BSN 366 RN HESI Exit (Nightingale) Proctored Exam

For each assessment finding, click to indicate whether findings are generally associated with impaired myocardial function, pulmonary congestion, or systemic venous congestion. Each row must have only

Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. Prior to administering the digoxin, the nurses assess the client'sdropdo

The nurse has mixed the formula with enteral nutritional formula powder to increase the caloric content to 24 calories per ounce (24 cal/30 mL). Which nursing intervention(s) should the nurse include

The client is now in less respiratory distress and is breathing at a rate of 40 breaths/minute. A transesophageal echocardiogram has been prescribed. The nurse recognizes that parents need extra suppo

The nurse completes documentation on the client who is 10 hours post initial digitalization dose and furosemide dose. Click to highlight the findings that indicate the client is progressing as expecte

A parent asked the nurse how to care for their 4-year-old child after receiving the Haemophilus influenzae type b (Hib) conjugate vaccine. Which instruction should the nurse provide?

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.

A client's morning assessment includes bounding peripheral pulses, weight gain of 2 pounds (0.91 kg), pitting ankle edema, and moist crackles bilaterally. Which intervention is most important for the

An older adult client with dementia who is refusing to allow an unlicensed assistive personnel (UAP) to assist in bathing, is becoming increasingly agitated and states the UAP, "Wants to hurt me and t

A female client sustains a deep partial-thickness burn covering more than 40% of her body. Which physiological response should the nurse anticipate during the acute phase of burn injury?

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 performing a routine assessment of an IV site for a client receiving both IV fluids and medications through the line. The client reports tenderness when the nurse touches the arm above th

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameter

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 task should the nurse delegate to the UAP

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

The nurse interviews a client admitted for an outpatient procedure and enters a long list of home medications into the electronic medical record (EMR). The nurse observes several medications that are

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

A low-risk primigravida at 28-weeks gestation arrives for her regular antepartal clinic visit. Which assessment finding should the nurse consider within normal limits for this client?

The nurse is evaluating the effectiveness of the incentive spirometer implemented in the client's plan of care. Which outcome statement best describes the effectiveness of the incentive spirometer?

The nurse is caring for a client who received a kidney transplant 2 years ago and is now showing signs of rejection. Which assessment findings should the nurse report to the healthcare provider? Refer

A client presents to the emergency department (ED) reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is

An older adult client is taken to the clinic by the spouse, who appears extremely worried. The spouse reports to the nurse that the client started to not make any sense and asked to visit a brother th

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

The nurse identifies the presence of clear fluid on the surgical dressing of a client who just returned to the unit following lumbar spinal surgery. Which action should the nurse implement immediately

The nurse pilots a discharge program to investigate trends in readmission rates for the unit. Results indicate that clients who receive follow-up discharge contact had a significantly lower rates of r