HESI RN
HESI RN Fundamentals II Questions
Question 1 of 5
A hospitalized client who has an advance directive and healthcare power of attorney is receiving enteral nutrition through a nasogastric (NG) tube. The client vomits and appears to be choking. Which action should the nurse take?
Correct Answer: D
Rationale: Suctioning clears airway obstruction during choking.
Question 2 of 5
A confused older adult client is having trouble sleeping at night and is sometimes found wandering in the hallway. Which nursing intervention should the nurse implement first?
Correct Answer: D
Rationale: Back rub promotes relaxation non-invasively.
Question 3 of 5
The nurse assesses an older adult client's ability to perform activities of daily living (ADLs). When observing the client ambulate, the nurse notes that the client's posture is upright, and the gait is smooth and steady. Which action should the nurse take next?
Correct Answer: A
Rationale: Activity tolerance assesses functional capacity.
Question 4 of 5
The nurse is teaching the client to self administer a dose of low molecular weight heparin SUBQ. Which instruction should the nurse include?
Correct Answer: D
Rationale: Abdominal injection site minimizes complications.
Question 5 of 5
A client with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing. When establishing a bowel training regimen, which intervention should the nurse implement?
Correct Answer: B
Rationale: Post-meal commode use leverages gastrocolic reflex.