HESI Questions based on EAQ's
Which information will the nurse include when providing education to the family of an adolescent who was recently diagnosed with type 2 diabetes?
The most important interventions are good nutrition and portion control
Which statement by the nurse regarding computer-controlled dispensing systems indicates the need for further learning?
The nurse cannot access this system in an emergency and needs to notify the pharmacy for access
Which action by the nurse would bypass the pharmacists verification when a computerized medication system is used?
The nurse overrides the system during an emergency
Which statement regarding a medication error is correct?
The nurse who administers a medication is legally liable for the medication error
Which situation does the nurse anticipate when programming the pump to administer intravenous fluid?
The pump can only be programmed to infuse the fluid by the hour
Which nursing action has the highest priority when preparing to transfer an unconscious client who sustained a head injury from the ED to a neurological trauma unit?
Validating availability of a bag valve mask during transfer
a nurse works in a postop unit. which type of primary care provider order warrants an assessment by the nurse to determine if the patient requires medication?
a PRN order
the nurse teaching a patient about insulin, which site does the nurse recommend to the patient for self administration?
abdomen lateral aspect of the upper thigh
A 50 year old client has difficulty communicating because of expressive aphasia after a CVA accident. When the nurse inquired about the clients feelings, the spouse responded. Which communication strategy would the nurse use to address this behavior's?
acknowledge the spouse, but look at the client for a response
the nurse has been assigned to administer a rectal suppository to an adult patient. which suppository placement is correct?
along rectal wall, 3-4 inches into the rectum
which professional characteristic is the nurse exhibing when staying to comfort a patient who is crying after being diagnosed with breast cancer even though the nurse is off duty?
altruism
Which characteristic would the nursing student adopt to become a good critical thinker?
analysis inquisitiveness systematic thinking
which intervention would the nurse perform FIRST when caring for a patient diagnosed with bulimia nervosa who exhibits an exaggerated concern for body weight and fear of obesity?
ask questions to clarify the problem
which intervention performed by a nurse caring for a patient with depression who reports feeling dull indicates understanding of facilitating care using breadth in critical thinking?
assessing the concern from various points of view
What is the most appropriate approach for the school nurse to take regarding children who are to be given medications while in school?
assuring the children that their privacy will be respected
Which component of delegation is the ability to perform duties in a specific role?
authority
which component of critical thinking does the nurse use while assessing a patient who reports yellow vaginal discharge with a foul odor for the past 3 days and suspecting that the patient may have a vignal infection?
deductive reasoning
Which defense mechanism is being exhibited by a patient who asks the nurse to recheck all the labs reports following a diagnosis of liver cancer and wants to consult another provider?
denial
which term is a domain of henderson's theory?
development
Which member of the health care team is MOST important to assist the patient when diagnosed with diabetes?
dietitian
which characteristic of the nurse will help in the application of critical thinking skills in an acute care setting?
discipline responsibility perseverance
Which phase of the nursing process is being applied when the nurse revises the care plan because the goals have not been met?
evaluation
which action does the nurse need to take initially for the female patient reporting discomfort and burning in the perineal area who reports, "I can finish my bath and clean down there."?
explain that a nurse needs to observe the perineal area because of her symptoms
which body part would the nurse examine when assessing a patient's peripheral vascular system?
fingernails
Which abbreviation accurately reflects grams?
g
Which intervention would the nurse add to the plan of care for a client who engages in ritualistic behavior?
help the client understand that the behavior is caused by maladaptive coping with increased anxiety
the nurse is evaluating whether a patient is taking prescribed medications correctly. which patient practice indicated the need for additional instruction?
i use multiple medication cups to prepare a single dose i use a plastic spoon as a measuring device to take syrups i notice that a part of my medication is often left in the crusher
which statement describes the goal of case management?
integrates care with cost effective approaches
a pediatric nurse finds that a mother is not able to console her crying infant, so the nurse holds the infant. to which zone of personal space does this gesture belong?
intimate
which assessment finding is a symbolic aspect of culture for a patient?
