HESI RN
HESI RN Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A 16-year-old emancipated client is being seen in the emergency department following a minor automobile accident. The client's parents arrive and are asking questions about the client's laboratory results. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: Emancipated minors have confidentiality rights.
Question 2 of 5
A client with a family history of cardiac disease is seeking information to control risk factors. Which lifestyle modification is most important for the nurse to encourage?
Correct Answer: C
Rationale: Smoking cessation significantly reduces cardiac risk.
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 3 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 4 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.
Question 5 of 5
A client is admitted with pneumonia and has a recent history of methicillin-resistant Staphylococcus aureus (MRSA). The client is placed in isolation. While caring for the client, which item should the nurse place in a designated biohazard bag before it is removed from the room?
Correct Answer: D
Rationale: Mask and gown are contaminated.