HESI iNet Practice Test

These questions are part of the practice quiz. Start practicing

• A young man with cancer has a living will describing no extraordinary life-sustaining measures, but the physician refuses to write a do-not-resuscitate order. What should the nurse do first?
• A male client undergoing chemotherapy for testicular cancer has a decreased alpha fetoprotein (AFP). Which nursing intervention should the nurse implement?
• A patient with a history of alcohol withdrawal is prescribed benzodiazepines. Which medication is appropriate for withdrawal management?
• Which action is a priority for maintaining warmth in a prematurely born infant who has just been dried and placed in an isolette?
• A client with a history of drug abuse reports a past heart attack. Which substance is associated with the highest risk of triggering a myocardial infarction?
• A client with diabetic ketoacidosis is exhibiting Kussmaul breathing and reports a severe headache with nausea. Which assessment finding warrants immediate nurse intervention?
• Inhaler use by a client with asthma who continues to smoke, what is the best initial action by the nurse?
• Which dietary instruction should the nurse include when teaching a client how to reduce episodes of Raynaud's syndrome?
• An older female client presents with kyphosis, two inches of height loss over three years, and recent vertebral fractures. Which underlying pathology explains these manifestations?
• After a leg fracture and casting, which assessment finding requires immediate intervention?
• Postpartum care: after cesarean delivery in a patient with preeclampsia on magnesium sulfate, which assessment indicates a risk for hemorrhage?
• A child with attention deficit hyperactivity disorder (ADHD) and their mother asks about treatment options. Which information is most helpful for the nurse to provide?
• The nurse is reviewing the recommended preventative care for clients with asthma, chronic bronchitis, and emphysema. Which health care measure is most important for the nurse to recommend to these clients?
• A 26-year-old client admitted for a simple goiter is prescribed levothyroxine. Which symptom indicates the dosage is too high?
• Before giving the first dose of oral vancomycin for Clostridium difficile, which assessment should the nurse perform?
• Following a lumbar puncture, which concern indicates a complication of the procedure?
• In the ICU triage scenario, which patient would be the best match for a new graduate nurse?
• During dressing change for a patient with a Penrose drain, which practice ensures asepsis?
• A mother of a 14-month-old asks about nutrition. Which response best supports transitioning away from only prepared toddler foods?
• A urinalysis shows a specific gravity of 1.035. Which action should the nurse implement?
• A client on anticoagulant therapy experiences unexplained bruising or blood in stool. Which action is most important to take?
• A client with end-stage kidney disease requires dialysis three times weekly. Which statement about daily protein intake is most accurate?
• When documenting a patient's spiritual belief stated during care, which practice is appropriate?
• A client in the third trimester experiences frequent nasal stiffness and nosebleeds. Her chest circumference has increased by 5 cm during pregnancy, she uses thoracic breathing, her diaphragm is elevated, and she has an increased costal angle. Which intervention should the nurse implement?
• A client arrives in the Emergency Department with a deep, full-thickness burn over the anterior surface of both upper legs. Which priority intervention should the nurse implement?
• An adolescent with an intestinal obstruction presents with severe, colicky pain, nausea, vomiting, and abdominal distention. Which underlying factor best explains the symptoms?
• A primigravida client being treated for preeclampsia with magnesium sulfate delivered a 7-pound infant four hours ago by cesarean delivery. Which nursing problem has the highest priority?
• Penicillin G procaine 240,000 units IM for a 4-year-old; vial labeled 1,200,000 units/2 mL. How many mL should be administered?
• A woman admitted with severe abdominal pain, pregnancy test negative, underwent exploratory laparotomy; coffee ground material is observed in the nasogastric tube drainage. Which intervention should the nurse implement?
• A 60 kg patient needs filgrastim 5 mcg/kg; available vial is 300 mcg/mL. How many milliliters should be drawn?
• A client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?
• A client with a temporary pacemaker expresses fear. Which approach by the nurse is best?
• After obtaining a urine specimen for culture from an indwelling catheter, what should the nurse do first?
• In a client with a history of heart failure and type 1 diabetes admitted with unstable angina, which problem requires the most immediate intervention?
• A client with dementia is disoriented, wanders, has decreased appetite, and has trouble sleeping. What is the priority nursing problem?
• A client is withdrawing from fentanyl citrate and is prescribed clonidine 0.2 mg PO twice daily. Which nursing action best ensures safety?
