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RN HESI Exit Exam Study Questions Solved 100% Correct |Verified Answers
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RN HESI Exit Exam Study Questions Solved 100% Correct |Verified Answers
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RN HESI Exit Exam Study Questions Solved100% Correct |Verified Answers
what is the number 1 question t ask a pt before surgery - ✔✔have you had anything to eat
since midnight
when a pt gets anesthesia what is highest priority for nurse to do - ✔✔position pt due to risk
of perioperative-positioning injury
why does a nurse call a time out before the surgery starts - ✔✔for final verification of
procedure, site and right pt.
what do you expect to find after surgery - ✔✔hypoactive bowel sounds
if you have a pt with lt hip replacement, p/o they have moderate sanguinous drainage nurse
should - ✔✔observe area under hip (since gravity pulls)
mark amount of drainage on dressing by circling it
to help relieve anxiety for a pt who has never been hospitalized the nurse should -
✔✔explain room environment
to help prevent venous thromboembolism - ✔✔dorsal & plantar flex of feet
lovenox injections (anticoagulant)
proper way to evaluate legs is - ✔✔use 2 pillows
place 1 lengthwise under each calf
,if pt is experiencing right sided weakness - ✔✔place at 45* angle on lt side
when a pt is starting to fall the nurse should - ✔✔gently try to lower to the ground
atelectasis can lead to pneumonia, to prevent atelectasis the pt should - ✔✔take 10 deep
breaths per hour
what is atelectasis - ✔✔complete or partial collapse of the lung
how would a nurse explain to a pt the correct way to deep breath - ✔✔place hands on
abdomen above umbilicus, try to make your hands rise (shoulders should not rise)
what does braden scale assess - ✔✔pressure ulcers
way to prevent pressure ulcer - ✔✔reposition q2h , 60* side lying
before giving a pt a new med what is most important question to ask - ✔✔if you are allergic
to it
what helps to increase normal body flora - ✔✔buttermilk and yogurt
what should you teach a pt with limited ambulation - ✔✔isometric exercise of gluteal and
quadriceps
5x Q2h while awake
when a nurse is concern with the pt getting constipation due to lack of activity and poor diet
what should the nurse do - ✔✔offer bedside commode, which allows pt independence and
correct positioning for bowel action
,to improve spiritual needs of patient the nurse should - ✔✔place a sign on door to allow
quiet time in A.M for prayer
lack of sleep causes - ✔✔fatigue and pain
how is quality of pain described - ✔✔dull, sharp, achy, stabbing
pain intensity is measured by - ✔✔scale 1-10 and faces for children
guarding is known as - ✔✔common response to an injured area
if a pt is having pain and anxiety , it is important to determine what - ✔✔what is causing the
anxiety
before implimenting interventions the nurse should - ✔✔discuss it with the pt.
aspirin should be avoid in children, why - ✔✔it causes Raynards Syndrome
for a sprained ankle the treatment should be - ✔✔place heating pad on, heat promotes
muscle relation and relief of pain
what is important to remember about cold packs - ✔✔excessive direct exposure to skin can
damage skin
what causes the skin to become reddened from prolong exposure to ice - ✔✔reflex
vasodilation
cold causes vasoconstriction
, control meds are called - ✔✔schedule IV analgesics and high potential for abuse
after an incorrect med is given the nurse must - ✔✔notify Dr. of error in treatment
purpose of an incident report is to - ✔✔find ways to prevent future errors
IV obstruction is most often caused by - ✔✔pt movement , occluding line
if nurse checks IV site and it is inflammed, tender, and dated 36 hrs ago the nurse should -
✔✔remove and start in a different location
phelebitis at IV site puts pt at risk for - ✔✔thrombus formation
when a pts fluid intake is greater then their output, this make a concern for fluid volume excess
the nurse should - ✔✔ausculate for breath sounds
if a pt has swollen ankles with 4mm indention the nurse should document it as - ✔✔2+
pitting edema present at feet and ankles
if pt has abnormal breath sounds, bilateral pitting edema and jugular vein distention will cause
the - ✔✔pt pulse to increase in rate and volume
potassium should never be - ✔✔IV push
foods high in potassium include - ✔✔baked potato, chicken, grapefruit
when should dieurtics be taken - ✔✔in A.M. with breakfast due to nocturia
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