language
which statement must the nurse emphasize to the family when preparing a school ages child with persistent asthma for discharge?
medications must be continued even when the child is asymptomatic
Which health care team member is the designated delegator?
nurse manager
a nurse is reviewing the different names for a drug. which medication designation is assigned by the us. adopted names council?
official name
a patient who has undergone total hip replacement surgery has been prescribed low-molecular weight heparin enoxaparin. which complication of subcutaneous injections would the nurse monitor for?
pain sterile abscess hypertrophy of skin
a patient who is receiving IV fluids develops tenderness, warmth, erythema, and pain at the site. which condition would the nurse suspect?
phlebitis
which guide would the associate nurse use to provide client care within the primary nursing delivery model?
plan of care
a nurse is explaining to a patient about the side effects of a prescribed drug. which statement related to the side effects is applicaable?
predictable often unavoidable occur at usual therapeutic dose
the nurse receives a prescription to begin administering a loop diuretic to a patient with hypertension. which factor would determine the route for administering the diuretic to the patient?
prescribers order
the nurse determine that a patient is regularly missing doses of medication. the patient when asked says "my daughter is supposed to be giving me the medication according to the prescribed schedule." which defense mechanism did the patient use?
projection
which intervention would the nurse include when developing a plan of care for an older client with dementia
provide consistency in carrying out nursing activities for the client
a client, admitted with full thickness burns 2 weeks ago has lost an average of 1lb of weight each day, which dietary adjustment would the nurse recommend?
provide high protein drinks
which color according to the disaster triage tag system would be assigned to a client who has an immediate threat to life?
red
Which colors are often included in an organizational disaster plan for use during triage?
red black green yellow
in which order would the nurse provide care for clients based on triage tag color?
red yellow green black
a diabetic patient has been switched from oral antidiabetic drugs to insulin. the patient has been prescribed regular insulin and intermediate insulin. when teaching the patient about self-administration of insulin, which instruction would the nurse give the patient regarding preparation of the insulin?
roll the cloudy insulin vial between the palms of your hands prepare the regular insulin first then draw up the intermediate insulin administer both insulins before a meal
a nurse who is responsible for dispensing medications understands that every patient requires a different dosage for a given drug and that various factors affect the absorption of drugs. which factors influences absoprtion?
route of administration solubility blood flow to the site of administration
a patient with end stage prostate cancer has developed a UTI. Which dietary intervention would the nurse propose to provide additional comfort to the patient?
saw palmetto
a patient diagnosed with depression states, "I don't want to think about my partner, it hurts me." which type of defense mechanism does the patient exhibit?
suppression
a patient diagnosed with depression states, "I dont want to think about my partner, it hurts me." which type of defense mechanism does the patient exhibit?
suppression
while teaching a group of student nurses, the nurse educator reports, "this technique of back massage should not be used over the kidney area." which technique is the nurse describing?
tapotement
the nurse evaluates the goals of nursing care with a patient who underwent surgery. Which phase of the helping relationship does this nursing action represent?
termination
Which situation demands that the nurse provide crisis intervention?
the lone survivor of a MVA accident
a nurse who has a patient who is SOB calls the provider using SBAR to help with communication. Which datum would the nurse address first?
the patient is SOB
which test is used to confirm breech presentation?
ultrasound
a patient is 36 weeks gestation has a BP of 140/90. Which additional sign of preeclampsia would the nurse assess for?
urine dipstick positive for protein
which water temp would the nurse use to bath a patient with peripheral neuropathy?
warm
which parameter would the nurse include when using clinical reasoning to determine the health problems of a patient with diabetes?
weakness blurred vision light headness
the nurse is administering prescribed medications to a patient on the unit. the nurse would compare the label of the medication container with the medication administration record (MAR) during which circumstance?
when performing any dosage calculations when preparing the med when returning the med to its storage place
the nurse is administering medications to a 4 year old patient. after the nurse explains which medications are being given, the mother states, "I don't remember by child having that medication before." Which action would the nurse take next?
withhold the medication & verify medication prescription
Calculate the value of X (round to tenths) 4.2:0.3::X:0.15
2.1
Calculate the value of X (round as whole number) 3.5:X::3%:1.8
210
Which is an improper fraction?
