HESI NCLEX-RNFUNDAMENTALS The nurse is assessing several clients prior to surgery. Which factor in a client's history poses the greatest threat for complications to occur during surgery? (ANS- Taking anticoagulants for the past year Rationale: Anticoagulants (B) increase the risk for bleeding during surgery, which can pose a threat for developing surgical complications. The healthcare provider should be informed that the client is taking such drugs. Urinary catheterization is prescr...

A policy required the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved? (ANS- health care-associated infection rate The nurse is preparing to assist a newly admitted client with person hygiene measures. The client... the client's gag reflex. Which action should the nurse include? (ANS- place tongue blade on back half of tongue The nurse explains to an old...

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. The correct answer is D: Measure the urine output for ...

HESI Computerized Adaptive Testing (CAT) Test Bank-with the best solutions-2023-2024

A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement to prevent infection? a) Thread the IV catheter so that the hub rests at the insertion site b) Shave excess hair from around the insertion site c) Cleanse the site with hydrogen peroxide before IV catheter insertion d) Palpate the site carefully just before inserting the IV catheter (ANS - A Inserting the catheter up t...

A client reports to the nurse he has not had a BM in 2 days. Which intervention should the nurse implement first? A. instruct caregiver to offer a glass of prune juice B. notify HCP and request script for stool softener C. Assess client’s med rec and see normal BM pattern D. Instruct caregiver to increase clients’ fluids to five 8 ounce glasses per day. - C!! Always assess first. You dont know enough to ask for stool softener A client who has COPD is resting in semi fowlers w/ O2 BNC...

The nurse is planning care for the client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority? A. Administer Prescribed stool softner B. Administer prescribed PRN sleep medications. C. Encourage breastfeeding to promote uterine involution D. Encourage use of prescribed analgesic perineal sprays. (ANS- A. Administer Prescribed stool softner The nurse is palpating the right upper hypochond...

A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV dose of atropine is given per protocol. Which finding should the practical nurse (PN) identify as a therapeutic response? (ANS - An increase in heart rate. A client is admitted with a tumor of the hypothalamus. Which finding should the practical nurse (PN) report to the charge nurse? (ANS - An oral temperature of 101.8° F. The practical nurse (PN) is reinforcing instructions to a client who is scheduled for...

1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication? A. Checking the client's blood pressure B. Checking the client's peripheral pulses C. Checking the most recent potassium level D. Checking the client's intake-and-output record for the last 24 hours (ANS- A. Checking the client's blood pressure Checking the client's blood pressure Enalapril maleate is an angiotensin-conve...

HESI 102-PEDS HESI TEST BANK 2022-2023-with 100% verified answers