HESI RN
HESI RN Fundamentals of Nursing Questions
Extract:
Question 1 of 5
After reviewing the admission assessment of a client with chronic pain, which intervention(s) should the nurse include in this client's plan of care?
Correct Answer: A,C,E
Rationale: Comfort measures, pain scale, and analgesics manage chronic pain.
Question 2 of 5
A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours as needed for cough. The bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL.' How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)
Correct Answer: 1
Rationale: 30 mg = 15 mL = 1 tablespoon.
Question 3 of 5
After administering oxycodone to a client one hour ago, the client is reporting severe pain. Which intervention should the nurse implement next?
Correct Answer: A
Rationale: Reassessment evaluates pain management.
Extract:
History and Physical
The client is a 56-year old woman who had an anteroposterior spinal fusion 2 days ago. She tolerated the procedure well and has been progressively increasing her walking distance.
Nurses Notes
1200
• - Heart rate: 98 bpm
• - Pain rating: 5/10
• - Morphine 2.5 mg given
• - The client did ambulation exercises with physical therapy
1300
• - Heart rate: 78 bpm
• - Pain rating: 3/10
• - Ibuprofen 800 mg given
• - The client is resting in bed
1400
Orders
- Heart rate 118 bpm
Question 4 of 5
Based on the trending heart rate and pain score, what should the nurse do?
Correct Answer: A,D,E
Rationale: Guided imagery, pain assessment, and surgeon consultation manage pain safely.
Extract:
Question 5 of 5
Which equipment should the nurse use to measure a 5 mL dose of viscous liquid solution most accurately to be administered orally?
Correct Answer: C
Rationale: 3 mL syringe measures 5 mL accurately.