HESI RN
HESI RN Fundamentals of Nursing Questions
Extract:
Question 1 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.
Question 2 of 5
Prior to initiating digital removal of a fecal impaction, it is most important for the nurse to perform which client assessment?
Correct Answer: C
Rationale: Vital signs detect vagal stimulation.
Question 3 of 5
The nurse administers morphine to a client for chest pain who also has obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?
Correct Answer: B
Rationale: CPAP maintains airway in OSA.
Question 4 of 5
A male client with a nasogastric tube connected to low intermittent suction tells the nurse that his mouth is very dry. Which action should the nurse implement?
Correct Answer: C
Rationale:
Toothettes safely moisten mouth.
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 5 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.