HESI EXIT EXAM 157 QUESTIONS AND ANSWERS
2023/2024 BEST NURSING NURSING SOLUTIONS
A patient is receiving a continuous half strength tube feeding at
50ml/hour. To prepare enough of the solution for eight hours, how
many ml of full strength feeding will the nurse need? (Enter numeric
value only.) - CORRECT ANSWERS 200ml . 25 ml of full strength feeding
mixed with 25ml of water provided 50ml of half strength. 25ml × 8
hours= 200ml
An elderly male patient is experiencing urinary incontinence. What is
the best initial nursing action? - CORRECT ANSWERS Apply an external
condom catheter
3. A male Muslim patient with pneumonia is scheduled to receive a
dose of an intravenous antibiotic but refuses to allow the nurse to
begin the medication, stating he cannot allow fluids to enter his body
once he is cleansed for prayer. What action should the nurse
implement? - CORRECT ANSWERS Reschedule administration of the
antibiotic until after he completes his prayers
,UAP using a hand sanitzers that is alcohol for 2 minutes - CORRECT
ANSWERS tell that hand sanitizer use is less > 2min
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour
before a scheduled procedure. The child weighs 44 pounds. How many
mg of the medication should the nurse administer - CORRECT
ANSWERS Answer: 800 Rationale: First, convert the child's weight to
kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg =
800mg
6. While assisting a postpartum patient with perineal care, the nurse
notes that her vaginal bleeding spurts rather than trickles from the
vagina. The uterine fundus is firm and the patient's vital signs are pulse
88 beats/minute; respiratory rate, 21 breaths/minute; and blood
pressure, 104/68 mmHg. What action should the nurse take next? -
CORRECT ANSWERS Compare current vital signs with previous vital
signs
,A 6-year old boy was hit with a bat while playing at school. He has a
splinter of wood imbedded in his eye. Which action should the school
nurse take? - CORRECT ANSWERS Have the parent take the child for
emergency help
Within four weeks of childbirth, a patient is admitted to the hospital for
disorganized speech bizarre behavior, and strange thoughts about her
infant being possessed by demons. The nurse identifies a nursing
diagnosis of "Altered thought processes, secondary to" what condition?
- CORRECT ANSWERS Postpartum psychosis
The nurse identifies a priority diagnosis of, "Altered comfort related to
menstrual cramps" for a 25-year-old female patient. Which self-care
activity should the nurse emphasize in the patient's teaching plan? -
CORRECT ANSWERS Regular aerobic exercise.
Psych/Alcohol/Tylenol overdose antidote - CORRECT ANSWERS Give
Mucomyst
, Medical Surgical/Laxative abuses - CORRECT ANSWERS Patient -taking
Milk of Magnesium
Spiritual/Documentation - CORRECT ANSWERS Native American -
Allow pt's family to stay in the room
Leadership- Interpreter informed consent - CORRECT ANSWERS Pt
should sign the consent
Geriatrics/Emergency Rib fractures fall - CORRECT ANSWERS
Pulmonary embolism
A patient diagnosed with major depression is being allowed a weekend
pass from the psychiatric unit. Which instruction should the nurse
provide to the patient's family? - CORRECT ANSWERS Involve the
patient in usual at home activities
Upon assessment, the nurse discovers that a postpartum patient has
persistent red lochia.
2023/2024 BEST NURSING NURSING SOLUTIONS
A patient is receiving a continuous half strength tube feeding at
50ml/hour. To prepare enough of the solution for eight hours, how
many ml of full strength feeding will the nurse need? (Enter numeric
value only.) - CORRECT ANSWERS 200ml . 25 ml of full strength feeding
mixed with 25ml of water provided 50ml of half strength. 25ml × 8
hours= 200ml
An elderly male patient is experiencing urinary incontinence. What is
the best initial nursing action? - CORRECT ANSWERS Apply an external
condom catheter
3. A male Muslim patient with pneumonia is scheduled to receive a
dose of an intravenous antibiotic but refuses to allow the nurse to
begin the medication, stating he cannot allow fluids to enter his body
once he is cleansed for prayer. What action should the nurse
implement? - CORRECT ANSWERS Reschedule administration of the
antibiotic until after he completes his prayers
,UAP using a hand sanitzers that is alcohol for 2 minutes - CORRECT
ANSWERS tell that hand sanitizer use is less > 2min
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour
before a scheduled procedure. The child weighs 44 pounds. How many
mg of the medication should the nurse administer - CORRECT
ANSWERS Answer: 800 Rationale: First, convert the child's weight to
kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg =
800mg
6. While assisting a postpartum patient with perineal care, the nurse
notes that her vaginal bleeding spurts rather than trickles from the
vagina. The uterine fundus is firm and the patient's vital signs are pulse
88 beats/minute; respiratory rate, 21 breaths/minute; and blood
pressure, 104/68 mmHg. What action should the nurse take next? -
CORRECT ANSWERS Compare current vital signs with previous vital
signs
,A 6-year old boy was hit with a bat while playing at school. He has a
splinter of wood imbedded in his eye. Which action should the school
nurse take? - CORRECT ANSWERS Have the parent take the child for
emergency help
Within four weeks of childbirth, a patient is admitted to the hospital for
disorganized speech bizarre behavior, and strange thoughts about her
infant being possessed by demons. The nurse identifies a nursing
diagnosis of "Altered thought processes, secondary to" what condition?
- CORRECT ANSWERS Postpartum psychosis
The nurse identifies a priority diagnosis of, "Altered comfort related to
menstrual cramps" for a 25-year-old female patient. Which self-care
activity should the nurse emphasize in the patient's teaching plan? -
CORRECT ANSWERS Regular aerobic exercise.
Psych/Alcohol/Tylenol overdose antidote - CORRECT ANSWERS Give
Mucomyst
, Medical Surgical/Laxative abuses - CORRECT ANSWERS Patient -taking
Milk of Magnesium
Spiritual/Documentation - CORRECT ANSWERS Native American -
Allow pt's family to stay in the room
Leadership- Interpreter informed consent - CORRECT ANSWERS Pt
should sign the consent
Geriatrics/Emergency Rib fractures fall - CORRECT ANSWERS
Pulmonary embolism
A patient diagnosed with major depression is being allowed a weekend
pass from the psychiatric unit. Which instruction should the nurse
provide to the patient's family? - CORRECT ANSWERS Involve the
patient in usual at home activities
Upon assessment, the nurse discovers that a postpartum patient has
persistent red lochia.
