HESI Questions
-HTN -Tachycardia - Diaphoresis
Alcohol withdraw delirium S&S:
Lethargy and muscle twitching
What are some S/S of a pt with chronic kidney failure?
-Addressing barriers to care - Provide psychosocial support - provide health education about the disease
What are some nurse navigator duties?
Empty bladder
What does a patient need to do before getting a paracentesis?
Vit B9 and greens
What should a pregnant woman do to get adequate amounts of folic acid to prevent neural tube defects?
Skeletal growth
Which developmental changes should be evaluated in girls around 12 years of age?
It allows the bowels to rest before surgery
Why is TPN good before surgery?
No, supervision and communication are right of delegation, not component of delegation
Are component and right of delegation the same thing? Why?
No
Do you ever ask a pt "tell me how you feel about..."
Cushing Syndrome
Increased levels of steroids and aldosterone cause sodium and water retention in clients with...
Retain
Increased levels of steroids and aldosterone cause what to happen to sodium and water?
Flaking and erythema
Side effect for a pt taking tretinoin for their acne:
increase cardiac output
Similarities in both polycethemia and prolonged anemia:
Lower the height of the enema bag
Soapsuds enema causes the pt to have abdominal cramping. What should the nurse do?
Established
During the process of delegation, the delegator's behavior is noted to be observing and monitoring. How is the relationship between the delegator and delagatee in this situation?
Use a pillow to keep the legs abducted
Nursing care with a pt with total hip arthroplasty
C
The type of hepatitis associated with blood transfusions is hepatitis...
lichenification
Thickening of the skin with accentuated normal skin markings is referred to as...
Providing self-care to enhance the ability to care for clients, families, staff, and the organization
Which behavior of the nurse as a leader indicates Gardner's task of renewing at an executive level?
Abduction and then adduction of the arms
Which behavior should a nurse identify as the Moro reflex response?
integrity vs despair
According to Erikson's theory of psychosocial development, which opposing conflict is an older adult likely to face?
Less
Are infants who are breastfed have more or less infections?
prone position to extend the hip
Flexion contracture of the hip because of an amputation at the thigh can be prevented by routinely placing the client in a...
-chicken breast - broiled beef stick
Foods for osteoporosis:
Reverse Trendelenburg's position
GERD Position:
Five
How many levels are in the Maslow's hierarchy of needs?
- take drugs on an empty stomach - take daily multiple vitamins that contain B-complex - report darkening of the urine or a yellowish skin discoloration
Isoniazid nursing consideration:
moral development is a theory that focuses on how children develop morality and moral reasoning. Kohlberg's theory suggests that moral development occurs in a series of six stages. The theory also suggests that moral logic is primarily focused on seeking and maintaining justice
Kohlberg's theory:
Creativity, experience, and group process
Unpredictable results require what from a manager?
- Monitor I &Os - Straining the urine at each voiding -Administering prescribed analgesics
Uretral Calculus: Nursing Action
Antioxidants
Vit E has what properities?
Choriocarcinoma
What does a prolonged increase of serum human chorlonic gonadotropin (hCG) level mean?
safety and security needs, which involve physical and psychological security.
What is the second level of Maslow's hierarchy of needs?
love and belonging needs, which includes friendship, social relationships, and sexual love
What is the third level of Maslow's hierarchy of needs?
Blood admin and neuromuscular blocking agents
What meds can cause hypothermia?
Occiput posterior
What position does a baby hold to cause the mother to have lower back pain?
Diarrhea and seizures
When receiving hemodialysis, the client may develop hyponatremia. For which clinical findings associated with hyponatremia should the nurse assess the client?
2-3 years of age
When should a child first go to the dentist?
A client with muscle spasms
Which client would get thermotherapy?
Attention span
Which intellectual factor would the nurse consider as a dimension when gathering data for a client's health history?
good boy-nice girl orientation (stage 3)
Which of these stages is followed by the society-maintaining orientation, according to the Kohlberg's theory?
"The fourth level contains love and belonging needs, including friendship, social relationships, and sexual love."
Which statement made by the nursing student needs correction about Maslow's hierarchy of needs?
Preoperational thought
A nurse is caring for a 4-year-old child who is terminally ill. The 4-year-old child's concept of death is based on a sense of causality. In what stage of Piaget's cognitive development is this child?
assessing, screening, diagnosing, treating, and follow-up care. The responsibilities of a nurse navigator include overcoming health system barriers and providing psychosocial support while treating the client. Providing health education about the disease, from prevention to treatment, is also the responsibility of a nurse navigator. Planning the client's care and communicating effectively are the responsibilities of a nurse leader and not a nurse navigator.
A nurse navigator may help clients with serious chronic diseases by...
Progesterone
A primigravida in the first trimester tells the nurse that she has heard that hormones play an important role in pregnancy. Which hormone would the nurse tell the client maintains pregnancy?
adrenocorticotropic hormone (ACTH) and adrenocortical hormones, elevating the urine values for the by-products of these hormones, thus invalidating the test results.
Stress and activity increase the secretion of what with Addison's Disease?
Having a coherent sense of self and planning to accomplish future goals
According to Erikson's developmental psychosocial theory, which is expected by 20 years of age?
- Head in sniffing position -Semifowlers
Best position to improve the respiratory effort:
Stage 1
At which stage of Kohlberg's theory would a child exhibit fear of punishment?
A stressor is a stimuli that can produce tension and cause instability within the system
Definition of a stressor:
5-6
How many words would the nurse expect the 3-year-old child to acquire each day?
