RN HESI Proctored Exit Exam- MCPHS

A client with leukemia undergoes a bone marrow biopsy. The client's laboratory values indicate the client has thrombocytopenia. Based on this data, which nursing assessment is most important following

Patient Data The client was given oxygen, sublingual nitroglycerin, and aspirin. After one dose of nitroglycerin, the client's pain decreased to a reported 2 on a 0 to 10 scale with squeezing pain. Th

Patient Data The client is to be discharged. Click to indicate which statements by the client's parent indicate an understanding of discharge teaching and which statements do not indicate an understan

An older adult male client, who is a retired chef, is hospitalized with a diabetic ulcer on his foot. His daughter tells the nurse that her father has become increasingly obsessed with the way his foo

The healthcare provider prescribes 1 liter of lactate Ringer's to infuse in 8 hours. The IV administration set delivers 15 gtt/mL. How many mL/hour should the nurse program the infusion pump? (Enter n

Which environmental factor is most significant when planning care for a client with osteomalacia?

Which characteristic of a hypertensive crisis should the nurse recognize?

A client who has been taking duloxetine for several months reports there has been little improvement in symptoms. The healthcare provider changes the prescription to phenelzine. Which action should th

A client who is unconscious is brought by ambulance to the emergency department following an automobile accident. The nurse observes bleeding from the nose and the client's vital signs on arrival are:

The nurse is conducting an assessment on an older adult retired farmer. Which skin lesion should the nurse expect to see?

A client with influenza needs help in transferring to the bedside commode. The nurse observes the unlicensed assistive personnel (UAP) donning gloves and a gown to assist the client. Which action shou

The nurse administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory value(s) should the nurse monitor? Select all that appl

An older adult male client who was successfully treated for herpes zoster with an antiviral medication reports that he is now experiencing pain on his trunk where the lesions were located. Which actio

The nurse is performing an initial wound assessment on a client's pressure injury and notes severe tissue destruction inhibiting the wound edges to approximate. Which wound healing technique will like

After removing a client's dressing that is saturated with sanguineous drainage, where should the nurse place the dressing?

Patient Data Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The client is showing signs of _____ related to _____

A 71-year-old client is concerned about an elevated prostate-specific antigen (PSA) level because he understands that an elevated PSA is a possible indication of prostate cancer. Which factor should t

The unlicensed assistive personnel (UAP) reports that a client's blood pressure cannot be measured in the arms because the client has casts on both arms and is unable to be measured in the legs becaus

The nurse is preparing a client with Crohn's disease for discharge. Which statement made by the client indicates to the nurse that further teaching is needed?

Which intervention is most important for the nurse to include in the plan of care for a client who is 12 hours post-thyroidectomy?

The nurse is conducting a visual screening of a group of older adults. Which finding should the nurse report to the healthcare provider immediately?

A child recovering from Wilms tumor removal develops abdominal pain, distension, absent bowel sounds, and vomiting. Which complication should the nurse suspect?

A client receiving mechanical ventilation has a pH of 7.26, PaCO2 of 68 mm Hg, and a PaO2 of 92 mm Hg. Which intervention should the nurse implement? Reference Range: pH 17.35 to 7.45] PaCO2 [35 to 45

The nurse is caring for a group of clients with the help of a practical nurse (PN). Which nursing action(s) should the nurse assign to the PN? Select all that apply.

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?