HESI RN Fundamentals of Nursing | Nurselytic

Questions 44

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HESI RN Fundamentals of Nursing Questions

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Question 1 of 5

A client's wife has just learned that her husband is terminally ill. She is sitting in the corner of the client's room crying, and says to the nurse, 'I feel as if I'm already so alone.' Which action should the nurse take first?

Correct Answer: B

Rationale: Encouraging sharing supports coping.

Question 2 of 5

The nurse observes a decrease in a client's level of consciousness. Which vital sign should the nurse obtain first?

Correct Answer: C

Rationale: Respiratory rate reflects brain oxygenation.

Question 3 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 4 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 5 of 5

The nurse observes the unlicensed assistive personnel (UAP) securing a client’s wrist restraints to the bedside rails. Which action is most important for the nurse to implement?

Correct Answer: C

Rationale: Demonstrating correct technique prevents injury.

Similar Questions

A client who is on complete bedrest frequently calls the nurse for the bedpan to urinate. Which action should the nurse take to evaluate the client for urinary retention?
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?
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?
A female client assigned to a mental health unit visits with her significant other during the evening. After the significant other leaves, the nurse notices that the client is more isolative and refuses to attend the evening group. Which response by the nurse is most therapeutic?
The nurse is assessing a client in the clinic who is frightened and does not understand English. Which intervention should the nurse implement first?

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