4/2
How many kilograms does 98 pounds equal? Record your answer using one decimal place.
44.5 kg
Calculate the value of x (round to hundredths) X: 0.2:: 73: 0.3
48.67
How many pounds does 24 kg equal? Record your answer using one decimal place
52.8 lb
A nurse is preparing to infuse 500mL of 0.9% normal saline over 8 hours. How many mL/hr is the pump programmed for? Round to the nearest whole number.
63 mL/hr
Calculate the value of X (round to hundreths) 0.4::x:0.7:13
7.43
Calculate the value of X. (Round to tenths) 0.4:3.6::0.9:X
8.1
**EVOLVE ONLY** How many centimeters are in 35 inches?
87.5 cm
A patient has a continuous heparin infusion of 12mL/hr and the heparin concentration is 20.000 units in 250mL of 0.9% normal saline. How many units/hr of heparin is the patient receiving? Record as a whole number.
960 units/hr
Which statement is accurate regarding verbal orders from the health care provider?
A nurse must repeat the orders to the health care provider for verification.
Which component of delegation is retained while the delegator is delegating the clients care task to the UAP?
Accountability
When administering IV fluid by gravity, which does the nurse plan to include in the preparation?
Calculate the drops per minute based on the tubing drop factor
The nurse works for a healthcare facility that uses the unit dose method. Which nursing action is most appropriate when the drugs are delivered in multiple use bottles?
Calling the health care provider for clarification and approval
Which statement by the nurse regarding metric prefixes reflects a need for further education?
Centi- is the prefix associated with the value of 0.001
A nurse withdraws a narcotic from the medication dispenser. When double checking the medication record, the narcotic is expired. Which action by the nurse is MOST appropriate?
Contact the pharmacy for an updated supply and discard according to policy
The nurse receives a verbal order for a stat medication from the primary care provider. The provider did not include a route of administration and left the unit. The nurse is aware the provider commonly uses only one route for the medication. Which will the nurse do before administering the medication?
Contact the primary care provider or the provider on call for clarification
Which statement is correct regarding the distribution of controlled substances by a computerized medication dispensing system?
Controlled substances are kept in a computerized medication dispensing cart
Which tubing does the nurse use to administer 1,000 mL of 0.9% normal saline at 125 mL/hr over 6 hours by gravity?
Macrodrop set
Place the metric system units of measure in order from smallest to largest
Micro (0.000001) Milli (0.001) Centi (0.01) Kilo (1,000)
Which rate will the nurse use when administering IV fluid by an IV Pump?
Milliliters per hour
When presenting the Omnicell Savvy Mobile Medication System, which feature would the nurse be sure to include?
Nurses can retrieve scheduled medications from this system. Allows nurses to retrieve medications that are scheduled and those given on PRN basis. This system saves nurse from making trips to an automated dispensing cabinet.
Which team member is MOST accountable when delegating a task to the health care team?
RN
The nurse understands that caring for two clients with the same last name can lead to a medication error involving which "right" of medication administration?
Right client
Which is a right of medication administration?
Right client Right medication Right time Right documentation Right to refuse
Which credential allows the nurse access to the computerized medication dispensing system to obtain medications?
Security code Personal password Biometric fingerprint scan
Which action would the nurse take to prevent any medication error after reviewing the medication administrations record (MAR)? Name, DOB, Room number present All medications ordered correctly What is missing?
Seek more information about the client *Allergies to drugs/foods
Which action is NEXT when a nurse determines that an adolescent with newly diagnosed type 1 diabetes has sufficient knowledge of the disorder?
Setting goals with the client
Which system is NOT a computer- controlled dispensing system?
