HESI (NURSING BASICS) EXAM
ABCs - CORRECT ANSWER-Airway, Breathing, Circulation
Maslow's Hierarchy - CORRECT ANSWER-Physiologic -> Safety -> Love/Belonging ->
Self Esteem -> Self Actualization
Nursing Goals - CORRECT ANSWER-SMART - Specific, Measurable, Attainable,
Reasonable, Timely. "The pt will ..."
Subjective Data - CORRECT ANSWER-What pt says. Ex: Pain, etc.
Objective Data - CORRECT ANSWER-What nurse sees. Ex: Pt grimacing, BP,
guarding, temp, etc.
When cleaning, remember _______ to ______. - CORRECT ANSWER-Clean to dirty
What kind of fluids are easier to swallow? - CORRECT ANSWER-Thicker (Ex: Pudding)
Standard Precaution for C. Diff - CORRECT ANSWER-Wash hands!!
Pt Safety - CORRECT ANSWER-Side rails, call light, bed low and locked, clean floor,
nonskid slippers.
Restraints - CORRECT ANSWER-Last resort! All bedrails up.
COPD and O2 - CORRECT ANSWER-No more than 2 or 3 L of O2
1 ounce = ______ ml - CORRECT ANSWER-30
1 kg = _______ lbs - CORRECT ANSWER-2.2
1 g = ________ mg - CORRECT ANSWER-1000
1 mg = __________ mcg - CORRECT ANSWER-1000
Intake - CORRECT ANSWER-PO, IV, tube
Output - CORRECT ANSWER-Urine, emesis, liquid stool, drains
Minimal Urine Output - CORRECT ANSWER-30 ml/hr
SBAR - CORRECT ANSWER-Situation, Background, Assessment, Recommendations.
, If it was not documented, ... - CORRECT ANSWER-It was not done!
HIPPA - CORRECT ANSWER-Pts have rights to know about their health and have
privacy of their health records.
Incident Reports - CORRECT ANSWER-Used for quality improvement
5 Rights of Delegation - CORRECT ANSWER-Task, Person, Circumstances, Direction,
Supervision (Tammy Pets Cats and Dogs Simultaneously)
Ethical Principles - CORRECT ANSWER-Autonomy, Justice, Fidelity, Beneficence,
Nonmaleficence, Veracity
Grief Stages - CORRECT ANSWER-DABDA: Denial, Anger, Bargaining, Depression,
Acceptance
Nasal Cannula - CORRECT ANSWER-Up to 6L O2
Nonrebreather - CORRECT ANSWER-100% O2. 10 to 15L O2.
Venturi - CORRECT ANSWER-Precise O2 concentration
Hypoglycemia - CORRECT ANSWER-Cold and clammy, need some candy. 15g
Carbohydrates. TIRED: Tachycardia, Irritable, Restless, Excessive hunger, Diaphoresis.
Hyperglycemia - CORRECT ANSWER-Hot and dry, sugar high. Give insulin.
FAST - CORRECT ANSWER-CVA/ Stroke assessment. Face, Arms, Speech, Time.
Seizure - CORRECT ANSWER-Move pt to safety, put something under head/put up
rails (not restraints), time seizure. Never put anything in mouth.
Primary Intervention - CORRECT ANSWER-Health promotion and protection against
specific health problems in healthy people.
Secondary Intervention - CORRECT ANSWER-Early ID of health problems and prompt
intervention to alleviate them.
Tertiary Intervention - CORRECT ANSWER-Restoration and rehab to an optimal level
of functioning and prevent further loss.
Hospice - CORRECT ANSWER-<6 months to live. Not seeking Tx, but managing pain.
Normal HR - CORRECT ANSWER-60 - 80
Normal RR - CORRECT ANSWER-12 - 20
