HESI RN
HESI RN Fundamentals with NGN 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: C
Rationale: CPAP maintains airway in OSA.
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: C
Rationale: Asking clarifies pain denial discrepancy.
Question 3 of 5
The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration. Which action by the UAP should the nurse recognize indicates the need for additional teaching?
Correct Answer: D
Rationale: Rest before feeding is not standard practice.
Question 4 of 5
The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?
Correct Answer: C
Rationale: Elbow flexion targets hinge joints.
Question 5 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: C
Rationale: Inflate higher to detect true systolic pressure.