Adult Care 1 HESI: Questions With Correct Solutions
Fluid and Electrolyte Balance Right Ans - Sodium: 135-145
Chloride: 98-107
**Potassium: 3.5-5.0
Calcium: 8.6-10.2
Phosphate: 2.7-4.5
Magnesium: 1.5-2.5
Albumin: 3.5-5.0
common food sources of potassium Right Ans - avocado, bananas,
cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal,
raisins, spinach, strawberries, and tomatoes.
Signs of hypocalcemia Right Ans - paresthesias followed by numbness,
hyperactive deep tendon reflexes, and a positive Trousseau's or Chvostek's
sign, increased neuromuscular excitability, muscle cramps, twitching, tetany,
seizures, irritability, and anxiety, increased gastric motility, hyperactive bowel
sounds, abdominal cramping, and diarrhea, prolonged QT interval and
prolonged ST segment
hypercalcemia Right Ans - shortened ST segment and a widened T wave
hyponatremia Right Ans - Hyperactive bowel sounds, flat neck veins,
diminished deep tendon reflexes, muscle weakness, increased urinary output,
and decreased specific gravity
hypernatremia Right Ans - Muscle twitches, Decreased urinary output,
increased specific gravity of the urine
hypermagnesemia Right Ans - drowsiness, sedation, lethargy, respiratory
depression, muscle weakness, and areflexia.
low levels of albumin cause Right Ans - edema! And drug toxicity if drug
requires albumin to bind!
5 Rights of delegation Right Ans - -Right Task: can be delegated, normally
repetitive and requires little supervision and is predictable
-Right Circumstance: right setting and environment
,-Right Person: 3 implications: right person delegating right task to right
person to be performed to right person
-Right Direction: communication, clear concise description of task
-Right Supervision: monitor task, give evaluation
essential steps of effective supervision Right Ans - direction, evaluation,
and follow-up
SBAR Right Ans - Situation
Background
Assessment
Recommendation
6 Rights of Medication Right Ans - Right Patient
Right Medication
Right Dose
Right Route
Right Time
Right Documentation
...also right evaluation & always assess after giving meds
hemoglobin Right Ans - male 14-18 g/dL
female 12-16 g/dL
pregnant >11 g/dL
hematocrit Right Ans - male 42-52%
female 37-47%
pregnant >33%
RBCs Right Ans - male 4.7-6.1 mil/mm3
female 4.2-5.4 mil/mm3
WBCs Right Ans - 5-10 thousand/mm3
platelets Right Ans - 150-400 thousand/mm3
BUN Right Ans - 5-18 mg/dL
Creatinine Right Ans - male 0.6-1.2
, female 0.5-1.1
ABGs Right Ans - pH 7.35-7.45
PCO2 35-45 mmHg
PO2 80-100 mmHg
HCO3 22-28 mmHg
O2 sat 95-100%
SED rate/ESR Right Ans - male- up to 15 mm/hr
female- up to 20 mm/hr
pregnant- incr in all trimesters
Prothrombin Time (PT) Right Ans - 11-12.5 sec
slight decr in preg
international normalized ratio (INR) Right Ans - 0.8-1.1
Partial thromboplastin time (PTT) Right Ans - 60-70sec
slight decr in preg
activated partial thromboplastin time (aPTT) Right Ans - 30-40sec
Fat soluble vitamins Right Ans - ADEK
water soluble vitamins Right Ans - C, B1 (thiamine), B2 (Riboflavin), B3
(nicotinic acid), B6 (Pyridoxine), Folic acid, B12
The Nursing Process Right Ans - ADPIE
Assessment
Diagnosis/analysis
Planning
Implementation
Evaluation
Ice and Heat Right Ans - With ice compress: do not directly apply it to the
skin, use a cover for it, apply for 20 minutes and can repeat in an hour
-Assess for redness burning, blueness, paleness: remove ice if these signs are
present
-acute intervention
Fluid and Electrolyte Balance Right Ans - Sodium: 135-145
Chloride: 98-107
**Potassium: 3.5-5.0
Calcium: 8.6-10.2
Phosphate: 2.7-4.5
Magnesium: 1.5-2.5
Albumin: 3.5-5.0
common food sources of potassium Right Ans - avocado, bananas,
cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal,
raisins, spinach, strawberries, and tomatoes.