• In a patient who is post-pneumonectomy with chest tubes, which finding warrants immediate intervention?
• A client is being treated for hepatic failure. On examination, the client has a weight gain of 4.4 lbs (2 kg) in 24 hours and an elevated pulse rate. Which intervention should the nurse include in the plan of care?
• An adolescent with intestinal obstruction presents with severe, colicky abdominal pain, nausea, vomiting, and abdominal distention. Which pathophysiologic mechanism best explains the presentation?
• In the Intensive Care Department, which client should be assigned to the new graduate nurse?
• Which step should the charge nurse take first to address a UAP's concern about collecting specimens from an HIV-positive client?
• A nurse is planning care for a 16-year-old with juvenile idiopathic arthritis. Which physical therapy activity is most appropriate to strengthen and mobilize the joints?
• When a terminally ill patient states they are agnostic, what is the best nursing action?
• A nurse teaches a husband how to care for his wife who has had a stroke and has residual weakness on the right side. What style of shoes should be recommended for ambulation with his assistance?
• During observation, the client trembles when reaching for a glass of water. Which term best describes this tremor?
• After placing a 36-week-gestation newborn in an isolette and drying the infant with several blankets, what should the nurse implement next?
• A newly hired unlicensed assistive personnel (UAP) expresses fear to the charge nurse about collecting a sputum specimen from a client who is HIV positive. Which action should the charge nurse take first?
• An adult with heart failure received furosemide IV 60 minutes ago. Which action is most important for the nurse to implement?
• A client uses triamcinolone, a corticosteroid ointment, to manage pruritus caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. Which action should the nurse implement?
• Which assessment finding indicates a client is at risk for problems associated with impaired skin integrity?
• A neonate diagnosed with congenital adrenal hyperplasia should receive which postdischarge therapy?
• Four hours after surgical repair of a compound fracture of the right ulna, the nurse cannot palpate the right radial pulse. Which action should be taken first?
• Which regimen is most appropriate for maintaining joint mobility in juvenile idiopathic arthritis?
• A client’s legs become dusky-red when sitting with both feet dangling. Which follow-up assessment should the nurse perform?
• Why is circumcision commonly deferred in infants with hypospadias?
• An elevated rheumatoid factor most directly indicates which underlying process?
• An adolescent female with an eating disorder is admitted to inpatient care. Which intervention is appropriate for the nurse to implement?
• A nurse assesses a client who recently began experiencing violent nightmares. Which factor in the client's history should the nurse further explore?
• The nurse working in a disaster area assesses an adult client who has partial-thickness burns on the lower legs, or approximately 10% of the lower body. Which color of triage tag should the nurse place on this client?
• A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action should the nurse take?
• A client is ambulating with a two-wheeled walker by rolling the walker forward and then moving each foot forward. The nurse notes that the client's elbows are slightly flexed when grasping the hand bar. After the client returns to the chair, what action should the nurse implement?
• A nurse seeks to alter a state's Nurse Practice Act regarding nurse-to-patient ratios; which action is most likely to influence a ruling by the state's Board of Nursing?
• For a client newly diagnosed with type 2 diabetes and intermittent claudication, which outcome should the nurse include in the plan of care?
• Before obtaining an axillary temperature, the nurse should perform which action?
• A 17-year-old client gave birth 12 hours ago and says she doesn't know how to care for her baby. To promote parent-infant attachment behaviors, which intervention should the nurse implement?
• A woman is brought to the labor and delivery unit after delivering a term infant and the placenta in the hospital parking lot 10 minutes ago. Which action should the nurse perform first?
• When a client discusses a recent loss and the nurse remains silent, what is the reason for this behavior?
• The nurse learns that a client does not know the purpose of the antipsychotic medication ziprasidone. How should the nurse best explain the purpose of this medication?
• As the nurse advocate at an ethics committee meeting, which action is essential to represent the client effectively?
• A 4-year-old girl returns for a postoperative visit. Which behavior is normal for this age in the waiting area?
• A client recently extubated is prescribed oral medications. Which finding best indicates the client may safely take oral medications?
• For a hospice patient with decreased intake, which approach is appropriate to support comfort and dignity?
• During a 24-hour chart revlew of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which is the best immediate action for the nurse to take?
• A small cell carcinoma patient with SIADH shows serum sodium rising from 120 to 125 mEq/L. Which intervention should the nurse implement?
• In a 7-year-old admitted with acute rheumatic fever, which recent illness is most significant?
