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Exit HESI
EXIT HESI
| Question | Answer |
|---|---|
| 3yo boy who successfully potty trained prior to admission post fall. parents concerned about regression of toileting behaviours. Best information for parents? | Children usuallly resume their toileting behaviors when they leave the hospital. Due to stress regression is common, once they return home they will resume to established habits. |
| Mother in labor at 36 wks with concerning presentation, and decrese fetal hr for past four contraction peaks. what is first action? | Provide oxygen via face mask. ABC's should always be done first then notify the HCP |
| A characteristic of the disorder anorexia nervosa that reflects anxiety management? Engaging in immoral acts Always reinforcing self-approval Observing rigid rules and regulations Having the need always to make the right decision | Observing rigid rules and regulations Clients with anorexia nervosa have the desire to please others. Their need to be correct or perfect interferes with rational decision-making processes. Rules and rituals help these clients manage their anxiety. |
| Which medication between levothyorxine and warfarin would have to change when paired? A decreased dosage of levothyroxine An increased dosage of levothyroxine A decreased dosage of warfarin sodium An increased dosage of warfarin sodium | A decreased dosage of warfarin Levothy. accelerates the degradation of vit K–dependent clotting factors. As result, the effects of warfarin are enhanced. |
| A client received 20 units of Humulin N insulin subcutaneously at 08:00. At what time would the nurse plan to assess the client for a hypoglycemic reaction? 10:00 11:00 17:00 24:00 | 17:00 Humulin N is an intermediate-acting insulin. The onset of action is 60 to 120 minutes, it peaks in 6 to 14 hours, and the duration of action is 16 to 24 hours. Hypoglycemic reactions most likely occur during peak time. |
| What should newborn mothers with HIV avoid? | "I need to chest-feed with my milk, especially for the first 6 weeks postpartum." HIV transmission can occur during chest-feeding. |
| nurse provides information to the client about the use of contact lenses. Which client statement indicates the need for further information? | "My contact lenses can be worn if they are cleaned as directed." If the adolescent wears contact lenses, the adolescent needs to be instructed to discontinue wearing them until the infection has cleared completely. |
| Which risk factors for breast cancer would the nurse list on the poster? SATA Multiparity Early menarche Early menopause Family history of breast cancer High-dose radiation exposure to chest Previous cancer of the breast, uterus, or ovaries | Early menarche, Family history of breast cancer High-dose radiation exposure to chest Previous cancer of the breast, uterus, or ovaries |
| client with acute pancreatitis and is monitoring the client for paralytic ileus. Which piece of assessment data would alert the nurse to this occurrence? | Inability to pass flatus An inflammatory reaction such as acute pancreatitis can cause paralytic ileus, the most common form of nonmechanical obstruction. Inability to pass flatus is a clinical manifestation of paralytic ileus. |
| a nasogastric tube on a postoperative client approximately 24 hours after gastric surgery. Which finding indicates the need to notify the primary health care provider? | Dark red drainage For the first 12 hours after surgery, the NG tube drainage may be dark brown to dark red. Later, the drainage should change to a light yellowish-brown color. MD to be notified if dark red drainage, sign of hemorrhage, 24 hours post |
| preparing to discontinue a client's nasogastric tube. Before removing the tube, the nurse would make which statement to the client? | "Take a deep breath when I tell you, and hold it while I remove the tube." |
| What would you do right before taking a gtube out of a patient who had one placed for an obstruction? | Listen to bowel sounds, to ensure that the obstruction has resolved. if taken out to early the syptoms could return. bowel sounds should be present. |
| for the administration of an enema. Which statement by the client would indicate the need for further instruction? | "The enema will be given while I am sitting on the toilet." never administer on toilet due to safety. side-lying with right knee flexed so it flows along natural curve of sigmoid colon and rectum. Hold as long as possible before letting rip |
Created by:
maxmduenas