HESI RN
HESI RN Fundamentals with NGN Questions
Extract:
Question 1 of 5
After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?
Correct Answer: D
Rationale: Addendum ensures accurate, timely documentation.
Question 2 of 5
The nurse is reviewing the admission assessment of a client with chronic pain. What Intervention(s) should the nurse Include in the client's plan of care?
Correct Answer: B,C,D,E
Rationale: Ambulation, pain scale, comfort measures, and analgesics manage chronic pain.
Question 3 of 5
The nurse observes a practical nurse (PN) performing oral care on an unconscious client. Which action by the PN indicates to the nurse the need for additional training?
Correct Answer: C
Rationale: Supine position risks aspiration.
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,C,E
Rationale: Contact precautions, culture, and WBC monitoring manage MRSA.
Question 5 of 5
A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?
Correct Answer: B
Rationale: Diminished lung sounds indicate abnormality.