Fundamentals of Nursing HESI

Question 1 of 5

During assessment, what is an indication of thrombophlebitis in a client who has been on bed rest for the past month?

A. Calf swelling B. Elevated blood pressure C. Decreased urine output D. Generalized rash

Question 2 of 5

Upon completing the admission documents, the nurse learns that the 87-year-old client does not have an advance directive. What action should the nurse take?

A. Record the lack of advance directive on the chart B. Give information about advance directives C. Assume that the client wishes a full code D. Refer this issue to the unit secretary

Question 3 of 5

The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take?

A. Infuse normal saline at a keep-vein-open rate. B. Discontinue the IV and flush the port with heparin. C. Infuse 10% dextrose and water at 54 ml/hr. D. Obtain a stat blood glucose level and notify the healthcare provider.

Question 4 of 5

During a patient assessment, which principle should be a priority?

A. Foot care is always important. B. Daily bathing is always important. C. Hygiene needs are always important. D. Critical thinking is always important.

Question 5 of 5

A nurse is preparing an education program for staff about advocacy. What information should the nurse include?

A. Advocacy ensures clients' safety, health, and rights. B. Advocacy involves only supporting client complaints. C. Advocacy means making all decisions for the client. D. Advocacy is not part of nursing responsibilities.

Fundamentals of Nursing HESI

Skildor

HESI LPN

HESI LPN