• For a patient on dialysis, which statement about protein intake is correct?
• A terminally ill hospice client who is at home shows decreased awareness, poor appetite, and refuses solids and liquids; for the past several days the client has been unable to get out of bed. Which action should the hospice nurse implement?
• A patient with aplastic anemia has lab values showing low counts across platelets, WBC, and RBC. What hematologic pattern does this represent?
• Which finding indicates possible vascular compromise after a leg fracture?
• A neonate with congenital adrenal hyperplasia presents with ambiguous genitalia. What is the primary nursing consideration for parents?
• Which laboratory value should the nurse review prior to administering the initial dose of a statin medication?
• An adult with left ventricular dysfunction presents with fine rales and wheezing. Which additional finding is the nurse likely to obtain?
• An older woman living at home expresses fear of falling. Which single safety modification is most effective in reducing fall risk?
• To evaluate the therapeutic response to a low-dose dopamine infusion in a patient in septic shock, which parameter should be monitored?
• Which measurement is used to assess arterial perfusion in the legs when there is concern for inadequate blood flow?
• Left ventricular dysfunction with pulmonary congestion commonly presents with which symptom?
• A client with Hodgkin's disease undergoes cervical lymph node biopsy under local anesthesia. Which intervention is most important to include in the plan of care?
• Which ventilator adjustment is appropriate to correct respiratory acidosis in a patient with shallow breaths?
• Which symptom signals a myasthenic crisis?
• Before administering cefoperazone IV to a patient with hematuria due to UTI, which assessment is appropriate to perform?
• When is the best time to assess a client for residual urine after voiding?
• After a biopsy of cervical lymph nodes under local anesthesia, which assessment is most important to monitor immediately after the procedure?
• The nurse finds a female client crying quietly in her room. What action should the nurse take first?
• A nurse asks a patient recovering from life-threatening injuries to discuss personal goals and priorities. Which action best supports coping?
• In a dehydrated patient with diabetes who cannot recall when they last took insulin, what is the immediate priority action?
• A client with hypothyroidism reports difficulty falling asleep because of feelings of depression. Which action should the nurse implement?
• A client with cancer develops fever, chills, malaise, and headache after administration of a colony-stimulating factor. Which nursing intervention is most beneficial to reduce the flu-like symptoms?
• A client has a new prescription for the maximum recommended dosage of piperacillin/tazobactam for nosocomial pneumonia. The nurse should report which laboratory finding to the healthcare provider before administering the prescribed dose?
• An older patient with chronic venous insufficiency is to promote venous return. Which action should the nurse encourage?
• A client with iron deficiency anemia selects foods for a meal. Which choice indicates a need for additional instruction about iron-rich foods?
• A female client with RLQ abdominal pain and possible ectopic pregnancy experiences hypotension and tachycardia; which IV solution should be initiated while awaiting definitive care?
• Which condition would most warrant total parenteral nutrition (TPN)?
• On a post-surgical ICU unit, which client should the nurse assess first?
• Digoxin elixir 125 mcg PO daily is prescribed. The drug is available in a 60 mL bottle labeled “Digoxin elixir 0.05 mg/mL.” How many mL should be administered?
• Which statement best describes safe and ethical use of restraints in patient care?
• A depressed client states, 'I can't think.' Which activity should the nurse propose to help assess mood or self-perception?
• A client's tumor measures 2 cm before and after receiving a course of radiotherapy. What physiological mechanism renders this response to radiation therapy for cancers?
• In the context of pancreatitis, which lab value change indicates improvement?
• A patient with aplastic anemia presents with bruising and low counts. Which action is the priority to prevent complications?
• Which finding indicates good skin hydration?
• Following admission for a cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, and lethargic?
• After administering the ACE inhibitor lisinopril, which assessment is most important for the nurse to monitor?
• A client who takes NSAIDs daily for rheumatoid arthritis is being treated for anemia. Which intervention is most important for the nurse to include in the plan of care?
• When a provider calls with a prescription for an OTC laxative for a constipated patient, which action should the nurse direct the unit clerk to take first?
• Angular cheilitis in an older adult is commonly addressed by ensuring adequate intake of which nutrients?
• An older client with Type 1 diabetes presents with abdominal cramping, vomiting, lethargy, confusion, and uncertain last insulin or meals. What action should the nurse implement first?
• A client with cirrhosis presents with a positive Babinski reflex. Which action should the nurse take?
