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Hesi RN Exit proctored exam
Total Questions : 127
Showing 10 questions, Sign in for moreA client diagnosed with glaucoma receives a new prescription for dorzolamide. Prior to administering the medication, the nurse should review the electronic medical record for which allergy?
Which task should the nurse delegate to an unlicensed assistive personnel (UAP)?
A client with fluid overload receives a prescription for fluid restriction of 1 liter/day and a diuretic. Which action(s) should the nurse perform to best evaluate the effectiveness of the treatment? Select all that apply.
A client is receiving a secondary infusion of erythromycin 1 grams in 100 mL dextrose 5% in water (D5W) to be infused in 30 minutes. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)
Explanation
Total volume = 100 mL.
Infusion time = 30 minutes
Infusion time = 30 minutes / 60 minutes/hour
= 0.5 hours.
- Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)
= 100 mL / 0.5 hr
= 200 mL/hr.
The nurse provides sliding scale insulin administration instructions to an adult who was recently diagnosed with diabetes mellitus. The client demonstrates an understanding of the instructions provided by performing the procedure in which order? (Arrange with the first on top and the last on the bottom.)
Explanation
A. Obtain blood glucose level: The first step is to check the client’s blood glucose so the correct insulin dose can be determined according to the sliding scale prescription. Without this value, safe and accurate dosing cannot be achieved.
B. Draw insulin into insulin syringe: After verifying the prescription, the correct amount of insulin is drawn up. This ensures accuracy and avoids delays once the injection site has been prepared, maintaining sterility and efficiency.
C. Verify the insulin prescription: Before drawing up the insulin, the nurse or client must compare the blood glucose result with the sliding scale prescription to determine the exact dose required. This prevents medication errors and ensures correct administration.
D. Cleanse the selected site: The last step before injection is cleansing the skin with an alcohol swab. This minimizes infection risk and prepares the area for insulin administration after the correct dose has been measured.
A pre-school age child with a congenital heart defect is brought to the clinic by the parent because of a fever and an earache. During the assessment, the parent asks the nurse why the child is at the 5th percentile for weight and height for age. Which response is best for the nurse to provide?
An older adult male client arrives at the clinic reporting that his bladder always feels full. The client also reports a weak urine flow, frequent dribbling after voiding, and increasing nocturia with difficulty initiating the urine stream. Which action should the nurse implement?
The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?
A client's respiratory assessment reveals crackles, decreased tactile fremitus, and a dull sound in left lower chest during percussion. Which condition should the nurse document in the electronic medical record?
After administering a proton pump inhibitor (PPI), which action should the nurse take to evaluate the effectiveness of the medication?
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