Study Guide HESI V5 LATEST COPY 2021

Study Guide HESI V5 Note: The blue highlighted questions came out also on my V2 exam. 1.) Something about a breast cancer patient refusing drugs: ANS: Go find out why she is refusing 2.) How would you relieve MASTITI ...

Study Guide HESI V5 Note: The blue highlighted questions came out also on my V2 exam. 1.) Something about a breast cancer patient refusing drugs: ANS: Go find out why she is refusing 2.) How would you relieve MASTITIS and what is it caused from? Mastitis is an inflammation of the breast, caused by blocked milk ducts/ there is NON-Infective or BACTERIAL infective/ Treatment for mastitis should begin immediately. Your doctor may not immediately be able to distinguish between simple inflammation and a bacterial infection, but will usually treat you as if it is infected. Options include:  Continued breastfeeding and/or expressing to drain the breast  Antibiotics (for example, flucloxacillin or cephalexin)  Anti-inflammatory medication (such as ibuprofen) or analgesia (such as paracetamol) to relieve pain, if necessary  Rest and adequate fluid intake  Heat to breasts (such as hot showers) before a feed and cold after  Varying the feeding position to increase breast drainage 3.) SEPSIS- Related to endotoxins release by bacteria, which cause vascular pooling, diminished venous return, and reduced cardiac output Medical Treatment for SHOCK A. Correct decreased tissue perfusion and restore cardiac output A.1. OXYGENATION & VENTILATION A.2. FLUID RESUSITATION : Rapid infusion of volume-expanding fluids(colloids), whole blood plasma, iso’s such as Ringers Lactate A.3. DRUG THERAPY: Restoration of cardiac function is priority, drugs will be based on effect of shock on preload, afterload, or contractility A.3.a. Drugs that increase preload (blood products, crystalloids)/ decrease preload (morphine, nitrates, diuretics) A.3.b. Drugs that increase afterload ( vasopressors, dopamine)/ decrease afterload ( nitroprusside, ACE-I, ARB) A.3.c. Drugs that decrease contractility (beta blockers, calcium channel blockers)/ increase contractility (digoxin [Lanoxin], dobutamine) A.4. MONITOR: CVP, LOC, ABG’s, VITALS, Skin changes, Fluid status 4.) There will be a question relating to anti-infective meds, and your ANS: is antieffective meds Anti-effectives Anti-infective are drugs that can either kill an infectious agent or inhibit it from spreading. Antiinfective include antibiotics and antibacterial, antifungals, antivirals and antiproatozoans 5.) Question will state something about the kids want the nurse to force their mom whom is refusing her meds to take them, so the nurse should go in the room and… ANS: is D you will go and in to find out why she don’t want meds and treatment 6) A Girl patient eats a handful of pills… ANS: find out what pills she took 7) A nurse arrives on the scene of an accident and there is a person face down in water but her phone is however many feet away what the nurse would do first ANS: Immobilize neck ASSESS for LOC, check or reassess Airway 8) Question about restraints and where and how you would tie them ANS: bed frame with a quick release knot 9) PAGE 270 HESI: HYDATIDIFORM MOLE- a chorionic villi degenerate into a bunch of clear vesicles in grapelike clusters, this is developmental anomaly and predisposes client to choriocarcinoma Nursing Assessment *Vaginal bleeding in first trimester *Uterus larger than expected for gestational age *Anemia/ excessive N/V, Abdominal cramping, early s/s of preeclampsia Nursing plans and Interventions  Provide preoperative and postoperative D&C care.  *****Instruct patient to prevent pregnancy for 1 year in the (HESI) book, on hesi exam the answer will be 6 months for some reason  Instruct patient to obtain monthly serum hCG levels for 1 year 10) Mouth care for dentures: ANS: Put towel in sink and place dentures on towel then clean 11) You suspect that a Patient is being abused what would you do? ANS: go check it out, as in doing a home visit 12) Question about a patient presenting with decreased BP ANS: Give IV fluids 13) Question relating to stoma care, you will assess and note that the stoma is dusty, this means that there is necrotic tissue; what do you do? ANS: Call surgeon 14) Question about a baby on digoxin and the mother just administered it and then the baby vomits and it will ask what you do about next dose ANS: Hold Digoxin 15) Drag and Drop Question: