HESI RN Fundamentals Exam | Nurselytic

Questions 59

HESI RN

HESI RN Test Bank

HESI RN Fundamentals Exam Questions

Extract:


Question 1 of 5

The healthcare provider prescribes nasogastric tube (NGT) insertion for a client with a postoperative ileus. During insertion, the client begins to gag. Which action should the nurse take?

Correct Answer: D

Rationale: Removing and reinserting prevents discomfort and harm.

Question 2 of 5

The nurse is explaining perineal care to the caregiver of a male client. Which information should the nurse include?

Correct Answer: B

Rationale: Non-retractable foreskin should not be forced to prevent discomfort.

Question 3 of 5

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which action is most useful for the nurse to include during the teaching session?

Correct Answer: D

Rationale: Simulations promote critical thinking.

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

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?

Correct Answer: A

Rationale: Reducing pressure may reveal the pulse.

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