• If purulent exudate and erythema develop at the site of a topical corticosteroid application, which action is most appropriate?
• A client with uremia is experiencing uremic frost. Which action should the nurse implement?
• When changing the dressing for a postoperative client with a Penrose drain, which intervention is essential?
• To promote bonding with a newborn, which practice is most effective for a mother in the postpartum period?
• Which factor in a patient's history would be considered a potential contraindication for hormone replacement therapy (HRT) to prevent osteoporosis?
• In suspected ruptured ectopic pregnancy with hypotension, what is the most critical initial step?
• 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, and does not make any spoken sound during the assessment. Which statement based on the GCS reflects correct documentation in the electronic medical record of the client's neurological status?
• In a patient who faints during exercise, the nurse’s initial assessment should be to check what?
• A patient faints while exercising at the gym. The client is weak, pale, and diaphoretic. Which intervention should the nurse implement first?
• A client with a urinary tract infection has hematuria and is receiving cefoperazone IV. Which action should the nurse implement?
• A patient on a partial rebreather mask has a reservoir bag that does not deflate completely during inspiration and the respiratory rate is 14/min. Which action should be taken?
• Which finding requires immediate nursing intervention in a patient taking apixaban?
• In late pregnancy, which respiratory finding is a normal adaptation to accommodate the growing uterus?
• After lactulose therapy for hepatic encephalopathy, which therapeutic response should be expected?
• The charge nurse is assigning on a cardiac unit. Which client is best to assign to a new graduate to orient to the unit?
• For an infant with congenital hypothyroidism, which home-care instruction is essential?
• Before starting vancomycin therapy, which baseline assessment is important?
• Which dietary change is recommended for a patient with end-stage kidney disease to manage waste products?
• An arterial blood gas shows respiratory acidosis in a patient on mechanical ventilation with rate 6/min, pressure support 10 cm H2O, FiO2 30%. Which action should the nurse implement to help correct the acidosis?
• A nurse administers a bolus dose of IV heparin at 100 units/kg. The patient weighs 198 pounds. How many units should be given?
• A urinalysis shows a high specific gravity (1.035). Which instruction is appropriate for the patient?
• A patient receiving a continuous infusion of normal saline at 125 mL/hour post abdominal surgery becomes drowsy with abdominal pain and headache. Urine output is 800 mL over 24 hours, CVP is 15 mmHg, and crackles are present. Which intervention should the nurse implement first?
• The practical nurse reports that a client with deep vein thrombosis was mistakenly given heparin in addition to prescribed warfarin. Which action is the priority?
• A mother brings her 3-year-old son to the emergency department with fever, drooling, and restlessness. What action should the nurse take first?
• A nurse is caring for an adult with a partial rebreather mask. The oxygen reservoir bag does not deflate completely during inspiration, and the respiratory rate is 14 breaths per minute. What action should the nurse implement?
• The nurse is communicating with a 12-year-old who is hearing impaired. Which action is best for the nurse to use when attempting to communicate with this child?
• During chest tube drainage care, a container is knocked over and blood spills into the adjacent chamber. What should the nurse do first?
• Which intervention is most beneficial to reduce flu-like symptoms after colony-stimulating factor therapy?
• Which statement by a client with schizophrenia best indicates delusional thinking?
• To influence nurse staffing legislation at the state level, which action is most appropriate for advocacy?
• While assessing a client who had a laparotomy the previous day, 300 ml of dark red fluids has drained from the nasogastric tube in the last hour. Which action should the nurse take first?
• Which diet would be appropriate for a patient in acute renal failure to manage electrolyte balance?
• As part of the treatment for a client with acute pancreatitis, the nurse plans to withhold oral fluids based on which pathophysiological process?
• For a patient anxious about upcoming surgery, which step should the nurse take first?
• In a postoperative patient who recently had a pneumonectomy, which assessment finding requires immediate intervention by the nurse?
• In infants with hypospadias, what is the desirable time frame for surgical repair of the meatus?
• A client who is an avid hiker wants to include potassium-rich items in a snack mix. Which item should be included?
• In acute pancreatitis, which laboratory marker is most specific for pancreatic inflammation and used to monitor recovery?
• On an in-patient psychiatric unit, which task should be assigned to a practical nurse?
• When preparing a client who is to undergo a resection of a leiomyosarcoma of the uterus, the nurse notices that apixaban is listed on the medication reconciliation list. Which assessment finding requires immediate nursing intervention?
