HESI RN
HESI RN Fundamentals of Nursing Questions
Question 1 of 5
While assessing a client’s blood pressure using an aneroid sphygmomanometer, the nurse inflates the cuff to an initial reading of 160 mm calibration. Upon release of the air valve, the nurse immediately hears loud Korotkoff sounds. Which action should the nurse implement next?
Correct Answer: A
Rationale: Reinflation ensures accurate reading.
Question 2 of 5
A client who had surgery 3 days ago is sitting with head of bed at 75 degrees and requests to be repositioned. Which instruction is most important for the nurse to provide to the unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Lowering bed reduces fall risk.
Question 3 of 5
A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours as needed for cough. The bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL.' How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)
Correct Answer: 1
Rationale: 30 mg = 15 mL = 1 tablespoon.
Question 4 of 5
Two days after surgery, a male client experiences incisional pain while dangling his feet at the bedside and he refuses to ambulate as prescribed. The nurse establishes a problem of 'Activity Intolerance related to pain.' Based on this problem, which outcome statement is best for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: Ambulation promotes recovery.
Question 5 of 5
While changing the dressing of a leg ulcer, the nurse observes a red, tender, and swollen wound at the site of the lesion. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?
Correct Answer: B
Rationale: Neutrophil count indicates infection.