HESI Exam 2; 2019 Version 2 Transition Prof Nurs Practice. This document contains 160 Solved exam question from the 2019 Review. Best for quick study session ahead of the exam.
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HESI Exam 2; 2019 Version 2 Transition Prof Nurs Practice HESI 2019 Version 2 1. A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare enough of the solution for e ight hours, how many ml of full strength feeding will the nurse need? (Enter numeric value only.) 2. An elderly male client is experiencing urinary incontinence. What is the best initial nursing action? 3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow fluids to enter his body once he is cleansed for prayer. What action should the nurse implement? 4. UAP using a hand sanitzers that is alcohol for 2 minutes- 5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer. 6. While assisting a postpartum client with perineal care, the nurse notes that her vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is firm and the client’s vital signs are pulse 88 beats/minute; respiratory rate, 21 breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse take next? 7. A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in his eye. Which action should the school nurse take? 8. Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse identifies a nursing diagnosis of “Altered thought processes, secondary to” what condition? 9. The nurse identifies a priority diagnosis of, “Altered comfort related to menstrual cramps” for a 25-year-old female client. Which self-care activity should the nurse emphasize in the client’s teaching plan? 10. Psych/Alcohol/Tylenol overdose antidote – 11. Medical Surgical/Laxative abuses – 12. Spiritual/Documentation- Native American – 13. Leadership- Interpreter informed consent – 14. Geriatrics/Emergency Rib fractures fall – 15. A client diagnosed with major depression is being allowed a weekend pass from the psychiatric unit. Which instruction should the nurse provide to the client’s family? 16. Upon assessment, the nurse discovers that a postpartum client has persistent red lochia. Which of the following does this assessment finding suggest to the nurse? 17. The healthcare provider performs peritoneal dialysis on a client, after which 2 liters of fluid is drained. What action should the nurse complete first? 18. After administering a medication through a nasogastric tube connected to suction, what action should the nurse take first? 19. The nurse is caring for four clients: Client A 94% o2 saturation, Client B, hemoglobin of 8.; Client C, potassium level of 3.8 and Client D appendectomy who has a white blood cell count of 15,000. What should the nurse implement? 20. Triage question with a train wreck The psychiatric nurse is called to a train derailment that was likely caused by a terrorist bomb. In triaging those in need of immediate care, what is the priority ranking for these cases? (arrange these cases in order or priority with the top item requiring the most immediate care and the bottom item requiring the least priority care) 21. (arrange in order) = middle age woman bleeding- woman w/ blanket- child crying- mother and father. (Mine didn’t have a middle age woman bleeding, instead it had an old man wandering and 22. The nurse in the emergency department is using the simple triage and rapid transport (START) system to assess victims of a hurricane. Which statement correctly describes a yellow disaster tag? 23. What makes a baby frontal bulge or rises= g 24. Which of the following is a nursing intervention for a 3-year-old client who is going in for sugery in 8 hours that has an order for fluid restriction? 25. The ear, where do u pull to give a ear drop= 26. Know your serum levels? 27. When to use drug for motion sickness drug question – 28. Pt with DM= 29. Electrical burn pt= 30. Which discharge instruction has the greatest priority for the mother of a 6-year-old who was diagnosed with Type 1 diabetes mellitus one week ago? 31. A nurse working on a mental health unit where a diagnosis of bulimia nervosa is being admitted. Which of the following symptoms would the nurse most likely NOT expect to find with this client? 32. 12yrs pt coming for surgery= 33. The charge nurse is developing the nursing guidelines for a coronary