• In a patient taking daily NSAIDs for rheumatoid arthritis who is being treated for anemia, which finding would most strongly indicate gastrointestinal bleeding?
• Which facial assessment finding requires the most immediate intervention?
• A patient with stage I bone cancer reports severe pain (8/10). Which intervention aligns with multimodal analgesia?
• When a patient with anorexia nervosa becomes hypoglycemic with confusion and hypotension, what is the most important immediate intervention?
• In responding to a grieving patient who is crying, what action should the nurse take first?
• While assessing blood pressure with an aneroid sphygmomanometer, the cuff is inflated to 160 mmHg and the first Korotkoff sounds are heard as the cuff is released. What should the nurse do next?
• A parent reports that a child has athlete's foot and has applied triple antibiotic ointment for two days with no improvement. Which instruction should the nurse provide?
• A patient recently diagnosed with glaucoma asks which education point is most important. Which statement best emphasizes management?
• Which breakfast selection indicates that the client understands dietary management of osteoporosis?
• Which statement accurately describes allopurinol’s mechanism of action?
• A patient with uremia presenting with uremic frost requires which management step?
• What is the primary role of albumin in treating edema due to cirrhosis?
• Which action best reflects a nurse's preparation for participation on an ethics committee to represent the client effectively?
• A client with schizophrenia reports hearing voices others cannot hear. This symptom is a ___?
• Which history item requires follow-up before performing a spiral CT scan with contrast?
• In evaluating a patient with persistent epigastric pain and an ECG showing ST elevations in multiple leads, which finding would be most urgent to address?
• Which diet should the nurse recommend for a client who is in acute renal failure?
• To increase influenza immunization rates among underserved groups, which intervention is most useful?
• The nurse-manager observes a staff nurse using wrist restraints to secure an elderly client in a wheelchair. The client pleads to be released. What is the priority action by the nurse-manager?
• A successful businessman presents with sleeplessness and anxiety over his financial status. What action should the nurse take to assist him in diminishing his anxiety?
• Which statement best supports transitioning from prepared toddler foods to table foods for nutrition?
• A patient with a gram-positive skin infection is to receive daptomycin 500 mg IV every 24 hours. A secondary infusion bag contains 0.9% saline with daptomycin 500 mg/100 mL to be infused in 30 minutes. How many mL/hour should the nurse program the infusion pump?
• A 60-year-old female client asks the nurse about hormone replacement therapy (HRT) as a means of preventing osteoporosis. Which factor in the client's history is a possible contraindication for use of HRT?
• A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?
• For a client with acute pancreatitis whose abdominal pain is not as severe as it was on admission, which laboratory test should the nurse review to evaluate clinical recovery?
• A Journalist asks the nurse working in the Emergency Department about the condition of a local politician recently admitted to the medical center following a publicly reported building fire. Which action should the nurse take?
• Three days of persistent epigastric pain prompt an ECG. Which finding would be most critical to identify?
• A patient four hours after pneumonectomy triggers a call bell from another room. What action should the nurse take first?
• Before initiating disulfiram therapy, the patient should avoid alcohol for how long?
• In disaster triage, which color tag is assigned to patients who can wait longer for care due to less severe injuries?
• A client with cirrhosis has massive edema and ascites. Which mechanism most contributes to edema in cirrhosis?
• After radiotherapy, the tumor size may not change immediately. Which statement best explains this?
• A 70 kg patient develops febrile neutropenia after chemotherapy and is prescribed filgrastim 5 mcg/kg subQ every 12 hours. The vial contains 300 mcg/mL. How many milliliters should be administered?
• Which long-term outcome is most important for the nurse to include in the plan of care for an older adult client with chronic pyelonephritis?
• Which statement accurately describes the approach to postural drainage for COPD?
• Which symptom would indicate the need to reassess levothyroxine dosage after a goiter diagnosis?
• A mother of an infant born with hypospadias asks about circumcision in light of Jewish tradition. Which response is best?
• The nurse documents an elderly client walking in the hallway with blank stare. Which entry is most appropriate?
• A client who suspects pregnancy has a peptic ulcer treated with misoprostol. How should the nurse respond?
• When using a Yankauer oral-tip suction to clear an oropharynx, which action should the nurse take before inserting the catheter?
• In glaucoma care, which statement best reflects a key prevention strategy to avoid vision loss?
• Which choice is not a reliable iron-rich food for a client with iron deficiency anemia?
