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STUDY FOR HESI 3RD SEMESTER QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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STUDY FOR HESI 3RD SEMESTER QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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STUDY FOR HESI 3RD SEMESTERQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
heEnurseEteachesEsterileEtechniqueEtoEaEfamilyEmemberEofEaEclientEwhoEisEtoEbeEdischargedEwithEaElargeEab
dominalEwoundEthatErequiresEaEdressingEchangeEtwiceEaEday.ETheEnurseEconcludesEthatEfurtherEteachingEisE
neededEwhenEtheEfamilyEmemberEperformsEwhatEactionEduringEaEreturnEdemonstration?
1
SetsEtheEsterileEfieldEonEtheEclient'sElinensEatEtheEfootEofEtheEbed
2
TouchesEtheEouterEinchEofEtheEsterileEfieldEwhenEplacingEitEonEaEflatEsurface
3
ChecksEexpirationEdatesEonEtheEsterileEpackagesEbeforeEdonningEsterileEgloves
4
PicksEupEwetEgauzeEwithEsterileEplasticEforcepsEholdingEtheEtipsElowerEthanEtheEwrisE-EANSWERE1
TheEfieldEshouldEbeEplacedEonEaEclean,EdryEtableEnearEtheEclient.EAEclient'sEbedEsurfaceEmayEnotEbeEcleanEa
ndEtheEclient'sEmovementsEmayEcauseEtheEfieldEtoEbecomeEcontaminated.ETheEouterEinchEofEtheEsterileEfiel
dEisEconsideredEcontaminated.ESterileEobjectsEmustEbeEkeptEwithinEtheEone-
inchEborderEofEtheEsterileEfield.EExpiredEequipmentEmustEbeEdiscarded.ESterileEglovesEareEdonnedEafterEthe
EsoiledEdressingEisEremovedEandEcontained,EtheEhandsEwashed,EandEtheEsterileEfieldEisEprepared.EHoldingEth
eEtipsElowerEthanEtheEwristEisEtheEcorrectEtechniqueEifEusingEforcepsEtoEholdEwetEgauze.EThisEkeepsEtheEflow
EofEtheEsterileEsolutionEinEtheEdirectionEofEsterileEequipment.EIfEforcepsEareEheldEwithEtheEtipsEhigherEthanEt
heEwrist,EsterileEsolutionEwillEflowEinEtheEdirectionEofEtheEcaregiverEandEmayEbecomeEcontaminatedEbyEflow
ingEontoEanEunsterileEsurface.
AEclientEwhoEweighsE176EpoundsEisEtoEreceiveE8Emg/kgEofEcyclosporineE(Sandimmune)EdailyEtoEpreventEorg
anEtransplantErejection.EHowEmanyEmilligramsEshouldEtheEnurseEadministerEeachEday?ERecordEyourEanswer
EusingEaEwholeEnumber.E___Emg/dayE-EANSWERE640
FirstEcomputeEtheEclient'sEweightEinEkilogramsEandEthenEcomputeEtheEdosage.ESolveEtheEproblemEusingErati
oEandEproportion.
TheEnurseEisEcaringEforEaEclientEthatEisEreceivingEtherapyEforEvitaminEB12Edeficiency.EWhichEfindingEindicate
sEthatEtheEtherapyEisEhavingEtheEdesiredEeffect?
1
,NormalEserumEelectrolyteElevels
2
HealthyEskinEintegrity
3
ResolutionEofEperipheralEedema
4
ImprovedEhemoglobinEandEhematocritElevelE-EANSWERE4
VitaminEB12EisEessentialEforEappropriateEmaturationEofEredEbloodEcells;EthereforeErelievingEtheEdeficiencyEi
sEexpectedEtoEimproveEhemoglobinEandEhematocritE(H&H)ElevelsEandEdecreaseEhypoxia-
relatedEproblems.EThisEdisorderEisEknownEasEperniciousEanemia.ENormalEserumEelectrolytes,EhealthyEskinEi
ntegrity,EandEresolutionEofEperipheralEedemaEifEpresentEwouldEbeEsecondaryEtoEimprovedEhemoglobinEand
EhematocritElevels.
AEphysicallyEillEclientEisEbeingEverballyEaggressiveEtoEtheEnursingEstaff.EWhatEisEtheEmostEappropriateEinitialE
nursingEresponse?
1
AcceptEtheEclient'sEbehavior.
2
ExploreEtheEsituationEwithEtheEclient.
3
WithdrawEfromEcontactEwithEtheEclient.
4
TellEtheEclientEtheEreasonEforEtheEstaff'sEactions.E-EANSWERE2
AtEthisEtimeEtheEclientEisEusingEthisEbehaviorEasEaEdefenseEmechanism.EAcceptanceEcanEbeEanEeffectiveEinte
rpersonalEtechniqueEbecauseEitEisEnonjudgmental.EEventually,ElimitsEmayEneedEtoEbeEsetEtoEaddressEtheEbe
haviorEifEitEbecomesEmoreEaggressiveEorEhostile.EDuringEperiodsEofEovertEhostility,EperceptionsEareEaltered,E
makingEitEdifficultEforEtheEclientEtoEevaluateEtheEsituationErationally.EWithdrawalEsignifiesEnon-
acceptanceEandErejection.ETheEstaffEmayEbeEtheEtargetEofEaEbroadEarrayEofEemotions;EbyEfocusingEonEonlyEb
ehaviorsEthatEaffectEtheEstaff,EtheEfullEscopeEofEtheEclient'sEfeelingsEareEnotEconsidered.
