HESI RN
HESI RN Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
A confused older adult client is having trouble sleeping at night and is sometimes found wandering in the hallway. Which nursing intervention should the nurse implement first?
Correct Answer: B
Rationale: Back rub addresses agitation non-pharmacologically.
Question 2 of 5
The primary nurse went on break at 1845. The covering nurse gave a second dose of insulin because of being unaware the primary nurse gave the ordered dose. Which error prevention techniques would have helped to avoid this?
Correct Answer: A,C,D,E.F
Rationale: Documentation and verification prevent errors.
Question 3 of 5
The nurse is teaching a client about the use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?
Correct Answer: C
Rationale: Hand hygiene prevents infection.
Question 4 of 5
A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO 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 ÷ (30 mg/15 mL) = 1 tablespoon.
Question 5 of 5
The nurse is viewing the admission assessment of a client with chronic pain. What intervention(s) should the nurse include in the client’s plan of care? Select all that apply.
Correct Answer: B,C,E
Rationale: Comfort, assessment, and analgesics manage pain.