HESI RN Fundamentals of Nursing | Nurselytic

Questions 44

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HESI RN Fundamentals of Nursing Questions

Question 1 of 5

The nurse is teaching a client how to self-administer low-molecular-weight heparin subcutaneously. Which instruction should the nurse include?

Correct Answer: D

Rationale: Abdominal injection site minimizes complications.

Extract:

History and Physical
The client is a 56-year old woman who had an anteroposterior spinal fusion 2 days ago. She tolerated the procedure well and has been progressively increasing her walking distance.
Nurses Notes
1200
• - Heart rate: 98 bpm
• - Pain rating: 5/10
• - Morphine 2.5 mg given
• - The client did ambulation exercises with physical therapy
1300
• - Heart rate: 78 bpm
• - Pain rating: 3/10
• - Ibuprofen 800 mg given
• - The client is resting in bed
1400
Orders
- Heart rate 118 bpm


Question 2 of 5

Based on the trending heart rate and pain score, what should the nurse do?

Correct Answer: A,D,E

Rationale: Guided imagery, pain assessment, and surgeon consultation manage pain safely.

Extract:


Question 3 of 5

The nurse is caring for a client who is postoperative and receiving supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation is 89%. Which action should the nurse implement?

Correct Answer: D

Rationale: Accurate oximeter placement ensures valid readings.

Question 4 of 5

Which assessment is most important for the nurse to perform prior to the application of a heating pad?

Correct Answer: C

Rationale: Neurosensory assessment prevents burns.

Question 5 of 5

After an intravenous antibiotic is started, the nurse determines that the medication is not prescribed for the client and stops the infusion. Which action should the nurse implement next?

Correct Answer: A

Rationale: Notifying provider addresses error promptly.

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