HESI RN Med Surg( Adult Health) Proctored Exam ICHS College

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

A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the client in transferr

The nurse is assisting with a lumbar puncture on a client. During the procedure, a code is called for another client on the unit who is experiencing respiratory arrest. Which action should the nurse t

When caring for a client with a cervical spinal cord injury, which intervention is the most important for the nurse to implement?

A client with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing. When establishing a bowel training regime

Following a motorcycle collision, a young adult client's fractured left tibia was surgically repaired and a long leg cast was applied. For the past two days, the client has been ambulating with the us

When teaching a gravid client how to perform kick (fetal movement) counts, which instruction should the nurse include?

The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

A male client who had abdominal surgery 5 days ago, and hospitalized because of a surgical wound infection, tells the nurse that he feels like his insides just spilled out when he coughed. Which actio

A client with gouty arthritis reports tenderness and swelling of the right ankle and great toe. The nurse observes the area of inflammation extends above the ankle area. The client receives prescripti

After a seven day treatment with an IV antibiotic, the healthcare provider discharges a client from the hospital and writes a prescription for an oral antibiotic. While providing discharge instruction

The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophren

While interviewing an older adult client, the nurse observes that the client's hands tremble uncontrollably while reaching for a glass of water. How should the nurse document this finding?

Two clients are admitted to the unit at the same time. One client is an older adult client with a possible overdose of acetaminophen who has a heart rate of 130 beats/minute and a blood pressure of 86

The palliative care nurse is admitting a client who has metastatic bone cancer and is unable to eat or drink without immediate nausea and vomiting. The client is reporting pain of 9 on a 0 to 10 scale

When conducting a physical examination, the nurse is assessing a client's abdomen and identifies a centrally localized distention that is pulsating. This finding should direct the nurse to consider wh

The nurse is caring for a client with terminal cancer who has only months predicted to live. The client avoids questions regarding plans for care (POC). Which approach is best for the nurse to use whe

The nurse is teaching a spouse how to care for a client who recently had a stroke and has residual weakness on the right side. Which style shoes should the nurse recommend the client wear when ambulat

A primigrávida client at 32-weeks gestation presents to the clinic with a report of a pounding headache. The client demonstrates hyperreflexia. The nurse should recognize the client's symptoms

The nurse is teaching a client with cancer about skin care for the portal site receiving external beam radiation. Which client action about skin care indicates a need for further teaching?

A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse

A practical nurse (PN) is reluctant to use new blood glucose monitoring equipment despite having attended the mandatory in-service about the equipment. Which action is best for the charge nurse to tak