Hesi compass B exit proctored exam

An adult is admitted to the cardiac care unit for observation. Telemetry indicates that premature ventricular contractions (PVCS) are occurring sporadically. Which activity associated with the T wave

An adolescent is admitted to the hospital because of a suicide attempt with an overdose of acetaminophen. Which blood values are most important for the nurse to monitor during the first 72 hours follo

An obese female client with a high serum cholesterol level comes to the clinic for a follow-up evaluation. She tells the nurse that she is now walking 30 minutes three times per week and is eating a c

The nurse makes a supervisory home visit to observe an unlicensed assistive personnel (UAP) who is providing personal care for a client with Alzheimer's Disease. The nurse observes that whenever the c

A child is admitted to the hospital with diarrhea and vomiting. Potassium chloride is prescribed for inclusion with rehydration IV fluids. Prior to administering the potassium, the nurse should ensure

A multigravida, full-term, laboring client complains of "back labor." Vaginal examination reveals that the client's cervix is dilated 3 cm with 50% effacement, and the fetal head is at -1 station. Whi

Which assessment technique should the nurse use to monitor a client for a common untoward effect of phenytoin?

A client at the healthcare clinic reports a new onset of pyrosis and dyspepsia to the nurse. Which nursing action has the highest priority?

The unlicensed assistive personnel (UAP) who is caring for a postoperative client reports to the charge nurse that the client is not using the incentive spirometer effectively. Which action should the

The healthcare provider prescribes oxytocin synthetic 10 units/L via IV drip to augment a client's labor because she is experiencing a prolonged active phase. Because the client is receiving oxytocin,

The charge nurse observes an unlicensed assistive personnel (UAP) preparing to use a standard sized blood pressure cuff to measure the blood pressure of an adult client with thrombocytopenia. Which ac

A client who had a left above knee amputation (AKA) two days ago has a soft stump dressing in place. To prevent the development of a contracture on the left leg, which intervention should the nurse im

A client who has a serum potassium level of 5.9 mEq/L (5.9 mmol/L) tells the nurse of deciding to leave the hospital, even though the healthcare provider has not discharged the client. The client stat

During discharge teaching, a parent asks why the premature infant should get monthly injections of palivizumab. Which information should the nurse provide?

A client who is 4-days postpartum calls the clinic and reports to the nurse that her nipples are so sore that she does not know if she can continue to breastfeed her infant. Which instruction is best

A client receives a prescription for permethrin to treat an infestation of scabies. The nurse instructs the client to massage the cream into the skin from the head to the soles of the feet, avoiding t

A primigravida at 36-weeks gestation, who is Rh negative, experienced abdominal trauma in a motor vehicle collision. Which assessment finding is most important for the nurse to report to the healthcar

The nurse notices a reddened area on the coccyx of a client who is wheelchair bound. Which intervention should the nurse implement?

The nurse is receiving report for a laboring client who arrived in the emergency center with ruptured membranes that the client did not recognize. Which is the priority nursing action to implement whe

The nurse is evaluating discharge teaching of an adolescent who had a long leg plaster cast applied in the emergency department. Which statement by the adolescent indicates an understanding of cast ca

A client who gave birth 48 hours ago has decided to bottle feed the infant. During the assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation. Which instruction sh

A male client who had a transurethral resection of the prostate (TURP) today has a continuous bladder irrigation (CBI). The client requests pain medication for abdominal pain rated at "9" on a scale o

When planning home care for a child with juvenile rheumatoid arthritis (JRA), which recommendation should the nurse provide to the child's parents?

The nurse assigns an unlicensed assistive personnel (UAP) to take the vital signs of a client who is positive for HIV. Which personal protective equipment (PPE) should the nurse direct the UAP to use

An adult female client with chronic kidney disease (CKD) asks the nurse if she can continue taking her over-the-counter medications. Which medication provides the greatest threat to this client?