Signs of hypocalcemia Right Ans - paresthesias followed by numbness,
hyperactive deep tendon reflexes, and a positive Trousseau's or Chvostek's
sign, increased neuromuscular excitability, muscle cramps, twitching, tetany,
seizures, irritability, and anxiety, increased gastric motility, hyperactive bowel
sounds, abdominal cramping, and diarrhea, prolonged QT interval and
prolonged ST segment
hypercalcemia Right Ans - shortened ST segment and a widened T wave
hyponatremia Right Ans - Hyperactive bowel sounds, flat neck veins,
diminished deep tendon reflexes, muscle weakness, increased urinary output,
and decreased specific gravity
hypernatremia Right Ans - Muscle twitches, Decreased urinary output,
increased specific gravity of the urine
hypermagnesemia Right Ans - drowsiness, sedation, lethargy, respiratory
depression, muscle weakness, and areflexia.
low levels of albumin cause Right Ans - edema! And drug toxicity if drug
requires albumin to bind!
5 Rights of delegation Right Ans - -Right Task: can be delegated, normally
repetitive and requires little supervision and is predictable
-Right Circumstance: right setting and environment
,-Right Person: 3 implications: right person delegating right task to right
person to be performed to right person
-Right Direction: communication, clear concise description of task
-Right Supervision: monitor task, give evaluation
essential steps of effective supervision Right Ans - direction, evaluation,
and follow-up
SBAR Right Ans - Situation
Background
Assessment
Recommendation
6 Rights of Medication Right Ans - Right Patient
Right Medication
Right Dose
Right Route
Right Time
Right Documentation
...also right evaluation & always assess after giving meds
hemoglobin Right Ans - male 14-18 g/dL
female 12-16 g/dL
pregnant >11 g/dL
hematocrit Right Ans - male 42-52%
female 37-47%
pregnant >33%
RBCs Right Ans - male 4.7-6.1 mil/mm3
female 4.2-5.4 mil/mm3
WBCs Right Ans - 5-10 thousand/mm3
platelets Right Ans - 150-400 thousand/mm3
BUN Right Ans - 5-18 mg/dL
Creatinine Right Ans - male 0.6-1.2
, female 0.5-1.1
ABGs Right Ans - pH 7.35-7.45
PCO2 35-45 mmHg
PO2 80-100 mmHg
HCO3 22-28 mmHg
O2 sat 95-100%
SED rate/ESR Right Ans - male- up to 15 mm/hr
female- up to 20 mm/hr
pregnant- incr in all trimesters
Prothrombin Time (PT) Right Ans - 11-12.5 sec
slight decr in preg
international normalized ratio (INR) Right Ans - 0.8-1.1
Partial thromboplastin time (PTT) Right Ans - 60-70sec
slight decr in preg
activated partial thromboplastin time (aPTT) Right Ans - 30-40sec
Fat soluble vitamins Right Ans - ADEK
water soluble vitamins Right Ans - C, B1 (thiamine), B2 (Riboflavin), B3
(nicotinic acid), B6 (Pyridoxine), Folic acid, B12
The Nursing Process Right Ans - ADPIE
Assessment
Diagnosis/analysis
Planning
Implementation
Evaluation
Ice and Heat Right Ans - With ice compress: do not directly apply it to the
skin, use a cover for it, apply for 20 minutes and can repeat in an hour
-Assess for redness burning, blueness, paleness: remove ice if these signs are
present
-acute intervention
