HESI RN Fundamentals Practice Exam

HESI RN Fundamentals Practice Exam A 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled chemo & states that she's ready to go home to die. What intervention should the nurse initiate? (ANS - Evaluate the client's mental status for competence to refuse treatment Rationale: Competent clients have the right to refuse treatment. The nurse cannot document until the HCP is notified of the patient's wishes & a d/c RX is obtained. Advance directives & DNR are not necessary for competent client to refuse care. A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical procedure. Which laboratory test indicates client's protein status for the longest length of time? (ANS - Serum albumin Rationale: Serum albumin has a long half-life. What client statement indicates to the nurse that the client requires assistance with bathing? (ANS - "I don't understand why I'm so weak & tired." How should the nurse handle linens that are soiled with incontinent feces? (ANS - Place the soiled linens in a pillow case & deposit them in the dirty linen hamper When caring for an immobile client, what nursing diagnosis has the highest priority? (ANS - Impaired gas exchange The nurse assesses an immobile, elderly male client & determines that his blood pressure is 138/60, his temperature is 95.8F & his output is 100 mL of