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

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

The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment the nurse observes the client is alert and oriented to person, pl

The nurse orients a client with depression to a new room on the mental health unit. The client states, "It seems strange that I don't have a television (TV) in my room." Which statement is best for th

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

A client presents to the emergency department with muscle aches, headache, fever, and describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19 testing. Which action is m

The nurse is caring for a school-age child with sickle cell anemia presenting with an upper respiratory infection and fever. Which action should the nurse take first to minimize vaso-occlusive crisis?

A client is newly diagnosed with type 2 diabetes mellitus. The nurse is educating the client about self-monitoring blood glucose (SMBG) and hemoglobin A1C (HbA1C). Which statement by the client indica

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

The nurse is preparing to feed a newly admitted older adult client who is debilitated, but is able to respond to most commands. Before starting to feed the client, which information is most important

A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback, every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adver

A client experiences residual effects following an acute attack of Meniere's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is eff

The nurse is conducting an admission assessment of an 11-month-old infant with heart failure who is scheduled for repair of restenosis of coarctation of the aorta that was repaired 4 days after birth.

A client is hospitalized with heart failure (HF). Which intervention should the nurse implement to improve ventilation and reduce venous return?

An older adult male client tells the nurse of losing sleep because of having to get up several times at night to go to the bathroom. The client also reports having trouble starting his urinary stream,

A client arrives to the emergent care clinic describing pain, tenderness, and swelling of the right knee and an inability to bear weight on the leg. The nurse obtains a history from the client that a

In planning the turning schedule for a bedfast client, it is most important for the nurse to consider which assessment finding?

The nurse is caring for a client who is taking warfarin and is scheduled for a cholecystectomy. Which laboratory result should the nurse report to the healthcare provider (HCP)? Reference Ranges: Hemo

A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse t

An adult client is admitted with AIDS and oral candidiasis manifested by several painful mouth ulcers. The nurse delegates oral care to the unlicensed assistive personnel (UAP) and discusses how to as

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 receives a prescription for methotrexate. Which information provided by the client requires additional instruction by the nurse?

A new graduate nurse sharing a client assignment with an experienced nurse preceptor asks the preceptor which client is most stable. Based on the data obtained in the shift report, which client should

The nurse is preparing a client for discharge who was recently diagnosed with Addison's disease. Which instruction is most important for the nurse to include in this client's discharge teaching plan?

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

The nurse is developing a plan of care (POC) for a client who reports frequent urination and who is newly diagnosed with type 2 diabetes mellitus. Which outcome should the nurse include in the POC for