HESI RN
HESI RN Fundamentals Exam Questions
Extract:
Question 1 of 5
Prior to receiving a 120 mL hypertonic enema, an ambulatory female client tells the nurse that she does not believe that she can walk all the way to the bathroom without expelling the enema. Which intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Commode prevents enema expulsion accidents.
Question 2 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 3 of 5
The nurse has agreed to serve as a client's advocate at the meeting of the hospital ethics committee, which was called to address an ethical dilemma involving the client. To successfully represent the client, what action is essential for the nurse to take?
Correct Answer: A
Rationale: Self-awareness prevents bias in advocacy.
Question 4 of 5
The nurse has removed a barbiturate capsule from the unit dose wrapper to administer to a client. The client decides to watch a television program and requests not to take the medication. Which action should the nurse implement?
Correct Answer: D
Rationale: Witnessed disposal ensures safety and compliance.
Question 5 of 5
The nurse observes that a client on a clear liquid diet has a cup of coffee on the breakfast tray. Which action should the nurse implement?
Correct Answer: C
Rationale: Black coffee is allowed without additives.