HESI RN
HESI RN Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?
Correct Answer: C
Rationale: Abnormal findings are documented.
Question 2 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: B
Rationale: Clarifying nonverbal cues ensures accuracy.
Question 3 of 5
The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?
Correct Answer: D
Rationale: Inflate above pulse disappearance for accuracy.
Question 4 of 5
An unlicensed assistive personnel (UAP) is assigned to feed a client who has received a prescription to institute droplet precautions for a bacterial meningitis infection. The UAP requests a change in assignment, reporting having not yet been fitted for a particulate filter mask. Which action should the nurse take?
Correct Answer: B
Rationale: Standard mask suffices for droplet precautions.
Question 5 of 5
Which intervention is most important for the nurse to implement before leaving a postoperative client with severe obstructive sleep apnea (OSA) alone?
Correct Answer: C
Rationale: CPAP prevents airway collapse.