• In a patient with cirrhosis receiving albumin and a low-sodium diet, which finding indicates progress toward the desired effect of the plan?
• When is it most important for the nurse to assess a pregnant client's deep tendon reflexes (DTRs)?
• A patient on dialysis is counseled about protein intake. Which choice reflects the correct dietary guidance to manage nitrogenous waste buildup?
• A client hospitalized for myasthenic crisis describes a recent onset of severe weakness after a cold. What is this nurse's best response?
• Which client scenario is most likely to require total parenteral nutrition (TPN)?
• While teaching a client a skill, the client is experiencing sensory overload and cannot learn effectively. Which action should the nurse implement?
• A client with chronic kidney disease on peritoneal dialysis has redness, tenderness, and drainage around the catheter site on the abdominal wall. Which complication is the nurse most concerned about preventing?
• To reduce fall risk, which action is appropriate when a client with unilateral weakness rises with a walker?
• Which action is appropriate when the burn patient described in Question 1 requires immediate care for hypovolemia?
• When initiating disulfiram therapy, the patient should acknowledge understanding which precaution?
• An older adult client with chronic pyelonephritis emphasizes maintaining independence. Which outcome best reflects this goal?
• Which step helps ensure the accuracy of a urine culture from an indwelling catheter?
• Which physiologic change most commonly contributes to edema in a patient with cirrhosis?
• After observing urine flow in the tubing during indwelling catheter insertion, which action should the nurse take next?
• During postural drainage for COPD, which statement describes the correct approach?
• When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?
• A client with a duodenal ulcer was taught dairy milk to coat the ulcer; what is the best follow-up action?
• A client admitted with symptoms consistent with a right hemisphere stroke. Which neurovascular assessment finding requires immediate intervention?
• In conducting a pain assessment of a client with osteoarthritis, which action should the nurse include?
• An adult recently diagnosed with glaucoma describes tunnel vision. Which nursing instruction is most important to provide?
• A pediatric home care nurse schedules a visit to the home of a 4-week-old newborn who had a low thyroxine (T4) and a high thyrot stimulating hormone (TSH) at birth, and was diagnosed with congenital hypothyroidism or cretinism. Which instruction is most important for the nurse to provide the parents of this child?
• A client with a C-7 spinal cord injury is experiencing autonomic dysreflexia. The nurse should first assess for which precipitating factor?
• A 70-year-old client with Alzheimer’s disease has deep inflamed cracks at the corners of the mouth. Which intervention should be included in the care plan?
• During an evening shift, a unit clerk with medication aide duties reports a physician on the line prescribing a PRN oral laxative for a constipated patient. What instruction should the nurse give?
• A middle-aged male client, admitted to a critical care unit several weeks ago because of serious injuries sustained in a motor vehicle accident, is currently in stable condition. Based on this client's age and recent life-threatening crisis, which intervention should the nurse implement?
• In a laboring patient with HIV, what is the purpose of giving intravenous zidovudine?
• The mother of a one-month-old infant calls the clinic reports that the back of the infant's head is flat. How should the nurse respond?
• A client is very nervous about the surgery scheduled for tomorrow. Which action should the nurse implement first?
• A pregnant client with HIV in labor weighs 185 lb and is to receive zidovudine 2 mg/kg IV over 1 hour. How many milligrams should be prepared?
• An initial Apgar score of 3 indicates the need for which immediate action?
• What is the first action to take when a critical medication order has not been transcribed for an extended period?
• For a patient with low platelets and bleeding risk, which oral hygiene method is recommended to minimize gum bleeding?
• During labor, a client states, 'I think my water just broke!' The nurse notes that the umbilical cord is on the perineum. What action should the nurse perform first?
• The client with which type of wound is most likely to need immediate intervention by the nurse?
• What action should the nurse take when a living will conflicts with a physician’s decision not to write a Do Not Resuscitate order?
• In treating gout with allopurinol, which statement demonstrates understanding of the medication’s long-term use?
• A client with a motorcycle accident has no breath sounds over the left field. Which action should the nurse implement first?
• After administration of a loop diuretic for heart failure, which assessment is most important to monitor?
• An older client with unilateral weakness places the walker in front of the chair for support while rising. What action should the nurse take?
• Following a traumatic delivery, the infant's Apgar score is 3. Which intervention is most important to implement?
• A client who was recently diagnosed with anorexia nervosa collapses at an outpatient clinic. The client has hypoglycemia and hypotension. Which intervention is most important for the nurse to implement?