HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
A client who is paraplegic is admitted with a foul smelling drainage from a sacral ulcer. The client is suspected to have a methicillin resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurse include in the plan of care?
Correct Answer: B,D,E
Rationale: Contact precautions, culture, and WBC monitoring manage MRSA.
Question 2 of 5
The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL vial. Which action should the nurse perform with the remainder of the medication?
Correct Answer: A
Rationale: Witnessed disposal ensures accountability.
Question 3 of 5
A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self-care at home?
Correct Answer: A
Rationale: Demonstration confirms wound care competency.
Question 4 of 5
The nurse is caring for a client one week postsurgery. Which finding should the nurse expect to see if the surgical incision is healing properly?
Correct Answer: D
Rationale: Well-approximated edges indicate proper healing.
Question 5 of 5
The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain the client denies having any pain. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Nonverbal monitoring clarifies pain denial.