Summary
Summary NUR 190 HESI EXIT EXAM STUDY GUIDE
- Course
- Hondros NUR 190
- Institution
- Hondros College School Of Nursing
This is a comprehensive and detailed HESI exit exam study guide.
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PN EXIT HESI Exam Ques1ons And Answers Best RatedA+ Guaranteed Success New Update 2022-2023
The prac)cal nurse (PN) is observing a client self-administering a dose
if subcutaneousinsulin. What step of the injec)on technique should
the prac)cal nurse (PN) reteach?
a. Injects air into the insulin vial to displace the dose
b. Selects the same site that was used for the previous injec1on
c. Inserts the needle at a 90-degree angle to the skin surface
d. Uses a circular mo)on when applying an alcohol pad to the site
Ra1onale: The PN should reteach the client to rotate the NOON site to a site
other than the same one used for the AM dose. DiPerent sites used throughout
the day may provide a varying rate of absorp1on related to ac1vity. Intra-site
rota1on is recommended for the doseused during one speciSc 1me of the day.
The other choices are acceptable techniques for subcutaneous injec1on of
insulin.
, The prac)cal nurse (PN) observes a newly hired unlicensed assis)ve
personnel (UAP) who is coun)ng a client’s radial pulse as seen in
the
, picture. Which ac)on should the PNtake?
a. ConKrm accuracy of the pulse rate obtained by the UAP
b. Instruct the UAP to report any abnormal Kndings
c. Remind the UAP to check the clients pulse volume
d. Demonstrate the correct pulse site to the UAP (follow the thumb for
the radial pulse,follow the pinky for the brachial)
Ra1onale: When checking the radial pulse, the index and middle Snger should
be aligned withthe thumb, for brachial pulse assessment should be aligned with
the pinky Snger.
The birth weight of an infant delivered by a woman with gesta)onal
diabetes is 10.1 pounds (4,581 grams). The infant is jiRery and has a
heel s)ck glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes
aXer birth. Based on this informa)on, which interven)on should the
prac)cal nurse (PN) implement Krst?
a. Repeat the heel s)ck for glucose in one hour
b. O[er nipple feedings of 10% dextrose
c. Begin frequent feedings of breast milk or formula
d. Assess for signs of hypocalcemia
Ra1onale: Providing frequent feedings will reduce the infants blood glucose; we
wouldn’twant to obtain another heel s1ck as we want to do less invasive as
possible.
, A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of
_avored gela)nand 1 banana. During the same shiX, this client receives 1
liter of IV _uid and voids 700 mL. How many mL total oral and IV intake
should the PN document on the client’s medical record? (Enter numeric
value only).
8 oz x 30 mL = 240 mL
4 oz x 30 mL = 120 mL
4 oz x 30 mL = 120 mL
1 L = 1000 mL
Total intake = 1480 mL
The nurse is very busy and running late with administering
medica)ons and asks theprac)cal nurse (PN) to administer a
medica)on already drawn up in an unlabeled syringe. How should the
PN respond?
a. “You should know that I cannot administer the medica)on in this syringe”
b. “As long as the charge nurse checks the syringe, I can give the medica)on”
c. “Teamwork is the best approach. I will be glad to help you get caught up”
d. “I am not comfortable doing that. Is there something else I can do to
help you?”
Ra1onale: Explaining your comfortability is always okay because you don’t
want to jeopardizeyour license, so oPering to help with the nurse’s other
workload is being. A team player.
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