HESI RN Foundation Of Nursing Proctored Exam

A client with a sprained ankle is seen at the clinic and is given a pair of crutches. When the client stands with the aid of the crutches, the nurse notes a space of three finger-widths between the to

To assess a client’s dorsalis pedis pulse, the nurse applies firm pressure over the top of the foot between the extension tendons of the great and first toes, but does not feel a pulsation. Which acti

A client requests heat therapy for lower back pain. Which action should the nurse take?

The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a confused and lethargic client. The UAP is soaking the client’s foot in a basin of warm water placed o

The nurse is providing end-of-life care and determines the patient is experiencing critical distress related to concerns about the afterlife. Which portion of the nursing process should the nurse use

During transfer to the medical unit, a client who experienced an acute change in level of consciousness became increasingly confused and agitated, justifying soft wrist restraints for the client’s upp

While measuring vital signs, the nurse observes a client using accessory neck muscles during respiration. Which follow-up action should the nurse take first?

An adult client has been hospitalized for the past three weeks due to complications experienced following elective surgery. When the client’s condition first began to deteriorate, the client’s spouse

The nurse observes the unlicensed assistive personnel (UAP) securing a client’s wrist restraints to the bedside rails. Which action is most important for the nurse to implement?

A client who is admitted for malnutrition and severe dehydration receives a prescription for liquid feedings through a feeding tube. After the feeding tube is inserted and placement confirmed, which a

The nurse identifies several nursing problems for a client who is incontinent and immobile after a stroke and is now experiencing diarrhea. The client resides at home, and the spouse is the primary ca

Which action should the nurse implement when inserting an indwelling catheter for an uncircumcised male client?

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

An older adult woman presents to the clinic because of vaginal bleeding. The healthcare provider finds a vaginal tear, which the client reports is likely to have occurred during unprotected sexual int

A client tells the nurse how they hate the way their boss orders them around and never listens to their suggestions. Which response is best for the nurse to provide?

A client is being discharged postsurgery. Which information provided by the client requires additional instruction by the nurse?

A surgical incision that is healing by secondary intention develops a thick tan exudate. Which action should the nurse take first?

When entering a client’s room, the nurse observes the client holding up an arm and coughing non-productively into the upper sleeve. Which action should the nurse take?

The nurse is teaching the unlicensed assistive personnel (UAP) about safety when caring for clients with limited movement. Which action by the UAP indicates to the nurse that the UAP understands the i

The nurse is preparing a client for surgery and notices that the signed consent form has an error. The form states that the client is to have the left leg amputated. However, the client’s right leg is

A client’s spouse has just learned of the client’s terminal illness. The spouse is sitting in the corner of the client’s room crying and says to the nurse, “I feel as if I’m already so alone.” Which a

When assessing a client with a serum potassium level of 2.5 mEq/L (2.5 mmol/L), which intervention is most important for the nurse to implement? Reference Range: Potassium (K+) [3.5 to 5.0 mEq/L (3.5

The nurse is planning care for the elimination needs of a group of clients. The nurse determines a bedpan will be needed for which client?

The nurse is caring for a client in the postanesthesia care unit (PACU). To assess the quality of the client’s pain, which approach should the nurse use?