HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
A client with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing. When establishing a bowel training regimen, which intervention should the nurse implement?
Correct Answer: B
Rationale: Post-meal commode use leverages gastrocolic reflex.
Question 2 of 5
A child has experienced several episodes of vomiting. After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child. Which information should the nurse obtain about the popsicles?
Correct Answer: D
Rationale: Pulp or fruit is not suitable for clear liquid diet.
Question 3 of 5
The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?
Correct Answer: C
Rationale: Up-and-back auricle pull is correct for adults.
Question 4 of 5
The nurse is caring for a client with a history of neuropathy who reports increasing numbness and tingling in the lower extremities. Which problem should the nurse determine is the priority for promoting foot care at this time?
Correct Answer: B
Rationale: Numbness increases risk of skin breakdown.
Question 5 of 5
The nurse uses a sterile syringe to obtain a urine specimen from a client's indwelling urinary catheter. After placing the specimen in a biohazard bag, the nurse transports the specimen to the laboratory. During which part of this procedure should the nurse wear gloves?
Correct Answer: B
Rationale: Gloves during syringe use prevent contamination.