HESI RN Fundamentals Exam I | Nurselytic

Questions 59

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HESI RN Fundamentals Exam I Questions

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Question 1 of 5

During the admission process, a client requests more information about advance directives. Which professional should the nurse recommend the client contact?

Correct Answer: A

Rationale: Attorney provides legal guidance on advance directives.

Question 2 of 5

The nurse identifies several nursing problems for a client who is incontinent and immobile after a stroke and is now experiencing diarrhea. The client resides at home and the spouse is the primary caregiver. While planning care, the nurse should determine which problem has the highest priority?

Correct Answer: B

Rationale: Diarrhea risks dehydration, requiring urgent fluid management.

Question 3 of 5

Twelve hours following a unilateral total knee replacement, a client reports being unable to sleep because of severe incisional pain. What is the best initial nursing action?

Correct Answer: A

Rationale: PCA pump allows self-administered analgesia for immediate pain relief.

Question 4 of 5

An older adult client is admitted to the medical unit following a fall at home. While undressing the client, the nurse observes that the client is wearing an adult diaper and skin breakdown is obvious over the sacral area. Which action should the nurse implement first?

Correct Answer: B

Rationale: Assessing breakdown severity guides treatment planning.

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.

Similar Questions

The nurse learns that members of the nursing staff are uncomfortable with responding to client family members who are angry. While designing a teaching session to help the staff respond more effectively in these situations, which instructional strategy is best for the nurse to use?
To assess a client's dorsalis pedis pulse, the nurse applies firm pressure over the top of the foot between the extension tendons of the great and first toes, but does not feel a pulsation. Which action should the nurse take next?
A female client who is receiving hospice care in her home expresses fear that dying will be painful. Which action should the nurse take first?
The nurse is teaching a client about how to use crutches. Which action performed by the client demonstrates to the nurse a correct understanding of how to use the crutches?
The mother of a child born with Tetralogy of Fallot asks the nurse, 'Why did this happen to my baby? What did I do wrong?' Which response by the nurse is most helpful?

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