HESI RN
HESI RN Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
The nurse assesses an older adult client’s ability to perform activities of daily living (ADLs). When observing the client ambulate, the nurse notes that the client’s posture is upright, and the gait is smooth and steady. Which action should the nurse take next?
Correct Answer: D
Rationale: Documentation reflects functional status.
Question 2 of 5
The healthcare provider prescribes a 24-hour urine specimen to be collected for creatinine clearance. The client is eager to go home and tells the nurse that the first sample was put in the urinal 2 hours ago. Which action should the nurse implement?
Correct Answer: D
Rationale: First void is discarded for accuracy.
Question 3 of 5
The nurse is caring for a client who is postoperative and receiving supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation is 89%. Which action should the nurse implement?
Correct Answer: A
Rationale: Verifying placement ensures accurate readings.
Question 4 of 5
What times should the nurse measure vital signs? Select all that apply.
Correct Answer: A,B,C,G,H
Rationale: Times align with clinical changes.
Question 5 of 5
The nurse is viewing the admission assessment of a client with chronic pain. What intervention(s) should the nurse include in the client’s plan of care? Select all that apply.
Correct Answer: B,C,E
Rationale: Comfort, assessment, and analgesics manage pain.