HESI RN Exit Exam 2024 Quizlet

Question 1 of 5

Which assessment finding requires immediate intervention for a client receiving enteral feedings via a nasogastric tube?

A. Auscultate the client's lungs for breath sounds B. Check the client's blood glucose level C. Monitor the client's bowel sounds D. Elevate the head of the bed to 45 degrees

Question 2 of 5

A male client with rheumatoid arthritis is scheduled for a procedure in the morning. The procedure cannot be completed due to early morning stiffness. Which intervention should the nurse implement?

A. Assign a UAP to assist the client with a warm shower early in the morning. B. Administer anti-inflammatory medication before the procedure. C. Encourage the client to perform range-of-motion exercises. D. Reschedule the procedure for later in the day.

Question 3 of 5

During the initial visit to a client with MS who is bed-bound and lifted by a hoist, which intervention is most important for the nurse to implement?

A. Determine how the client is cared for when the caregiver is not present. B. Develop a client needs assessment and review it with the caregiver. C. Evaluate the caregiver's ability to care for the client's needs. D. Review with the caregiver the interventions provided each day.

Question 4 of 5

When caring for a client with traumatic brain injury (TBI) who had a craniotomy for increased intracranial pressure (ICP), the nurse assesses the client using the Glasgow Coma Scale (GCS) every two hours. For the past 8 hours, the client's GCS score has been 14. What does this GCS finding indicate about the client?

A. Neurologically stable without indications of increased ICP. B. At risk for neurological deterioration. C. Experiencing mild cognitive impairment. D. In need of immediate medical intervention.

Question 5 of 5

A client with cirrhosis is admitted with ascites and jaundice. Which clinical finding is most concerning?

A. Peripheral edema B. Increased abdominal girth C. Confusion and altered mental status D. Yellowing of the skin

HESI RN Exit Exam 2024 Quizlet

Skildor

HESI RN

HESI RN