HESI RN Fundamentals Exam 1 | Nurselytic

Questions 55

HESI RN

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HESI RN Fundamentals Exam 1 Questions

Extract:


Question 1 of 5

A nurse is reviewing a client’s laboratory results and notes a blood glucose result of 104 mg/dL (5.8 mmol/L). The reference range is 74 to 106 mg/dL (4.1 to 5.9 mmol/L). Which action should the nurse take?

Correct Answer: D

Rationale: Normal glucose requires no action.

Question 2 of 5

The nurse is demonstrating three-point gait crutch walking to an older adult client who broke a foot while playing soccer with the grandchildren. Which behavior indicates that the client understands proper crutch walking?

Correct Answer: C

Rationale: Inspecting tips ensures safety.

Question 3 of 5

A client voided clear, yellow urine.

Correct Answer: C

Rationale: Clear, yellow urine indicates hydration.

Question 4 of 5

What times should the nurse measure vital signs? Select all that apply.

Correct Answer: A,C,E,G

Rationale: Every 4 hours is standard.

Question 5 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.

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