HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?
Correct Answer: D
Rationale: Diminished lung sounds indicate abnormality.
Question 2 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.
Question 3 of 5
A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?
Correct Answer: D
Rationale: Diminished lung sounds indicate abnormality.
Question 4 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 5 of 5
The nurse is teaching a client about use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?
Correct Answer: B
Rationale: Hand washing is key to standard precautions.