Patient has adverse reaction to meds: This is the order ANS: 1) STOP IV 2) GET VITALS 3) CALL MD 4) DOCUMENT 5) INITIATE ADVERSE MED 16) Drag and Drop in order question: 1. Place catheter set in between patient 2. Apply sterile gloves, and maintain sterile field 3. Cleanse the Meatus, using that Benodine stuff 4. Lube the catheter tip and then insert Foley Catheter, or any catheter for that matter KNOW SKILLS Gather supplies, explain procedure, maintain a sterile field at all times sterile gloves, prepare your iodine, lube, and syringe for balloon, then move everything in between patients legs, only contaminate one hand and use the other to perform procedure. Watch YOU TUBE if you need a recap 17) Picture Questions: Patient lying in bed only shows lower half from where JacksonPratt Drain/tube is at and the bulb syringe is full your ANS: you’re going to drain it The Jackson-Pratt (JP) drain is a special tube that prevents body fluid from collecting near the site of your surgery. The drain pulls this fluid (by suction) into a bulb. The bulb can then be emptied and the fluid inside measured. At first, this fluid is bloody. Then, as your wound heals, the fluid changes to light pink, light yellow, or clear. The drain will stay in place until less than 30 cc (about 2 tablespoons) of fluid can be collected in a 24-hour period. Caring for the JP drain is easy. Depending on how much fluid drains from your surgical site, you will need to empty the bulb every 8 to 12 hours. The bulb should be emptied when it is half full. 18) Picture question/ HOT SPOT- Picture of where to place patches for defibrillation/ got to YOU TUBE http://www.youtube.com/watch?v=3trpw_We0UQ or just type in how to use a AED DEFIB the ANS: they are looking for is where one of the 2 patches go on right side of patient, ours showed where the right one was, we had to place hotspot where the left one goes. The left one is placed right under breast, watch the video if you don’t understand. 19) Question about a patient has a PCA pump and wants off the pump, you need to read this question carefully, and we believe the ANS: is D relating to food and diet 20) There will be a picture of a central line and the question is going to ask you what you would infuse into a central line… ANS: believe the answer is A but just in case here is a recap on central lines: A central line is indicated for patients who need: parenteral nutrition, chemotherapy or other vesicant or irritating solutions, blood products, antibiotics, IV medications or solutions (when peripheral access is limited), central venous pressure (CVP) monitoring 21) Picture/ video of a mom giving her child insulin she wipes the area, then injects into the deltoid muscle then squeezes ANS: she used the wrong site for injection redirect her to right site. 22) Vasopressors Therapeutic response: is to have increased BP, cardiac output 23) You will listen to heart sounds and it will ask you what you hear ANS: S1, S2, S3 24) S/S of HYPOGLYCEMIA- shakiness, irritability, Nausea, sweating, headache, lethargy, confusion S/S of HYPERGLYCEMIA- polydipsia, polyuria, polyphagia, blurred vision, weakness, weight loss, syncope 25) Glaucoma- a condition characterized by increased intraocular pressure (IOP), is the 2nd leading cause of blindness in the US The question is something about Patient having Pain, ANS: Contact Surgeon * Gradual, painless vision loss, asymptomatic in the early stages * Usually diagnosed during routine visual examination * Early s/s: Increase in IOP ˃22 mm Hg Decreased accommodation or ability to focus *Late s/s: loss of peripheral vision; seeing halos around lights Decreased visual acuity not correctable with eyeglasses Headache or eye pain that can be so severe to cause N/V [acute closedangle glaucoma] *Treatments and interventions for glaucoma 1) Eye drops are needed for the rest of their life 2) Avoid activities that increase IOP (including constipation) 3) Remove rugs, adjust lighting Page 131 in hesi if you need further review 26) Head Injury- any traumatic damage to the head A. Open head injury- fracture of skull or penetration of the skull by object B. Closed “ “(CHI)-result of blunt trauma (more serious R/T increased ICP in closed vault) C. Increased ICP- MAIN CONCERN in head injury; it is R/T edema, hemorrhage, impaired cerebral auto regulation, & hydrocephalus ASSESSMENT- LOC, vertigo, confusion, delirium, pupils, restlessness, irritability, Changes