A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the inst
HESI RN Med Surg( Adult Health) Proctored Exam ICHS College
97 questions · Page 3 of 4
HESI RN Med Surg( Adult Health) Proctored Exam ICHS College is a nursing-school practice exam with 97 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
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Start Practice ExamQuestions 51–75 of 97
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?
The nurse is caring for a client following an emergency cesarean delivery under general anesthesia. Which assessment finding, occurring in the first 8 hours after delivery, is most critical and requir
A client has a prescription for vital sign measurement every four hours. The nurse observes that the client’s blood pressure has increased from 140/60 mm Hg at noon to 180/90 mm Hg four hours later. W
The healthcare provider prescribes a 24-hour urine specimen to be collected for creatinine clearance. The client is eager to go home and tells the nurse that the first sample was put in the urinal 2 h
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for?
When obtaining an adolescent's health history, which intervention is most important for the nurse to implement?
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?
While inserting an indwelling urinary catheter into a female client, the nurse observes urine flow in the tubing. Which action should be taken next?
Which instruction should the nurse provide to an older adult client who is taking an angiotensin converting enzyme (ACE) inhibitor and a calcium channel blocker (CCB)?
The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?
A client with chronic constipation reports taking 2 ounces of magnesium hydroxide at bedtime. The bottle is labeled "Magnesium Hydroxide Saline Laxative, USP 400 mg/5 mL." How many mL should the nurse
Hesi rn med surg( adult health) proctored exam ICHS collegeWhen making assignments on a psychiatric unit, it is most essential for the charge nurse to assign a nurse to which client?
A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action sho
A client with chronic obstructive pulmonary disease (COPD) reports increased shortness of breath with activity. Which test should the nurse schedule the client for evaluation of the symptoms?
A client with a respiratory infection has been receiving an antibiotic and an antipyretic for five days. Which current result is the best indication that the antibiotic has been effective? Reference r
A mother brings her 3-year-old child for a well-child checkup. The nurse notices pallor and asks the mother about her child's recent behavior. The mother reports that the child has been rather tired l
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)?
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
A client waiting to receive dialysis seems confused and presents with hypertension, edema, shortness of breath, and weight gain. Which action should the nurse implement?
The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last
The nurse is providing postoperative teaching to a client on ways to prevent constipation. Which information should the nurse include?
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone. When the client walks to the nurse’s station in a l
A client with multiple sclerosis (MS) has a living will and a do not resuscitate (DNR) prescription in the medical record. Currently the client's oxygen saturation is 86% on room air and the client is
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?