HESI RN
HESI RN Fundamentals Exam I Questions
Extract:
Question 1 of 5
An older woman with end-stage heart disease is hospitalized for severe heart failure. She is alert, oriented, and requests that no heroic measures are implemented if her breathing stops. What action should the nurse take first?
Correct Answer: C
Rationale: Clarifying 'heroic measures' ensures client wishes are understood.
Question 2 of 5
When evaluating the effectiveness of a client's nursing care, the nurse first reviews the expected outcomes identified in the plan of care. What action should the nurse take next?
Correct Answer: C
Rationale: Comparing data assesses care effectiveness.
Question 3 of 5
During the admission assessment to the hospital, a male client reports that he is allergic to latex, penicillin, and bananas. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Allergy bracelet ensures immediate awareness.
Question 4 of 5
The nurse notes that a client has cyanosis of the toes and fingertips. Which vital sign should the nurse obtain first?
Correct Answer: D
Rationale: Cyanosis suggests respiratory issues, needing immediate assessment.
Question 5 of 5
A client is requesting medicine for pain 30 minutes after receiving morphine sulfate 5 mg intravenously. Which intervention should the nurse implement next?
Correct Answer: B
Rationale: Reassessing pain evaluates medication effectiveness.