HESI RN
HESI RN Fundamentals of Nursing Questions
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 1 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 2 of 5
A male client with a nasogastric tube connected to low intermittent suction tells the nurse that his mouth is very dry. Which action should the nurse implement?
Correct Answer: C
Rationale:
Toothettes safely moisten mouth.
Question 3 of 5
A client who is on complete bedrest frequently calls the nurse for the bedpan to urinate. Which action should the nurse take to evaluate the client for urinary retention?
Correct Answer: B
Rationale: Bladder scan measures residual urine.
Question 4 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.
Question 5 of 5
The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is 0.4 mg/mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 2.5
Rationale: 1 mg / 0.4 mg/mL = 2.5 mL.