Silent Knight
Calculate the value of X (round to hundreths) 0.9:x::4:0.6
0.14
Calculate the value of X (round to nearest hundreths) 2.2%:0.4::1.8%:X
0.33
Calculate the value of X. (Round to hundreths) X:0.5::0.2:0.3
0.33
Calculate the value of X. (Round to hundreths) 2.5:X::6.2:1.3
0.52
Calculate the value of x (round to hundreths) 12:02.::31:X
0.52
Calculate the value of X (round to tenths) X:0.2::0.7:0.25
0.6
What is the temperature in Fahrenheit if the temperature if 38.0 C
100.4 F C-F multiply by 1.8, then add 32
How many pounds does 47 kg equal? Record your answer using one decimal place
103.4 lb
A patient has a continuous insulin infusion at mL/hr and the insulin concentration is 500 units in 250 mL at 0.9% normal saline. How many units/hr of insulin is the patient receiving? Record answer as a whole number.
12 units/hr
Calculate the value of X (round to hundreths) 2.4:9::3.3: X
12.38
**EVOLVE ONLY** How many centimeters are in 64 inches?
160 cm
A patient has a prescription for regular insulin to run at a rate of 14 units/hr, and the concentration of insulin available is 100 units in 250mL of 0.9% normal saline. At which rate in milliliters per hour is the pump to be programmed? Record as a whole number.
35 mL/hr
Which example correctly uses the tall man letters, which can reduce errors for look-alike and sound-alike medications?
DOPamine and DOBUTamine
Which nursing action can help prevent medication errors? Select all that apply
Documenting medications immediately after their administration Checking the drug dose sent from the pharmacy with the medication administration record Using only approved abbreviations from The Joint Commission list for medication dosages
Which action by the nurse would be therapeutic after obtaining the consent of an adolescent girl who is concerned about her body image after amputation of a leg for bone cancer?
Encouraging her peers to visit
which statement describes a fundamental function of the clinical nurse leader? CNL
Evaluates care for evidence based approaches
Which unit is a basic unit of the metric system?
Grams Liters Meters
Which information would the nurse provide to maintain a positive self image during treatment of a 13 year old with idiopathic scoliosis who is upset about the treatment regiments and is worried about being different from peers?
Help investigate appropriate clothing to minimize appearance of the brace
The nurse is evaluating the coping success of a patient experiencing stress from being newly diagnosed with multiple sclerosis and psychomotor impairment. The nurse realizes that the patient is coping successfully. Which statement by the patient leads the nurse to believe this?
I'm going to attend a support a group to learn more about multiple sclerosis
In which order would the nurse action to address a patient problem when following a systemic approach?
Identify the problem Clarification of problem Identify the problem Finding the cause of problem Collects data Generates solutions
Which result is a negative consequence to when the nurse overrides the computer controlled dispensing system in an emergency?
It can result in a medication error
Which statement regarding a unit dose medication cabinet is correct?
It has client specific drawers to store medications
Which statement is correct regarding controlled substances in a computer-controlled medication dispensing system?
It provides a detailed record regarding the usage and the user of the controlled substances
Which does the nurse consider when preparing to infuse an IVPB into the primary IV line using an IV pump?
The IVPB will infuse in mL per hour
Which organization developed guidelines to improve safety in communication about medications when working with electronic formats?
The Institute for Safe Medication Practices (ISMP)
a nurse who is demonstrating care suggests which action to a patient's family members?
become active participants in care
the nurse would use a tag of which color for a client who is expected to die after a disaster with mass casualties?
black
Which health care team member is familiar with all the needs of any individual client?
charge nurse
a nurse is assessing the psychosocial well being of a patient who says that there is no meaning to life and wants to see the end of it. the nurse asks the patient, "are you talking about suicide?" which communication technique is being used?
clarifying
which activity would require the nurse to use interpretation skills?
clarifying any questionable data being orderly in data collection looking for patterns to categorize data
the nurse needs to administer an injection to a patient. which precaution would the nurse take to prevent infection during injection administration?
cover the tip of the syringe with a cap clean the skin with an antiseptic swab avoid touching the needles with the contaminated area