Questions 58

HESI RN

HESI RN Test Bank

HESI RN Fundamentals II Questions

Extract:


Question 1 of 5

The nurse attaches a pulse oximeter to a client's finger and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?

Correct Answer: B

Rationale: Edema interferes with oximeter accuracy.

Question 2 of 5

The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?

Correct Answer: B

Rationale: Elbow flexion targets hinge joints.

Question 3 of 5

The nurse is reviewing the admission assessment of a client with chronic pain. What intervention(s) should the nurse include in the client's plan of care?

Correct Answer: B,D,E

Rationale: Pain scale, analgesics, and comfort measures manage chronic pain.

Question 4 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: B

Rationale: Accurate oximeter placement ensures valid readings.

Question 5 of 5

The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?

Correct Answer: C

Rationale: Up-and-back auricle pull is correct for adults.

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