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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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  • September 12, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Performance
STUDY FOR HESI 3RD SEMESTER
QUESTIONS 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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