HESI RN
HESI RN Fundamentals of Nursing Questions
Extract:
Question 1 of 5
Prior to initiating digital removal of a fecal impaction, it is most important for the nurse to perform which client assessment?
Correct Answer: C
Rationale: Vital signs detect vagal stimulation.
Question 2 of 5
A client with a prescription for morphine sulfate 0.2 mg intravenously every 4 hours as needed for pain reports that pain is a 10 out of 10 on the numeric pain scale one hour after receiving the last administration. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Reviewing record identifies alternatives.
Question 3 of 5
The nurse identifies several nursing problems for a client with paraplegia who has been having fecal incontinence and diarrhea. The client's parent is the primary caregiver. In planning care, the nurse should determine which problem is the highest priority?
Correct Answer: A
Rationale: Fluid deficit is life-threatening.
Question 4 of 5
A female client assigned to a mental health unit visits with her significant other during the evening. After the significant other leaves, the nurse notices that the client is more isolative and refuses to attend the evening group. Which response by the nurse is most therapeutic?
Correct Answer: A
Rationale: Open-ended response invites sharing.
Question 5 of 5
The nurse is entering prescriptions for lab work in a client's electronic medical record (EMR) when the system locks up and does not restart. Which action should the nurse take first?
Correct Answer: C
Rationale: Notifying IT resolves issue promptly.