HESI RN
HESI RN Fundamentals II Questions
Question 1 of 5
The nurse is demonstrating three-point gait crutch walking to an older adult client who broke a foot while playing soccer with the grandchildren. Which behavior indicates that the client understands proper crutch walking?
Correct Answer: D
Rationale: Three-point gait involves affected leg touchdown.
Question 2 of 5
The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain the client denies having any pain. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Nonverbal monitoring clarifies pain denial.
Question 3 of 5
The healthcare provider prescribes a 24-hour urine specimen to be collected for creatinine clearance. The client is eager to go home and tells the nurse that the first sample was put in the urinal 2 hours ago. Which action should the nurse implement?
Correct Answer: D
Rationale: Next void starts accurate 24-hour collection.
Question 4 of 5
A nurse administers an opioid analgesic to a postoperative client who also has severe obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?
Correct Answer: D
Rationale: CPAP maintains airway in OSA.
Extract:
History and Physical
Client was involved in a multi-car collision six days ago. Sustained a liver laceration, right rib fracture and right femur fracture. The liver laceration was repaired. An intermedullary rod was placed to repair the femur fracture. Client is progressing.
Orders
Post-op day 2
• Physical therapy evaluation
Question 5 of 5
Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: Condition: Isometric exercises; Actions: Support the extremity during exercise routine, Teach family how to participate in exercise program; Parameters: Pain level, Ability to perform activities of daily living
Rationale: Isometric exercises minimize stress; support and family aid compliance.