HESI NCLEX Practice Questions With Accurate Answer.

A client has not had a bowel movement in 2 days and reports this information to the nurse. Which intervention should the nurse implement first? A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes. B. Notify the HCP and request a prescription for a stool softener C. Assess the client's medical record to determine his normal bowel pattern. D. Instruct the caregiver to increase the client's fluids to five 8 ounce glasses per day. - correct answer C. Assess the client's medical record to determine his normal bowel pattern. Bowel movements vary per person. Some people go multiple times a day and others go a few times a week. The answer is an assessment, not an intervention. A client who has chronic obstructive pulmonary disease (COPD) is resting in a semi-Fowler's position with oxygen at 2 L/min per nasal cannula. The client develops dyspnea. Which action should the nurse take first? A. Call the HCP B. Obtain a bedside pulse oximeter C. Raise the head of the bed higher D. Assess the clients vital signs - correct answer C. Raise the head of the bed higher For COPD you want an SpO2 >90%. Fowler's position can help to open up the chest wall and aid in breathing. B and D are normally done in the same assessment so you can check those off. A client who has hyperparathyroidism is scheduled to receive a prescribed dose of oral phosphate. The nurse notes that the client's serum calcium is 12.5 mg/dL. What action should the nurse take? A. Hold the phosphate and notify the HCP B. Review the client's serum parathyroid hormone level C. Give a PRN dose of IV calcium per protocol D. Administer the dose of oral phosphate - correct answer D. Administer the dose of oral phosphate A normal calcium level is 5.5-10.5 mg/dL so this value is high. Calcium and phosphate have an inverse reaction so in order to lower the calcium, there needs to be more phosphate. Giving the oral phosphate will be beneficial to lowering the serum calcium level. In completing a client's perioperative routine, the nurse finds that the consent form has not been signed. The client begins to ask more questions about the surgical procedure. Which action should the nurse take? A. Witness the client's signature on the consent form B. Answer the client's questions about the surgery