in vitals, headache, vomiting, seizures, ataxia, abnormal posturing (decerebrate or decorticate), and CSF Nursing Plans and Interventions: 1) MAINTAIN AIRWAY, 2) HOB 30-45˚, 3) Neuro Vitals every 1-2 hrs, temp 4) Avoid activities that increase ICP 5) Administer Mannitol (Osmitrol) 27) Stroke/ CVA- Sudden loss of brain function resulting from a disruption in the blood supply to a part of the brain; classified as thrombotic or hemorrhagic Pages 144-146 The question will be about a Patient comes into the ER with having multiple TIAs ANS: Contact stroke team A. Risk Factors: HTN, previous TIA’s, cardiac disease, advanced age, Diabetes, Oral contraceptives, smoking, alcohol ˃than 2 drinks per day B. Assessment: Change in LOC, paresthesia, paralysis, APHASIA, agraphia, memory loss, Vision impairment, bladder and bowel function, ADL’s Feature LEFT HEMI RIGHT HEMI Languag e  Asphagia  Agraphia  May be alert and oriented Memory  No deficit  Disoriented  Can’t recognize faces Vision  Reading problems, letters, words  deficits in right visual field  Visual/spatial deficits  Neglect of left visual field  Loss of depth perception Behavior  Slow, cautious, anxious, depression r/t to illness  Impulsive  Unaware of Neuro deficits  Confabulates  Euphoric  Quick anger/ frustration  Poor judgment Hearing  No deficit  Loses ability to hear tonal variations 28.) Describe the clinical symptoms of anorexia nervosa? ANS: Weight loss of at least 15% of ideal or original body weight; hair loss; dry skin; irregular heart rate; decreased pulse; decreased BP; amenorrhea; dehydration; electrolyte imbalance. 29.) Parkinson’s: The question is going to ask about you addressing someone’s emotional status of someone with Parkinson’s ANS: will be the one who is crying frequently 30.) Delegation Questions to LPN? There will be a few on these There is one in particular that asks what the Nurse will assign to the UAP, and The ANS: Get blood from bank From the other paper I sent you guys: DO NOT delegate what you can EAT!! E- Evaluate A- Assess T- Teach . 31) Emphysema- Pink Puffer: Barrel chest is indicative of emphysema and is caused by use of accessory muscles to breath. The person works harder to breath, but the amount of O2 taken in is adequate to oxygenate the tissues. (Hesi hint pg. 64) 32) Question relating asthma; ANS: will be Patient can’t breathe and give nebulizer treatment and if you see another question relating to bronchioles the ANS: will be for asthma Asthma- inflammatory reactive airway disease that is commonly chronic The smooth muscle of the Bronchioles and bronchi in asthma patients CONSTRICT, air trapping occurs in the alveoli 33) Question on labs and the ANS: will be Potassium 34) Question about sodium and potassium (will be 3.0) ANS: will be hold Lasix R/T will increase BP 35) Lady has a 4 year old son in ER or somewhere, and how would you assess this child? ANS: The answer is take a pen light and have the child blow on it and the light goes out!! (v1) 36) Nuchal rigidity- Impaired neck flexion resulting from muscle spasm (not actual rigidity of the extensor muscles of the neck usually attributed to meningeal irritation. They will present with a positive Brudzinkis and Kernigs sign, and also have photophobia 37) Schizophrenia- Use Bleuler’s four A’s to help remember the important characteristics of schizophrenia: Autism (preoccupied with self) lacks social skills Affect (flat) dull, humorless Associations (loose) cold, quiet, detached, introverted Ambivalence (difficulty making decisions) 38). Ace Inhibitors adverse reaction- hypotension, cough, hyperkalemia, headache, dizziness, fatigue, nausea, and renal impairment. 39) Osteomyelitis how do you develop it? ANS: Several ways to develop this infection of the bone, one way is for bacteria to travel through bloodstream and spread to the bone , but most common way is for infection to be elsewhere in the body, such as pneumonia, or a urinary tract infection that spreads through the blood and then to the bone. Do blood cultures and antibiotics, then surgery if necessary to drain. 