HESI RN Med Surg Proctored Exam(Ichs)

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

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

A client arrives to the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Wh

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse assign to the P

After a week of bedrest, a client is being assisted to a chair for the first time. The nurse raises the head of the bed and moves the client to a sitting position. Which action should the nurse implem

An unlicensed assistive personnel(UAP) is assigned to feed a client who has received a prescription to institute droplet precautions for a bacterial meningitis infection. The UAP requests a change in

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?

The nurse wants to use the SPICES framework with the client. Choose the most likely options for the information missing from the statements(s) by selecting from the list of options provided. The SPICE

Which other assessment technique(s) can the nurse use to identify the potential source of the client's new onset confusion and decreased appetite? Select all that apply.

Review the table below showing risk factors for the client. Highlight the interventions that are appropriate and safe for each risk factor. Risk Factor Intervention Risk for infection Have the client

The nurse reviewed the chest x-ray results indicating pneumonia. Based on the interaction that they had with the client at noon, the nurse is concerned. Choose the most likely options for the informat

Choose the most likely options for the information missing from the statement by selecting from the list of options provided. Based on the weaning of the oxygen, the client's hypoxia was likely caused

A client with a prescription for morphine sulfate 2 mg IV every 4 hours PRN for pain reports the pain is a 10 on a 0 to 10 scale one hour after receiving the last administration. Which intervention sh

A client who is sexually active presents to the clinic for an annual physical exam. Which information is a priority for the nurse to provide?

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

A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the healthcare provider (HCP)?

A client with heart failure (HF), who is taking furosemide, reports having muscle cramps and weakness in the lower extremities. Which action should the nurse implement?

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

The RN charge nurse of a 24-bed medical unit is making shift assignments for 2 experienced registered nurses (RN), 1 graduate registered nurse, 1 practical nurse (PN), and 2 unlicensed assistive perso

A client who weighs 176 pounds receives a prescription for filgrastim 5 mcg/kg/daily subcutaneously for 14 days. The medication is available in a 300 mcg/mL vial. How many mL should the nurse administ

The nurse is caring for a client who is receiving gentamicin IV. Which adverse effect is most important for the nurse to report to the healthcare provider (HCP)?

A 5-year-old boy with mumps is being transferred to the pediatric unit. Which nursing intervention is most important for the nurse to implement?

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

An older adult client who resides in a long-term care facility is incontinent of urine and has a stage II pressure injury on the left heel. When the client becomes confused, which assessment is most i

When making assignments on a psychiatric unit, it is most essential for the charge nurse to assign a nurse to which client?