NURSEREP

HESI RN Gerontology A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most important for the registered nurse (RN) to report to the healthcare provider? A. Fever and chills B. Confusion and dehydration C. Crackles in the lung fields D. Nausea and vomiting B. Confusion and dehydration Rationale: Confusion and dehydration (B) are findings of inadequate oxygenation and perfusion in this frail elderly client. (A), (C) and (D) are all common w...

HESI RN EXIT Comprehensive B The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? A.Suctions oral secretions from mouth B.Positions head of bed flat when changing sheets C.Takes temperature using the axillary method D.Keeps head of bed elevated at 30 degrees B Rationale: Positioning the head of the bed flat when enteral feedings are in progress puts th...

HESI RN EVOLVE Psychiatric/Mental Health Practice Exam At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kind of things she would like to do with the group. The older women shrugs her shoulders and says. "You tell me, you're the leader". What is the best response for the nurse to make? A. "Yes I am the leader today. Would you like to be the leader tomorrow." B. "Yes, I will be leading this group. What would yo...

HESI RN EVOLVE Pharmacology Practice Exam The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair. Correct The client...

HESI RN EVOLVE Pediatrics Practice Exam The nurse is giving preoperative instructions to a 14-year old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? A. I will read all the literature you gave me before surgery. B. I have had surgery before when I broke my wrist in a bike accident, so I know what to expect. C. All the things people have told me will help me take care of my back. D. ...

HESI RN EVOLVE Pathophysiology Practice Exam A 26-year-old male client with Hodgkin's disease is scheduled to undergo radiation therapy. The client expresses concern about the effect of radiation on his ability to have children. What information should the nurse provide? A. The radiation therapy causes the inability to have an erection. B. Radiation therapy with chemotherapy causes temporary infertility. C. Permanent sterility occurs in male clients who receive radiation. D. The client...

HESI RN EVOLVE Obstetrics/Maternity Practice Exam Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client? A. The client's readiness to learn B. The client's educational background C. The order in which the information is presented D. The extent to which the pregnancy is planned A. The client's readiness to learn A 38-week primagravida who works as a secretary and sits at a computer 8 hou...

HESI RN EVOLVE Nutrition Practice Exam The registered nurse (RN) is caring for a client who was recently diagnosed with type 2 diabetes mellitus (DM). What information is most important for the RN to teach the client about life-style changes? A. Daily fingerstick glucose monitoring. B. Regular exercise program. C. Portion-controlled, heart healthy diet selections. D. Compliance with oral hypoglycemic medications. C. Portion-controlled, heart healthy diet selections. -The priority action...

HESI RN EVOLVE Medical-Surgical Practice Exam An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? Pulmonary embolism which information should the nurse obtain when performing an initial assessment of a client who presents to the emergency department with a painful ankle injury? (select all that apply) Quality of the pai...

HESI RN EVOLVE Medical-Surgical Assignment Exam Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? A: Respiratory effort. B: Unsteady gait. C: Intensity of pain. D: Ability to eat. A: Respiratory Effort (Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses upwards. As the condition progresses, the nurse must ensure that the client is able t...

HESI RN EVOLVE Management Practice Exam The nurse is preparing assignments for the day shift. It is most important that the client with which diagnosis and description is assigned to a RN? A. Menorrhagia: 24 hrs post vaginal hysterectomy. B. MI: 4-days post infarction, transferred from ICU yesterday. C. Depression: Admitted during the night following a suicide attempt with an OD of Tylenol D. Pneumonia: A 4 yo who is receiving IB antibiotics C. Depression: Admitted during the night follo...

HESI RN EVOLVE Health Assessment Practice Exam A client is reporting chest pain. What statement made by the client, helps the nurse to understand this client has a naturalistic belief in the cause of illness? a. "My life is really out of balance." b. "I knew I should have changed my diet." c. "I should have gone to church last week." Incorrect d. "I forgot to take my medicines last night." ANS; A The cause of disease may be viewed from three ways: biomedical, naturalistic, magic...

HESI RN EVOLVE Health Assessment Assignment Exam During the interview portio of the health assessment, a nurse notes the person's posture, physical appearance, and ability to converse. How should the nurse document these findings? Objective. As a part of a routine health assessment, the nurse assesses the kidneys as part of the abdominal assessment. Which assessment finding should the nurse conclude is normal when palpating the client's right kidney? A round smooth mass that slides b...

HESI RN EVOLVE Gerontology Practice Exam An older resident is newly admitted to an assisted living community. Which actions should the registered nurse (RN) implement to provide the resident ways to maintain safe medication administration? (Select all that apply) A) Locked medication storage in the client's room B) Medication forms for prescribed medications C) Payment forms for prescribed medications D) Delivery of adequate supply of medication E) List of findings indicating medicati...

HESI RN EVOLVE Critical Care Practice Quiz A client who has experienced trauma is admitted to the intensive care unit (ICU). The nurse's initial assessment findings include a Glasgow Coma Scale score of (3), pupils fixed and dilated with an absence of corneal reflex, blood pressure of 80/30 mmHg, core temperature of 95.7°F (35.4° C). The client's spouse asks the nurse when the client will wake up. How should the nurse respond? A) "Your spouse's condition indicates irreversible dama...

New Question Set 1. 1.ID: 14 The triage nurse is assessing a victim of a stab wound. According to the paramedics, the victim was stabbed by a male attacker. The knife blade is 6 inches (7.2 cm) in length and 1 inch (2.5 cm) in width. The "point of entry" of the stab wound is two inches above and left of the victim's xiphoid process. Which vital organ(s) are at an increased risk of being in the direct path of injury? (Select all that apply.) A . Heart. Correct A . Lungs. Correct A ....

EVOLVE HESI RN Community Health Practice Quiz Which presentation of an infectious disease is acquired through an indirect transmission? A. Syphilis contracted from a sexual partner. B. Measles resulting from a daycare center outbreak. C. Malaria following exposure in a mosquito-infested area. D. Nosocomial influenza spreading rapidly in a long-term center Malaria following exposure in a mosquito-infested area. Malaria contracted from a biting mosquito is an example of a vector-related, in...

HESI RN EVOLVE Community Health Practice Exam A 12 y/o female is seen by the school nurse after recently experiencing increasing difficulty sitting still and paying attention in class, and increasingly illegible handwriting. The nurse observes that the child has protruding eyeballs and a staring expression. What action should the nurse take next. A. Refer the child for psychologic evaluation due to attention deficit disorder B. Call the child's parents to schedule the child for an immedi...

HESI RN Comprehensive Exam 1 A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma? Metoprolol Tartrate (Lopressor) The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction. Pindolol (A) is a beta2 blocker that ...

PN MED SURG The home health practical nurse is visiting with a client who has a history of second degree heart block and pacemaker placement six months ago. Which symptom compliant by the client would be indicative of pacemaker failure? Feelings of dizziness Feelings of dizziness may occur as the result of a decreased heart rate, leading to decreased cardiac output as a result of pacemaker failure. Which foods should the practical nurse encourage a client to eat to increase their pota...