Advancing the can simultaneously with the affected extremity
How to use a cane:
If they have diarrhea because it will cause a decrease in serum sodium which will lead to a decrease of lithium
If a pt is receiving lithium for their bipolar, what would you watch out for and why?
Decrease subcutaneous fat which leads to skin shearing
In older adults, what leads to increased risk for pressure ulcer?
antiemetic in some persons and can be absorbed through the gastrointestinal tract or inhaled.
Tetrahydrocannabinol, an ingredient in marijuana, acts as an...
12-15 months of age - that is why a newborn is not immunized against measles till they are at least 12-15 months of age
The MMR vaccine (measles, mumps, rubella) is not given until...
"Try to be a participant in political activity in the local community.
The senior nurse advises a newly promoted nurse concerning various aspects of the leadership role. Which advice by the senior nurse would the newly promoted nurse most likely consider as leading by example?
Grave's and Addison's disease
What autoimmune disorders associated with the endocrine system?
Subacute bacterial endocartitis
What can occur if a pt had an invasive surgery who is now getting dental work done and does not recieve anibiotics?
Hydronehrosis, this happens when the pt can't empty their bladder and the urine backflows into the uterers which results in the kidney developing this problem
What can occur in benign prostatic hyperplasia (BPH) and why?
white scaly plaques on the scalp, knees, or elbows.
What does psoriasis look like and located?
The child can creep on his or her hands and knees.
What gross motor skill is observed in children between 8 and 10 months old?
Clicking of the hip when it is manipulated
What is Ortolani Sign?
Penicillin G
What is the drug of choice for a pt in their first trimester of pregnancy with syphillis?
self-actualization.
What is the first level of Maslow's hierarchy of needs?
Maraviroc
What med is used to prevent HIV infections?
Antibiotic therapy should be administered until the urine is negative.
Why does the nurse encourage continued healthcare supervision for a pregnant woman with pyelonephritis?
It increases pressure on the suture lines, which can affect the integrity of the graft or the graft causing leaking or rupture.
Why is HTN crucial when it comes to a femoropopliteal bypass graft?
premature births
recurring pyelonephritis often leads...
Generativity versus self-absorption and stagnation
Which opposing conflict would a middle-aged adult face according to Erikson's theory of psychosocial development?
Goodpasture syndrome
Which organ-specific autoimmune disorder is associated with a client's kidney?
Period IV
Which period of Piaget's theory explains self-consciousness in an adolescent?
Initiative versus guilt
Which stage of Erikson's theory would the nurse explain describes the development of a preschooler?
The beginning of the next contraction
A nurse assesses the frequency of a client's contractions by timing them from the beginning of a contraction until when?
"You may see your child now." -it will validate the death for them and trigger the grieving process
A child dies after an explosion at school. The parents arrive at the hospital a few minutes later and are told what happened. The parents ask the nurse whether they may see their child. What is the best response by the nurse?
Graft is leaking
A client has a femoropopliteal bypass graft. The nurse assesses vital signs, and the client's blood pressure is 200/110 mm Hg. The nurse notifies the surgeon. What is the rationale for the nurse's action?
Type II
A client has received ABO-incompatible blood from a donor by mistake. Which type of hypersensitivity reaction will occur in the client?
Between the first and fourth days of the cycle - because the cervical is slightly dilated
A client seeking family planning information asks the nurse during which phase of the menstrual cycle an intrauterine device (IUD) should be inserted. Before responding the nurse recalls that the insertion is usually performed when?
Integrity versus Despair
According to Erikson's theory of psychosocial development, which opposing conflicts is an older adult likely to face?
describe a process without actually carrying it out in the concrete operations period. A child develops a scheme for dealing with the environment during the sensorimotor period.
According to Piaget's theory, a child is able to...
Concrete thinking
According to the Piaget's theory, which behavior does a 9-year-old child show?
- Authority -Responsibility - Accountability
Which component of delegation is transferable to the RN? (3)
Yes, some can contain spermicides
Can lubricants cause infertility?
Impetigo
Which condition is commonly seen in preschoolers?
Premature rupture of membranes
Which factor contraindicates sexual intercourse during pregnancy?
Shortness of breath on exertion
The nurse is assessing a pregnant client during the third trimester. Which clinical finding is expected in the later stages of pregnancy?
Decreasing fecal bulk and bowel stimulation
The nurse teaches the client that TPN helps to prepare for surgery by which process?
4-5 months
What age will a child have head control and roll over?
Guillain-Barré syndrome
What autoimmune disorder associated with the central nervous system?
Bronchiolitis and pyloric stenosis
What condition is most common in infants?
mononucleosis
What condition is seen in adolescents?
Stop the transfusion
What do you do if a pt receiving a blood transfusion starts getting a headache and feels tingling in their fingers?
Sunscreen should be used for outdoor activities
What education is needed for a pt who is receiving fluphenazine decanoate?
Antipsychotic - May cause agranulocytosis (decrease in WBC)
What is clozapine and what could result when taking this drug?
Increases the excretion of sodium
What is the action of hydrochlorothiazide?
esteem and self-esteem needs, which involve self-confidence, usefulness, achievement, and self-worth.
What is the fourth level of Maslow's hierarchy of needs?
To perform cardiopulmonary resuscitation (CPR)
What is the priority nursing intervention for a client injured by lightening?
Decreases the gag reflex
What is the purpose for mouth breathing if a pt is having an intestinal tube inserted because they have a small bowel obstruction?
Ligaments
Which tissue connects the client's tibia to the femur at the knee joint?
This condition is caused by repeated scratching, rubbing, and irritation, usually as a result of pruritus or neurosis.
lichenification
11-13 years of age
mandibular second molars often erupt...