Ngu Hesi Rn Compass Exit Proctored Exam

A client with a spinal cord injury has urinary retention related to sensorimotor deficits. Which action should the nurse include in the client's plan of care (РOС)?

Based on this strip, which is the interpretation of this rhythm?

When caring for a client with a 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

A young man playing football in the park sustains a hard hit and is lying motionless on the ground, while his friends are trying to help him. Which action by his friends warrants immediate interventio

Four days ago, a chest tube was inserted into the second intercostal space (ICS) of a client with a pneumothorax. Today the nurse notes that there is no fluctuation in the water seal chamber of the ch

When caring for a client with a cervical spinal cord injury, which intervention is the most important for the nurse to implement?

Patient Data Exhibits The primary nurse reviews the client's history and vital signs. Select the 3 priority assessment findings that require immediate follow up.

Patient Data Exhibits For each of the findings listed, click to indicate which are consistent with the disease process of aortic aneurysm versus gastric cancer. Each column must have at least one resp

Exhibits The nurse evaluates the client's findings and test results. Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. The

Patient Data Exhibits For each intervention, click to indicate if it is indicated or contraindicated. Each row must have only one response option selected.

Patient Data Exhibits After two days of intensive care, the client is transferred to the telemetry floor. The floor nurse is preparing a plan of care for the client. Which modifiable risk factor(s) sh

Patient Data Exhibits The client is being considered for discharge to home where he will continue to recover. The nurse reassesses the client and evaluates him for discharge readiness. For each body s

Following a motorcycle vehicle collision, an adult client can follow simple commands, but is oriented only to self. The client was not wearing a helmet at the time of the accident, and is exhibiting p

An adult client is transported via ambulance to the emergency department (ED) following a motor vehicle collision. On arrival the client reports experiencing severe upper back pain. The vital signs ar

The nurse uses the Glasgow coma scale (GCS) to assess a client who has had a stroke. When the nurse calls out the client's name, the client does not open eyes, does not respond to a painful stimulus,

A client returns from surgery following a thoracic aneurysm repair and the nurse plans to observe for signs of hypovolemia. Which assessment should the nurse complete first?

Patient Data Exhibits The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client. Which should the nurse do? Select all that

A client arrives to the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Wh

A client who sustained a head injury is alert and oriented to person, place, time, and situation, moves all extremities on command, has equal muscle strength bilaterally, and pupils are reactive to li

A client is admitted to the intensive care unit (ICU) after surgical repair of an aortic abdominal aneurysm (AAA). Sodium nitroprusside is infusing for severe postoperative hypertension. Normal saline

A client who sustained an L-1 spinal cord injury six months ago that resulted in paraplegia is now experiencing spastic muscle movements in the lower extremities. Which intervention should the nurse i

An older adult client who had an aortic aneurysm repair today is transferred from intensive care to a medical-surgical unit on the first postoperative day. While assessing the client, the nurse notes

After six days on a mechanical ventilator, a client is extubated and placed on 40% oxygen via face mask. The client is awake and cooperative, but reports having a severe sore throat. While sipping wat

A client admitted to the telemetry unit with a diagnosis of syncopal episodes has a sitting blood pressure of 80/50 mm Hg, a regular apical pulse, and a cardiac rhythm as shown on the monitor. The nur

A client with a C-7 spinal cord injury (SCI) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?