HESI RN Fundamentals with NGN

Question 1 of 5

The nurse is caring for a client one week postsurgery. Which finding should the nurse expect to see if the surgical incision is healing properly?

A. A well approximated Incision site.B. Erythema and serosanguineous exudate.C. Eschar and slough in the wound.D. Beefy red granulation tissue.

Correct Answer: A

Rationale: Well-approximated edges indicate proper healing.

Question 2 of 5

The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL. vial. Which action should the nurse perform with the remainder of the medication?

A. Withdraw the medication into a syringe and label it with the client's name.B. Throw the vial into the trash in the presence of another nurse.C. Place the vial with the remainder of the medication into a locked drawer.D. Ask another nurse to witness the medication being discarded.

Correct Answer: D

Rationale: Witnessed disposal ensures accountability.

Question 3 of 5

The nurse enters a client's room to perform a physical assessment and finds the client crying. Which response is best for the nurse to provide?

A. I am sorry to disturb you at a difficult time. This can walt until later.'B. While touching the client's forearm, asks, 'Would you like to talk about it?''C. This is a bad time. I can see you are upset. I can come back later.'D. Gives the client a hug and says, 'It is okay to cry when you are sad.'

Correct Answer: B

Rationale: Empathetic touch and dialogue support emotional needs.

Question 4 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?

A. Initiate a fall risk protocol for the client.B. Teach the client to shorten the stride to prevent falls.C. Determine the client's activity tolerance.D. Record the client's ability to perform ADLS safely.

Correct Answer: C

Rationale: Activity tolerance assesses functional capacity.

Question 5 of 5

When providing health teaching to older adult clients, which action is most important for the nurse to implement?

A. Speak loudly and face the client.B. Provide a very well lit meeting space.C. Use everyday language when explaining issues.D. Underline key words on the written information.

Correct Answer: C

Rationale: Plain language enhances comprehension.

HESI RN Fundamentals with NGN | Nurselytic

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