40) There will be a picture of insulin sliding scale chart- believe it was 8u just know these and you will get the answer right ANS: Most common 150-199 2u / 200-249 4u/ 250-299 6u /300-349 8u over 400 call doctor. (v2) 41) Glasgow Coma Scale- ANS: An objective assessment of the level of consciousness based on a score of 3 to 15, with scores of 7 or less indicative of coma. And another one is assessing a patient and you will ask them to raise their arm. 42) Patient is talking about his mom dying 50 years ago, and his urine is pink and frothy. What is going on with this patient? ANS: Patient has Delirium 43) Question about a Patient gained 4lbs in 3 days ANS: listen to lungs 44) Question about chest tube coming out, what do you do? ANS: place a sterile gauze over with 3 sided tape 45) There will be a couple of questions on FVO go to page 35 to review! 46) What would you assess on full-thickness burn to the lower legs? ANS: 3 rd degree burns; the skin can’t regenerate and requires skin grafts. This is Total destruction of epidermis; reddened areas do not blanch with pressure; not painful; inelastic; waxy white skin to brown; leathery eschar develops. Page 166 hesi book 47) Coombs test48) Multiple sclerosis question- The question is going to ask something about a college student gets a shot and now they are having fever, chills, etc…What will you tell them? ANS: This is normal, the answer is D tell them to get plenty of rest!!!With interferon medications, it’s typical to experience achiness, fatigue, a low-grade fever, soreness, and chills, which can make you feel like you have a mild case of the flu should subside within a few weeks if gets to bothersome call doctor. 49) There will be a question on how to position a patient for Bone Marrow extraction? ANS: Have patient lie prone or on the side with knees flexed with the head averted to one side. When using the anterior iliac crest, have patient lie in a supine position with hips and knees flexed with the head averted to one side. 50) Where would you assess a male with urinary retention? ANS: The bladder 51) There will be a question on Narcan- For narcotic-induced respiratory depression. So the patient will need this if they are non-verbal, non- tactile 52) Cystic Fibrosis- The answer will be to perform chest physiotherapy before meals. Need pancreatic enzyme replacement, fat-soluble vitamins, and a moderate- to low-carbohydrate, high-protein, moderate- to high-fat diet. Aerosols, bronchodilators, mucolytic. Page 186 in hesi book 53) Question about a lady is on hospice and has mottling of the skin, the UAP places a heating pad on her. What do you tell the UAP? ANS: Explain that you DO NOT APPLY any kind of heat because this can cause burns, just keep patient comfortable Remove the blanket 54) Question about ICP, Put you on the scene of accident, which client are you going to assess first? ANS: take the client that is confused, R/T LOC and ICP 55) Question this is a HOT SPOT!!! with a picture of a pediatric patient in a 90/90 femoral traction page 217 hesi, how would you assess for compartment syndrome? ANS: Put hot spot on toes 56) Rheumatoid Arthritis- Chronic, systemic, progressive deterioration of the connective tissue (synovium) of the joints; characterized by inflammation. Page 122 hesi Nursing Assessment: Fatigue, generalized weakness, weight loss, anorexia, morning stiffness (and not the good morning WOOD LOL) 57) Fundus in maternity- The fundus of the uterus is the top portion, opposite from the cervix. Fundal height, measured from the top of the pubic bone, is routinely measured in pregnancy to determine growth rates. If the measurement is smaller or larger than what would be expected for gestational age, it can be a crude indicator of an abnormality (for example, a breech or sideways presentation, twins, or a placental issue), requiring further tests such as ultrasound to determine the exact nature of the problem 58) Question Patient has cirrhosis or was diagnosed ANS: Should be something about addressing his fears Liver Cirrhosis causes spider varices these are usually in the esophagus and they may rupture and cause hemorrhage. Immediate management includes insertion of an esophagogastric balloon tamponade (a Blakemore-Sengstaken or Minnesota Tube) other therapies include vasopressors, vitamin K, coagulation factors, and blood transfusions. 