HESI RN
HESI RN Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours as needed for cough. The bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL.' How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)
Correct Answer: 1
Rationale: 30 mg = 15 mL = 1 tablespoon.
Question 2 of 5
Two days after surgery, a male client experiences incisional pain while dangling his feet at the bedside and he refuses to ambulate as prescribed. The nurse establishes a problem of 'Activity Intolerance related to pain.' Based on this problem, which outcome statement is best for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: Ambulation promotes recovery.
Question 3 of 5
While assessing a client’s blood pressure using an aneroid sphygmomanometer, the nurse inflates the cuff to an initial reading of 160 mm calibration. Upon release of the air valve, the nurse immediately hears loud Korotkoff sounds. Which action should the nurse implement next?
Correct Answer: A
Rationale: Reinflation ensures accurate reading.
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 4 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 5 of 5
The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is 0.4 mg/mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 2.5
Rationale: 1 mg / 0.4 mg/mL = 2.5 mL.