HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
A nurse administers an opioid analgesic to a postoperative client who also has severe obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?
Correct Answer: D
Rationale: CPAP maintains airway in OSA.
Question 2 of 5
A 16-year-old emancipated client is being seen in the emergency department following a minor automobile accident. The client's parents arrive and are asking questions about the client's laboratory results. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: Emancipated minors have confidentiality rights.
Extract:
History and Physical
Client was involved in a multi-car collision six days ago. Sustained a liver laceration, right rib fracture and right femur fracture. The liver laceration was repaired. An intermedullary rod was placed to repair the femur fracture. Client is progressing.
Orders
Post-op day 2
• Physical therapy evaluation
Question 3 of 5
Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: Condition: Isometric exercises; Actions: Support the extremity during exercise routine, Teach family how to participate in exercise program; Parameters: Pain level, Ability to perform activities of daily living
Rationale: Isometric exercises minimize stress; support and family aid compliance.
Extract:
Question 4 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 5 of 5
The nurse attaches a pulse oximeter to a client's finger and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?
Correct Answer: B
Rationale: Edema interferes with oximeter accuracy.