59) There will be a question regarding fibroid cysts and the kidneys. From what I have read most fibroid cyst stem from ovaries and that in a female and can obstruct the flow to kidneys resulting in kidney damage, if you have anything to add please do! 60) Thyroidectomy/ Parathyroidectomy- Page 111 hesi this is performed with patients who have hyperthyroidism (Graves’ disease, Goiter) this would be last resort obviously if meds didn’t work. A. Check frequently for bleeding ( anterior or posterior of the dressing), B. Irregular breathing, frequent swallowing C. Neck swelling; Support the neck when moving the client D. Check for laryngeal edema E. Monitor for TROUSSEAU and CHVOSTEK signs 61) Von Willebrand Disease-(Hemophilia disease) is a bleeding disorder caused by a defect or deficiency of a blood clotting protein, called von Willebrand Factor. The disease is estimated to occur in 1% to 2% of the population The disease was first described by Erik von Willebrand, a Finnish physician who reported a new type of bleeding disorder among island people in Sweden and Finland.  Von Willebrand Factor is a protein critical to the initial stages of blood clotting. This glue-like protein, produced by the cells that line the blood vessel walls, interacts with blood cells called platelets to form a plug which prevents the blood from flowing at the site of injury. People with von Willebrand Disease are unable to make this plug because they do not have enough von Willebrand Factor or their factor is abnormal.  Researchers have identified many variations of the disease, but most fall into the following classifications:  • Type I: This is the most common and mildest form of von Willebrand disease. Levels of von Willebrand factor are lower than normal, and levels of factor VIII may also be reduced. • Type II: In these people, the von Willebrand factor itself has an abnormality. Depending on the abnormality, they may be classified as having Type IIa or Type IIb. In Type IIa, the level of von Willebrand factor is reduced, as is the ability of platelets to clump together. In Type IIb, although the factor itself is defective, the ability of platelets to clump together is actually increased. • Type III: This is severe von Willebrand disease. These people may have a total absence of von Willebrand factor, and factor VIII levels are often less than 10%. • Pseudo (or platelet-type) von Willebrand disease: This disorder resembles Type IIb von Willebrand disease, but the defects appear to be in the platelets, rather than the von Willebrand factor.  Von Willebrand Disease is a genetic disease that can be inherited from either parent. It affects males and females equally. A man or woman with VWD has a 50% chance of passing the gene on to his or her child. There are no racial or ethnic associations with the disorder. A family history of a bleeding disorder is the primary risk factor. 62) Question What Nursing intervention is particularly indicated for the second stage of labor? ANS: Assisting the client to push effectively so that the expulsion of the fetus can be achieved. 63) Question about a girl comes in and states that she is about 8 weeks pregnant, what sign would show that she was? ANS: Amenorrhea 64) When assessing a client who had a supratentorial craniotomy, what action should the nurse implement when determining the clients Glasgow scale? ANS: instruct client to raise an arm 65) The parents of a 6 year old recently diagnosed with Duchene muscular dystrophy tell the nurse that their child wants to continue swimming classes. How should the nurse respond? ANS: Encourage parents to allow child to continue attending swimming lessons with supervision. `66) At bedtime, an UAP is positioning a client with obstructive sleep apnea syndrome (OSAS). The UAP elevates the head of the bed and encourages the client to turn on side. The nurse supervising the UAP, should take what action? ANS: Confirm that the UAP has placed the call light within reach of the client 67) An elderly male client tells the nurse that he often wakes during the night. What action should the nurse implement first? ANS: Ask the client to describe what happens when he awakens 68) Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports that he acute pain within the eye. What action should the nurse take? ANS: Report the complaint to the surgeon (I also mentioned this above in the glaucoma section) 69) Which client should the charge nurse on the oncology unit assign to an RN, rather than an LPN? ANS: An elderly female client with cancer and her children are trying to decide whether to change to palliative measures or continue disease control 70) Before placing a client’s dentures in the sink for cleansing, what action should the nurse take? ANS: Place a washcloth in the bottom of the sink 71) The nurse is caring for a client with dysphagia is attempting to insert an NG tube, but the client will not swallow and is not gagging. What action should the nurse implement to facilitate the NGT passage into the esophagus? ANS: Flex the clients head with chin to the chest and insert 72) A client with dementia is being cared for at home by her husband becomes increasingly confused in the evening. Her husband reports to the home health care nurse that his wife often believes that she is waiting for the oil to be changed in her car and insists on leaving. Which recommendation should the nurse provide to this husband? ANS: Try to interest his wife in a different activity. 