TheEnurseEhasEgatheredEdataEonEaEnewlyEadmittedEclientEandEisEattemptingEtoEwriteEtheEnursingEdiagnosesE
andEdevelopEaEplanEofEcare.EInEdoingEso,EtheEnurseEisEawareEthatEinEtheEproblem-etiology-
signsEandEsymptomsE(PES)Eformat:
,1
SignsEandEsymptomsEcomeElastEinEtheEdiagnosticEprocess.
2
NursingEinterventionsEareEderivedEfromEtheEetiologyEstatement.
3
TheEonlyEallowableEdiagnosesEareEnursingEdiagnoses.
NursingEdiagnosesEdealEonlyEwithEactualEorEpotentialEillnessEproblems.E-EANSWERE2
TheEetiology,EorEcause,EofEtheEproblemEprovidesEdirectionEforEselectionEofEnursingEinterventions.EItEisEimpo
rtantEtoErememberEthatEgatheringEtheE"S"EcomesEfirstEinEtheEdiagnosticEprocess,EevenEthoughEtheEformatEis
EdescribedEasEPES.ECollaborativeEproblemsEareEpotentialEorEactualEcomplications,Ediseases,EorEtreatmentEth
atEnursesEtreatEmostEfrequentlyEwithEotherEhealthEcareEproviders.EAEwellnessEdiagnosisEmayEbeEidentifiedE
whenEanEindividualEisEinEtransitionEfromEaEspecificElevelEofEwellnessEtoEaEhigherElevelEofEwellness.EThisEdiag
nosisEbeginsEwithE"ReadinessEforEenhanced,"EfollowedEbyEtheEhigherElevelEofEwellnessEdesired.
.
AEnurseEisEcaringEforEanEolderEadultEwithEaEhearingElossEsecondaryEtoEaging.EWhatEcanEtheEnurseEexpectEtoEi
dentifyEwhenEassessingEthisEclient?ESelectEallEthatEapply.
E CorrectE1E
DryEcerumen
2E
TearsEinEtheEtympanicEmembrane
E CorrectE3E
DifficultyEhearingEhigh-pitchedEvoices
IncorrectE4E
DecreaseEofEhairEinEtheEauditoryEcanal
5E
OvergrowthEofEtheEepithelialEauditoryEliningE-EANSWERE1,3
CerumenE(earEwax)EbecomesEdrierEandEharderEasEaEpersonEages.EGenerally,EfemaleEvoicesEhaveEaEhigherEpi
tchEthanEmaleEvoices;EolderEadultsEwithEpresbycusisE(hearingElossEcausedEbyEtheEagingEprocess)EhaveEmoreE
difficultyEhearingEhigher-
pitchedEsounds.EThereEisEnoEgreaterEincidenceEofEtympanicEtearsEcausedEbyEtheEagingEprocess.ETheEhairEinEt
, heEauditoryEcanalEincreases,EnotEdecreases.ETheEepitheliumEofEtheEliningEofEtheEearEbecomesEthinnerEandE
drier.
AEnurseEmanagerEisEevaluatingEtheEeffectivenessEofEaEdisasterEdrillEduringEwhichEnursesEwereEsentEfromEthe
irEusualEassignmentsEtoEtheEemergencyEdepartment.EWhichEcriterionEshouldEbeEusedEforEtheEnurseEmanag
erEtoEevaluateEcareEduringEtheEdisasterEdrill?
1
NumberEofEfatalities
2
CostEofEnurseEovertime
3
Nurse-to-clientEratioEonEunits
4
CompletionEofEcriticalEpathwaysE-EANSWERE4
DuringEaEdisaster,EnursingEcoverageEonEallEunitsEshouldEremainEappropriateEforEclientEsafety.EDisasterEnursi
ngEisEconcernedEwithEprovidingEcareEforEclientsEinEimminentEdangerEandErequiresEmobilizationEofEpeopleEa
ndEresourcesEfromEotherEareas.ENumberEofEfatalitiesEisEnotEtheEbasisEforEevaluatingEtheEeffectivenessEofEcar
e;EduringEaEdisaster,EmanyEclientsEmayEbeEdeadEonEarrival.ECostEisEnotEtheEconcernEduringEaEdisaster.ECompl
etionEofEcriticalEpathwaysEisEnotEtheEbasisEforEevaluationEofEcareEduringEaEdisaster.
Test-
TakingETip:EAfterEyouEhaveEeliminatedEoneEorEmoreEchoices,EyouEmayEdiscoverEthatEtwoEofEtheEoptionsEareE
veryEsimilar.EThisEcanEbeEveryEhelpful,EbecauseEitEmayEmeanEthatEoneEofEtheseElook-
alikeEanswersEisEtheEbestEchoiceEandEtheEotherEisEaEveryEgoodEdistractor.ETestEbothEofEtheseEoptionsEagainst
EtheEstem.EAskEyourselfEwhichEoneEcompletesEtheEincompleteEstatementEgrammaticallyEandEwhichEoneEans
wersEtheEquestionEmoreEfullyEandEcompletely.ETheEoptionEthatEbestEcompletesEorEanswersEtheEstemEisEtheE
oneEyouEshouldEchoose.EHere,Etoo,EpauseEforEaEfewEseconds,EgiveEyourEbrainEtimeEtoEreflect,EandErecallEma
yEoccur.
AfterEsurgeryEaEclientEdevelopsEaEdeepEveinEthrombosisEandEaEpulmonaryEembolus.EHeparinEviaEaEcontinuo
usEdripEatE1200Eunits/hrEisEprescribed.ESeveralEhoursElater,EvancomycinE(Vancocin)E500EmgEintravenouslyEe
veryE12EhoursEisEprescribed.ETheEclientEhasEoneEintravenousE(IV)Esite:EaEperipheralElineEinEtheEleftEforearm.E
WhatEactionEshouldEtheEnurseEtake?
1
StopEtheEheparin,EflushEtheEline,EandEadministerEtheEvancomycin.
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