote) affects wound healing
if G.I symptoms occur while on seizure meds you should advice pt to - anstake with
food
signs of depression in children - anspretends to be sick
trouble in school
pessimistic attitude
TREATMENT FOR DEPRESSION - ansantidepressants
counseling
psychotherapy
should not take St. johns wort while taking what meds - ansantidepressants
if a pt is on TPN and it runs out with no more available at the time, the nurse should -
ansinfuse 10% dextrose with water at 54ml/hr
best way to tell if ng tube is correctly in place - anschest x-ray
proper use of inhaler - ansduring inhalation the pt should administer the medication
after a procedure hispanics believe that - ansthey should drink hot things to restore
balance
blood transfusion are forbidden by - ansjehovah witness
when a pt has a hip replacement the nurse should - ansplace a pillow between legs
while lying to prevent hip dislocation
giving meds through the NG tube the nurse should - ansmix them individually
if a pt is DNR and the nurse resesitates it is called - ansbattery
miseries mean - anspain
when suction nasotracheal tube you should know what - ansnever suction longer then
15 seconds, if you get large amount of yellow secretions but past 15 secs, reoxygenate
and then continue suctioning
intramuscular injections in thin patients should be given where - ansventrogluteal
landmark for ventrogluteal - ansgreater trochanter (hip)
,Hesi Nursing Exit 2024 |Graded A+
most effective way to use imagery sensory is - ansto include as many images as
possible
progressive relaxation activity is accomplished by - ans1st-establish regular breathing
pattern
2nd- tense muscle fully
3rd- relax muscle completely
when should you teach a pt about how to use a PCA pump - ansthe day before surgery
teleology means - ansENDS JUSTIFY THE MEANS
veracity means - anstruthfulness
correct deep breathing exercise - ansinhale through the nose, exhale slowly through
mouth without pursed lips
number one cause of bedsores - ansprolonged bedrest
what is the number 1 question t ask a pt before surgery - anshave you had anything to
eat since midnight
when a pt gets anesthesia what is highest priority for nurse to do - ansposition pt due to
risk of perioperative-positioning injury
why does a nurse call a time out before the surgery starts - ansfor final verification of
procedure, site and right pt.
what do you expect to find after surgery - anshypoactive bowel sounds
if you have a pt with lt hip replacement, p/o they have moderate sanguinous drainage
nurse should - ansobserve area under hip (since gravity pulls)
mark amount of drainage on dressing by circling it
to help relieve anxiety for a pt who has never been hospitalized the nurse should -
ansexplain room environment
to help prevent venous thromboembolism - ansdorsal & plantar flex of feet
lovenox injections (anticoagulant)
proper way to evaluate legs is - ansuse 2 pillows
place 1 lengthwise under each calf
if pt is experiencing right sided weakness - ansplace at 45* angle on lt side
when a pt is starting to fall the nurse should - ansgently try to lower to the ground
, Hesi Nursing Exit 2024 |Graded A+
atelectasis can lead to pneumonia, to prevent atelectasis the pt should - anstake 10
deep breaths per hour
what is atelectasis - anscomplete or partial collapse of the lung
how would a nurse explain to a pt the correct way to deep breath - ansplace hands on
abdomen above umbilicus, try to make your hands rise (shoulders should not rise)
what does braden scale assess - anspressure ulcers
way to prevent pressure ulcer - ansreposition q2h , 60* side lying
before giving a pt a new med what is most important question to ask - ansif you are
allergic to it
what helps to increase normal body flora - ansbuttermilk and yogurt
what should you teach a pt with limited ambulation - ansisometric exercise of gluteal
and quadriceps
5x Q2h while awake
when a nurse is concern with the pt getting constipation due to lack of activity and poor
diet what should the nurse do - ansoffer bedside commode, which allows pt
independence and correct positioning for bowel action
to improve spiritual needs of patient the nurse should - ansplace a sign on door to allow
quiet time in A.M for prayer
lack of sleep causes - ansfatigue and pain
how is quality of pain described - ansdull, sharp, achy, stabbing
pain intensity is measured by - ansscale 1-10 and faces for children
guarding is known as - anscommon response to an injured area
if a pt is having pain and anxiety , it is important to determine what - answhat is causing
the anxiety
before implimenting interventions the nurse should - ansdiscuss it with the pt.
aspirin should be avoid in children, why - ansit causes Raynards Syndrome
for a sprained ankle the treatment should be - ansplace heating pad on, heat promotes
muscle relation and relief of pain