73) A male client with bipolar disorder has difficulty concentrating and plans to attend group for the first time. He tells the nurse that he will try and stay for the music relaxation group. After 20 minutes in the group, he becomes restless and begins to leave. What should the nurse do? ANS: Allow the client to leave the group 74) An adult female client is admitted to the psychiatric unit because of a complex hand washing ritual she performs daily that takes 2 hours or longer to complete. She worries about staying clean and refuses to sit on any of the chairs in the day area. The clients hand washing is an example of which clinical behavior? ANS: Compulsion 75) The nurse is assessing a 4 year old girl with eczema. Her skin is dry and scaly, and the mother reports that she frequently scratches her skin to the point of causing bleeding. Which guideline is indicated for care of this child? ANS: Keep her nails trimmed and short 76) There will be a question about a school nurse doing secondary prevention… ANS: Performing vision and hearing screenings 77) A younger patient with HYPOGLYCEMIA how do you know when the parents have an understanding of the s/s? ANS: Diaphoresis (sweating) that is the answer! 78) Patient with gout is already receiving some med at whatever time which med would you not give? ANS: Allpurinol 79) Schizophrenia patient feels that they have put cameras in the facilty and are watching him. What behavior should the nurse document? ANS: Paranoid 80) The nurse is caring for a patient with an NG tube, which task can she delegate to the UAP? ANS: Something about detaching from the wall to ambulate 81) While making rounds nurse finds a patient with asthma sitting over a chair wheezing and doing pursed lip breathing. What should the nurse do? ANS: Give nebulizer treatment 82) Hand washing is the most important to prevent spread of infection in a hospital. Which statement is true regarding hand washing? ANS: Blocks Pathogens transmission 83) A patient is 24 weeks gestation comes in with body aches, fever, and cough, has been prescribed H1N1 influenza. Which prescription has the highest priority? ANS: Assign patient to a private room 84) A patient has a VAC assistive device with a stage 3 pressure ulcer on BKA what can a nurse do to ensure the maximum use of this device? 85) Administration of a thrombolytic agent after an ACUTE coronary syndrome. What is the highest priority? Don’t remember but these were a cpl of answer choices Apply compression stockings Palpate for peripheral edema 86) 3 week old son is brought to the clinic for vomiting for 3 days. Lost 20% of birth weight, has poor skin turgor, and is small. What should the nurse implement first? Start an IV; Give dextrose in water orally Give formula 87) Nurse is caring for 4 clients Client A- has emphysema with 94% O2; Client B- Post-op with a hemoglobin of 8.7; Client C New admit with a potassium of 3.8; Client D- Patient scheduled for an appendectomy with WBCs of 15,000. Who has highest priority or intervention should the nurse implement? 88) A male patient comes in with Heart failure and he has gained 4lbs in 3 days. What should you assess for first? ANS: Assess lung sounds 89) In preparing assignments to a LPN 90) A nurse is having difficulty palpating a posterior tibial pulse. What action should the nurse take? ANS: Doppler 91) Which class of drugs should you use for a patient that is septic? A. B. C. D. Antiinfectives treat infection first!! 92) Patient was given a sublingual Nitro with unstable angina complains of crushing chest pain 5 minutes after Nitro. What should the nurse administer next? ANS: ***93) Question about Raynaud’s disease… ANS: Avoid extreme hot or cold temperatures 94) Question relating to parents of a child with muscular dystrophy wants to continue swim lessons… ANS: Let him continue swimming supervised 95) There will be a question relating to which patient is highest priority to assess? 