HESI RN
HESI RN Fundamentals Exam I Questions
Question 1 of 5
Twelve hours following a unilateral total knee replacement, a client reports being unable to sleep because of severe incisional pain. What is the best initial nursing action?
Correct Answer: A
Rationale: PCA pump allows self-administered analgesia for immediate pain relief.
Question 2 of 5
When turning a male client who has been lying on his back for 2 hours, the nurse notes that the skin over his sacrum is very white. The client is repositioned and when the nurse reassesses the sacrum 2 hours later, the area is bright red. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Frequent turning prevents pressure ulcers by relieving pressure.
Question 3 of 5
Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?
Correct Answer: A
Rationale: Log rolling maintains spinal alignment for safety.
Question 4 of 5
A client who is 2 days postoperative for thoracic surgery is reporting incisional pain 2 hours after receiving pain medication. The client rates the pain as 5 on a pain scale of 1 to 10. After placing a call to the healthcare provider, which action should the nurse implement?
Correct Answer: A
Rationale: Guided imagery promotes relaxation to manage moderate pain.
Question 5 of 5
The nurse is caring for a client with obstructive sleep apnea. The nurse should recognize the client is at greater risk for the development of which complication?
Correct Answer: B
Rationale: Sleep apnea increases hypertension risk due to oxygen desaturation.