HESI RN
HESI RN Fundamentals Exam 1 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: Late entries maintain accuracy.
Question 2 of 5
Which intervention should the nurse include in the plan of care for a terminally ill client who is weak, mouth breathing, and refusing anything to eat or drink?
Correct Answer: C
Rationale: Moist membranes enhance comfort.
Question 3 of 5
Which intervention is most important for the nurse to implement before leaving a postoperative client with severe obstructive sleep apnea (OSA) alone?
Correct Answer: C
Rationale: CPAP prevents airway collapse.
Question 4 of 5
What times should the nurse measure vital signs? Select all that apply.
Correct Answer: A,B,C,D,E,F,G
Rationale: Context-dependent; typically every 4 hours.
Question 5 of 5
Which assessment should the nurse document when charting by exception?
Correct Answer: C
Rationale: Abnormal findings are documented.