2 of the answers will be… ANS: 1) femoral artery bleed 2) Patient with diminished breath sounds (this is the answer) 96) Question about Pontine myleoinlyisis; you will need to look up this disorder, it is related to the muscle sheaths in the brain and hyponatremia Math questions are…. There is one on heparin 25,000 units infusing at 500 ml/hr then order is changed to 900 ml/hr; ANS: 18 500 ml x 900 ml = 0.5555/ 25,000 = 18 Another heparin one with 25,000 units but a whole lot more going on don’t quite remember but the answer is… ANS: 14 Another one the answer is 33 And the last math question answer is 0.75 There are only 4 math and if you know how to set up conversions you should be able to figure out which one is 33 and which one is 0.75 GOOD LUCK! Math questions: Dialaudid and Zofran….answer 2.0 Forteo “750 mcg/2.4ml”…..answer 0.2 Penicillin 20 mil units in total volume at 2 liters normal saline……answer 83 Parkland Formula…..answer 12,160 Heparin 0.4 units/kg/min…….answer 12 Picture questions: Nurse putting on sterile gloves, where does she go wrong…answer “putting on 2nd glove” Where to put BP on Left thigh…answer “on left thigh with arrow pointing to inner thigh” Where do you put med into an IV bag…answer “on the smaller port hanging down (left one as your looking at screen) Sound question: Listening to lungs…answer high pitched weezing Random Questions and Answers: Elderly forgets to take meds….Ineffective health maintenance Depakote-how to know if it is working…..mood PVC….Repolarization Instill Survanta Long “O” word Take 1500 mg of calcium Lecithin-Sphingo ratio Take 1500 mg of calcium Lecithin-Sphingo ratio Take 1500 mg of calcium Lecithin-Sphingo ratio Peak with in normal (this question was something about blowing into the peak flow meter, like for ashma patients) Know s/s of preeclampsia Know s/s of mononucleosis Continue to monitor (this question had like a chart you had to look through about a labor and delivery patient, they also showed two strips…one with the moms contractions and one with the baby heart beat) Med of myxedema coma? IV of thyroid hormones Depakote Manipulation of nerves Knee replacement… encourage analgesics Radial artery catheter, pt complaining of pain and tingling….promptly removing Geodon…know how you would know if its helping Mitral stenosis, 28 weeks gestation….which observation do you assess 1st? Guillian barre, what would you expect in a pt you think has it…..missed a day of work because of cold Look up scizenphenia (there were a couple about what you would do if they were pacing more than usual) Asacol…most important assessment? Put steps in order: Check glucose Look at sliding scale Draw insulin Clean site Select all that apply: (I remember there were 2 Select all that apply, and both had only 3 answers) This is the answer to one, I didn’t write the other one down Joints….. Low…. Bruising…. 1. Patient is receiving hospice care and become mottled: Remove heating pad and place soft blanket 2. Patient is having suicidal thought and suddenly: begin to show signs of improvement 3. A young male in a motorcycle accident in a puddle of water: Stabilize the victim’s neck and roll over to evaluate. 4. PN apply sterile glove in preparation for sterile change: Picking up the second glove wrongly 5. **After coronary artery: Nurse should evaluate the client’s tolerance to exercise and psychosocial 6. **5 days after surgical fixation client complaint of chest pain: Provide supplemental oxygen 7. **Nursing problem best for early Parkinson disease: Impaired mobility 8. Demonstration of teaching daughter’s eye drop: Remind the patient to close her eyes after the drop. 9. **Nurse assumed care of a postoperative patient with type 2 diabetic mellitus with a glucose level of 750: Assess for signs of fluid deficit. 10. Select all that apply for soft food: Pasta with a cream sauce, Pancake with syrup, scramble eggs, steamed rice 11. **Unresponsive hyperthyroidism patient: Notify Health care provider of a positive Chvoteck’s sign 12. Place in order: Stop infusion, Assess vital, contact HCP, Document, initiate report 13. Young boy with chronic vegetative and the mother wants to take the patient home: Determine the mother’s basic skills 14. **41 weeks of gestation what finding should