Questions 51

HESI RN

HESI RN Test Bank

HESI RN Fundamentals with NGN Questions

Extract:


Question 1 of 5

A client is admitted to the rehabilitation unit following a cerebrovascular accident (CVA), which resulted in paralysis of the right arm. When the nurse enters the room, the client is struggling to put on a shirt, and curses at the nurse. Which response is best for the nurse to provide?

Correct Answer: C

Rationale: Empathy addresses client frustration.

Question 2 of 5

A hospitalized client who has an advance directive and healthcare power of attorney is receiving enteral nutrition through a nasogastric (NG) tube. The client vomits and appears to be choking. Which action should the nurse take?

Correct Answer: C

Rationale: Head elevation reduces aspiration risk.

Question 3 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: A

Rationale: Three-point gait involves affected leg touchdown.

Question 4 of 5

A nurse stops at a motor vehicle collision to provide help for a victim who is trapped in an overturned running vehicle. The nurse turns off the engine key, and asks the client to wiggle the fingers because the client's head is impinged on the roof and the neck is bent to the left shoulder. After Emergency Medical Services (EMS) arrive, the nurse reports that the victim is conscious, but is not able to talk, and then the nurse leaves the scene. Which legal action can be taken in this situation?

Correct Answer: D

Rationale: Good Samaritan laws protect emergency aid.

Question 5 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?

Correct Answer: C

Rationale: Activity tolerance assesses functional capacity.

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