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MATERNITY/OB PN HESI SPECIALTY V2

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.Tap the side of the syringe barrel to remove air bubbles. a. 4, 1, 5, 3, 6, 2 b. 1, 4, 5, 3, 2, 6 c. 4, 5, 3, 1, 2, 6 d. 1, 4, 5, 3, 6, 2 ANS: C When preparing medication from a vial, the steps are as follows: Firmly and briskly wipe the surface of the rubber seal with an alcohol swab ...

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  • November 8, 2021
  • 16
  • 2020/2021
  • Exam (elaborations)
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MATERNITY/OB PN HESI SPECIALTY V2



MATERNITY/OB PN HESI SPECIALTY V2

1.Tap the side of the syringe barrel to remove air
bubbles. a. 4, 1, 5, 3, 6, 2

b. 1, 4, 5, 3, 2, 6
c. 4, 5, 3, 1, 2, 6
d. 1, 4, 5, 3, 6, 2

ANS: C
When preparing medication from a vial, the steps are as follows: Firmly and
briskly wipe the surface of the rubber seal with an alcohol swab and allow to
dry; pull back on the plunger to draw an amount of air into the syringe equal to
the volume of medication to be aspirated from the vial; inject air into the
airspace of the vial; invert the vial while keeping firm hold on the syringe and
plunger; fill the syringe with medication; and tap the side of the syringe barrel
carefully to dislodge any air bubbles.
39. A nurse is attempting to administer an oral medication to a child,
but the child refuses to take the medication. A parent is in the room.
Which statement by the nurse to the parent is best?
a. “Please hold your child’s arms down, so I can give the full dose.”
“I will prepare the medication for you and observe if you would like
b. to try to administer the medication.”
“Let’s turn the lights off and give your child a moment to fall asleep
c before administering the medication.”
. “Since your child loves applesauce, let’s add the medication to it, so
d your child doesn’t resist.”
.
ANS: B
Children often have difficulties taking medication, but it can be less traumatic
for the child if the parent administers the medication and the nurse supervises.
Another nurse should help restrain a child if needed; the parent acts as a
comforter, not a restrainer. Holding down the child is not the best option
because it may further upset the child. Never administer an oral medication to a
sleeping child. Don’t mix medications into the child’s favorite foods, because
the child might start to refuse the food.



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,MATERNITY/OB PN HESI SPECIALTY V2




40. An older-adult patient needs an IM injection of antibiotic. Which site is best
for the nurse to use?
a. Deltoid

b. Dorsal gluteal
c. Ventrogluteal
d. Vastus lateralis

ANS: C
The ventrogluteal site is the preferred and safest site for all adults, children, and
infants. While the vastus lateralis is a large muscle that could be used it is not
the preferred and safest. The dorsal gluteal site is a location for a subcutaneous
injection, and this patient requires an IM injection. The deltoid is easily
accessible, but this muscle is not well developed and is not the preferred site.
41. A nurse is preparing an intravenous IV piggyback infusion. In which
order will the nurse perform the steps, starting with the first one?
1. Compare the label of the medication with the medication administration
record at the patient’s bedside.
2. Connect the tubing of the piggyback infusion to the appropriate connector on
the upper Y-port.
3. Hang the piggyback medication bag above the level of the primary fluid bag.
4. Clean the main IV line port with an antiseptic swab.
5. Connect the infusion tubing to the medication bag.

6. Regulate flow.
a. 5, 2, 1, 4, 3, 6

b. 5, 2, 1, 3, 4, 6
c. 1, 5, 4, 3, 2, 6
d. 1, 5, 3, 4, 2, 6

ANS: D
When preparing and administering IV piggybacks, use the following steps:
Compare the label of medication with the medication administration record at
the patient’s bedside; connect the infusion tubing to the medication bag; hang
the piggyback medication bag above the level of the primary fluid bag; clean

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, MATERNITY/OB PN HESI SPECIALTY V2




the main IV line port with an antiseptic swab; connect the tubing of the
piggyback infusion to the appropriate connector on the upper Y-port;
and regulate flow.

42. A nurse is administering oral medications to patients. Which action will
the nurse take?
Remove the medication from the wrapper, and place it in a cup labeled
a. with the patient’s information.
Place all of the patient’s medications in the same cup, except
b medications with assessments.
. Crush enteric-coated medication, and place it in a medication cup with
c water.
. Measure liquid medication by bringing liquid medication cup to eye
d level.
.
ANS: B
Placing medications that require preadministration assessment in a separate cup
serves as a reminder to check before the medication is given, making it easier for
the nurse to withhold medication if necessary. Medications should not be
removed from their package until they are in the patient’s room because this
makes identification of the pill easier and reduces contamination. When
measuring a liquid, the nurse should use the meniscus level to measure; make
sure it is at eye level on a hard surface like a countertop. Enteric coated
medications should not be crushed.
43. A nurse is performing the three accuracy checks before administering an
oral liquid medication to a patient. When will the nurse perform the second
accuracy check?
a. At the patient’s bedside

b. Before going to the patient’s room
c. When checking the medication order
d. When selecting medication from the unit-dose drawer

ANS: B
Before going to the patient’s room, compare the patient’s name and name of
medication on the label of prepared drugs with MAR for the second accuracy
check. Selecting the correct medication from the stock supply, unit-dose drawer,
or automated dispensing system (ADS) is the first check. The third accuracy
check is comparing names of medications on labels with MAR at the patient’s
bedside. Checking the orders is not one of the three accuracy checks but should
be done if there is any confusion about an order.

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