HESI PN FUNDAMENTALS EXIT TEST

HESI PN FUNDAMENTALS EXIT TEST

BANK VERSION 2/ HESI PN

FUNDAMENTALS EXIT EX AM NEWEST

COMPLETE 300 QUESTIO NS AND

CORRECT DETAILED ANS WERS

(VERIFIED ANSWERS) |ALREADY

GRADED A+

A is the correct calculation. 20,000 units/500 ml = 40 units (the amount of units in one ml of fluid). 40 units/ml x 50 ml/hr = 2000 units/hour. 5.5 x 2,000 = 11,000 units Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5.5 hours. How much heparin has the client received?

• 11,000 units
• 13,000 units
• 15,000 units
• 17,000 units

B.The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?

• 1 ml

• 1.5 ml
• 1.75 ml
• 2 ml

A.A genogram that is used during the health assessment process identifies genetic and familial health disorders. It may not identify the client's chronic health problems, so it is not a reason to seek health care. A genogram is not a diagnostic tool to detect disorders, such as those based on pathological findings or DNA.The nurse is using a genogram while conducting a client's health assessment and past medical history. What information should the genogram provide?

• Genetic and familial health disorders
• Chronic health problems
• Reason for seeking health care
• Undetected disorders

B.Pain and diminished pulse volume are signs of compartment syndrome, which can progress to complete loss of peripheral pulse in the extremity. Compartment syndrome occurs when external pressure (usually from a cast), or internal pressure

(usually from subcutaneous infused fluid), exceeds capillary perfusion pressure resulting in decreased blood flow to the extremity. (A) should not be pursued until physical causes of pain are ruled out. (C) is of less priority than determining the effects of the edema on circulation and nerve function.Further assessment of the client's ecchymosis can be delayed until the signs of edema and compression that suggest compartment syndrome have been examined (D).A client's infusion of normal saline infiltrated earlier today, and approximately 500 ml of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding stronger pain medications. What initial action is most important for the nurse to take?

• Ask about any past history of drug abuse or addiction.
• Measure the pulse volume and capillary refill distal to the

infiltration.

• Compress the infiltrated tissue to measure the degree of

edema.

• Evaluate the extent of ecchymosis over the forearm area.

A Food such as eggs and milk (A) are high biologic proteins which are allowed because they are complete proteins and supply the essential amino acids that are necessary for

growth and repair. Although a low-protein diet is followed (B), some protein is essential. Orange juice is rich in potassium, and should not be encouraged (C). The client has made a good diet choice, so (D) is not necessary.A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action should the nurse take?

• Commend the client for selecting a high biologic value

protein.

• Remind the client that protein in the diet should be

avoided.

• Suggest that the client also select orange juice, to promote

absorption.

• Encourage the client to attend classes on dietary

management of CKD.

Theophylline should be administered on a regular around- the-clock schedule (B) to provide the best bronchodilating effect and reduce the risk for adverse effects. (A, C, and D) do not provide around-the-clock dosing. Food may alter the absorption of the medication (D).A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse that he understands he is to take three doses of the medication each day. Since, at the time of discharge, timed-release capsules