HESI Med-Surg Proctored Exam (Mcphs University)

The nurse assists a client with Parkinson's disease (PD) to ambulate in the hallway. The client appears to "freeze" and then carefully lifts one leg and steps forward. The client tells the nurse of pr

The nurse establishes a nursing problem, "Fatigue related to inability to rest comfortably secondary to rheumatoid arthritis." Which nursing intervention should the nurse include in the plan of care (

The nurse reviews the prescriptions and plans initial steps for caring for the client. Exhibits Click to indicate which interventions the nurse should perform to care for this client. Each row must ha

The nurse reviews discharge instructions with a client who has gastroesophageal reflux disease (GERD). Which instruction is most important for the nurse to emphasize?

The nurse is caring for a client who reports a sudden, severe headache, and facial numbness. The nurse asks the client to smile and observes an uneven smile with facial droop to the right side and a h

While changing the dressing of a client who is immobile, the nurse notices the boundary of the wound has increased. Before reporting this finding to the healthcare provider, the nurse should evaluate

The nurse has determined that a client with trigeminal neuralgia has the nursing problem, "Imbalanced nutrition, less than body requirements." Which cause is most likely contributing to the problem?

A client who has had diabetes for the past 10 years has an elevated blood pressure and bilateral ankle edema. Which laboratory result should the nurse report to the healthcare provider?

A client with chronic venous insufficiency is being discharged from the hospital, and plans to return home. Which client statement indicates an understanding of home care instructions?

The nurse is collecting a urine specimen for a client with symptoms related to urethritis. Which collection method should the nurse implement?

A client is admitted to the emergency department 5 days after an acute coronary syndrome (ACS) troubled by severe fatigue, muscle weakness, and shortness of breath. The client's electrocardiogram (ECG

An older adult client, at risk for osteoporosis, reports taking a multivitamin daily. In developing a teaching plan for the client, which follow up information should the nurse obtain?

Patient Data Exhibits Based on the nurse’s assessment, history and flow sheet, which condition is the client most likely experiencing?

Patient Data Exhibits Which assessment factors require immediate nursing intervention based on the nurse’s assessment? Select all that apply)

The healthcare provider places prescriptions to determine the extent of the client's condition. Exhibits Based on the client's laboratory findings, the nurse recognizes that the client is having an ac

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. Exhibits The nurse should teach the client that gout attacks can be limit

Patient Data Exhibits The nurse is reviewing the client's dietary choices for opportunities to promote better outcomes by limiting gout attacks. Select the 3 dietary choices that are not part of the r

A client is admitted with heart failure (HF) and left ventricular hypertrophy. Which intervention is most likely to avert development of cardiomegaly and improve myocardial contractility?

Two weeks following a Billroth II (gastrojejunostomy), a client develops nausea, diarrhea, and diaphoresis after every meal. When the nurse develops a teaching plan for this client, which expected out

A client with pancreatitis is receiving 0.9% normal saline, and the prescribed IV infusion rate was increased from 100 mL/hour to 150 mL/hour. Which assessment finding indicates to the nurse that the

The nurse is caring for a client who is dehydrated. Which action by the nurse is the best assessment of the client's hydration status?

Patient Data Exhibits For each body system below, click to specify the assessment(s) the nurse will perform most frequently. Body System Assessment Respiratory Breath sounds Accessory muscle use Respi

Patient Data Exhibits The nurse comes into the room to replace the IV bag and notices the client's extremities are violently jerking. The client is not arousable, and the oxygen saturation is 59% on t

Patient Data Exhibits The nurse identifies that the client is having a tonic clonic seizure. The oxygen saturation is 40% and the respiratory rate is 4 breaths/minute. The nurse calls for help and 2 o

Patient Data Exhibits Which nursing interventions should the nurse prioritize during the postictal period?