HESI Comprehensive Review for the NCLEX-RN Examination

HESI Comprehensive Review for the NCLEX-RN Examination ScienceMedicineNursing briannab213uriedu Save HESI 799 RN Exit Exam 798 terms nursingrnstudent Preview HESI Comprehensive Exam 263 terms choleenggPreview HESI Comprehensive Exit Exam 1 (A...125 terms K_Copeland5Preview

HESI F

80 terms Chr In assisting an older adult client prepare to take a tub bath, which nursing action is most important?A.Check the bath water temperature.B.Shut the bathroom door.C.Ensure that the client has voided.D.Provide extra towels.A.Check the bath water temperature.The nurse determines that a postoperative client's respiratory rate has increased from 18 to 24 breaths/min. Based on this assessment finding, what is the priority nursing action?A.Encourage the client to increase ambulation in the room.B.Offer the client a high-carbohydrate snack for energy.C.Force fluids to thin the client's pulmonary secretions.D.Determine if pain is causing the client's tachypnea.D.Determine if pain is causing the client's tachypnea.

The nurse is aware that malnutrition is a common problem among clients served by a community health clinic for the homeless. Which laboratory value is the most reliable indicator of chronic protein malnutrition?A.Low serum albumin level B.Low serum transferrin level C.High hemoglobin level D.High cholesterol level A.Low serum albumin level During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because of my weight." Which is the best response by the nurse?A.Reassure the client that many obese people have concerns about sex.B.Remind the client that sexual relationships need not be affected by obesity.C.Determine the frequency of sexual intercourse.D.Ask the client to talk about specific concerns.D.Ask the client to talk about specific concerns.The nurse is evaluating measures implemented for the non-responsive client. Which findings indicate the effectiveness of the care delivered?(Select all that apply.) A.Footboard at the end of the bed B.Heals without redness bilaterally C.Skin intact on the back D.Sheepskin booties in place E.Elbow joint fully flexes and extends.F.Ankle joint rotates 360 degrees freely.B.Heals without redness bilaterally C.Skin intact on the back E.Elbow joint fully flexes and extends.F.Ankle joint rotates 360 degrees freely.

The mental health nurse plans to discuss a client's depression with the health care provider in the emergency department. There are two clients sitting across from the emergency department desk. Which nursing action is best?A.Only refer to the client by gender.B.Identify the client only by age.C.Avoid using the client's name.D.Discuss the client another time.D.Discuss the client another time.The nurse is teaching a client how to perform progressive muscle relaxation techniques to relieve insomnia. A week later the client reports, "I am still unable to sleep, despite following the same routine every night." Which action should the nurse take next?A.Instruct the client to add regular exercise as a daily routine.B.Determine if the client has been keeping a sleep diary.C.Encourage the client to continue the routine until sleep is achieved.D.Ask the client to describe the routine he is currently following.D.Ask the client to describe the routine he is currently following.The nurse administered 10 mg of diazepam to the preoperative client. What steps will the nurse take next? (Select all that apply.) A.Place the client in the bed next to the nurse's station.B.Instruct the client not to get out of bed.C.Place the call bell within the client's reach.D.Place the side rails up, according to institutional policy.E.Assist the client to the bathroom.B.Instruct the client not to get out of bed.C.Place the call bell within the client's reach.D.Place the side rails up, according to institutional policy.

When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this is the first time the client has voided in 4 hours. Which action should the nurse take next?A.Record the amount on the client's fluid output record.B.Encourage the client to increase oral fluid intake.C.Notify the health care provider of the findings.D.Palpate the client's bladder for distention.A.Record the amount on the client's fluid output record.The nurse is providing care to clients at a day treatment center. One of the clients who is usually talkative and eats well is now confused and did not eat lunch. The nurse learns these are new findings as of today. What are the next nursing actions? (Select all that apply.) A.Obtain a clean catch urine sample.B.Take the client's vital signs.C.Assess for the initiation of any new medications.D.Obtain an oxygen saturation.E.Call the client's children to report the confusion.F.Call the facility's bus service to return the client home.A.Obtain a clean catch urine sample.B.Take the client's vital signs.C.Assess for the initiation of any new medications.D.Obtain an oxygen saturation.A 65-year-old client who attends an adult daycare program and is wheelchair mobile has redness in the sacral area. Which instruction is most important for the nurse to provide?A."Take a vitamin supplement tablet once a day." B."Change positions in the chair frequently" C."Increase daily intake of water or other oral fluids." D."Purchase a newer model wheelchair." B."Change positions in the chair frequently"