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

The healthcare provider (HCP) prescribes 1 unit (350 mL) of packed red blood cells (PRBC) to infuse over 4 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regula

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention

A client with type 2 diabetes mellitus arrives to the clinic reporting episodes of weakness and palpitations. Which finding is most important for the nurse to monitor?

Upon completion of a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse prepares the family for discharge. Which information should the nurse include?

An older adult client has a normal saline IV infusion at 45 mL/hour. The client reports pain at the IV insertion site. No redness or edema observed around the IV site. Which action should the nurse ta

A client with renal calculi is preparing for discharge after an extracorporeal shock-wave lithotripsy (ESWL) removal. Which instruction should the nurse include in the client's postoperative discharge

The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepar

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

During a home visit, the nurse assesses the skin of a client with eczema who reports that an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining

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?

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

A nurse is caring for a client in the emergency department (ED). Select the 4 assessment findings that require immediate follow up.

A nurse is caring for a 24-year-old female client who presents to the emergency department (ED) with reports of abdominal pain, nausea, and vomiting. Use the chart to indicate if the listed symptom or

A child weighing 52.5 pounds receives a prescription for asparaginase 4,780 IU IV. The vial is labeled, "Asparaginase 10,000 IU single use vial. For IM use, reconstitute in 2 mL sterile sodium chlorid

A client with chronic myelogenous leukemia (CML) who has been on long-term corticosteroid therapy develops oral candidiasis. The client informs the nurse that the pain makes it difficult to chew or sw

The nurse observes a client with posttraumatic stress disorder (PTSD) experiencing a dissociative episode which quickly escalates. Which intervention should the nurse implement first?

A client, assessed in the emergency department (ED), has a strong odor of alcohol on the breath. The client denies thoughts of harm to self or others, and the healthcare provider (HCP) discharges the

The nurse is providing education to a client with acute angina about ways to minimize episodes. Which information should the nurse include?

While eating breakfast, a client admitted with syncope and a 2-month history of vertigo reports periods of dizziness. Using the standard communication tool SBAR (Situation, Background, Assessment, Rec

The nurse is caring for a client in the emergency department (ED) after an assault by the spouse. The client has a history of similar emergency visits. Which action best assists the client?

An infant diagnosed with respiratory syncytial virus is being discharged. Which instruction should the nurse include in caregiver education?

An older adult client arrives at the outpatient eye surgery clinic for a right cataract extraction and lens implant. During the immediate postoperative period, which intervention should the nurse impl

After reviewing the admission assessment of a client with chronic pain, which intervention(s) should the nurse include in this client's plan of care (POC)? Select all that apply.

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

The nurse observes a client on a clear liquid diet has a cup of coffee on the breakfast tray. Which action should the nurse implement?