HESI RN
HESI RN Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse finds a confused client wandering in the hallway during the night. Which actions should the nurse implement? (Select all that apply)
Correct Answer: C,D,E
Rationale: Orienting, alarming, and escorting ensure safety.
Question 2 of 5
Which assessment is most important for the nurse to perform prior to the application of a heating pad?
Correct Answer: D
Rationale: Neurosensory impairment risks burns.
Question 3 of 5
A client who is 2 days postoperative for thoracic surgery is reporting incisional pain 2 hours after receiving pain medication. The client rates the pain as 5 on a pain scale of 1 to 10. After placing a call to the healthcare provider, which action should the nurse implement?
Correct Answer: A
Rationale: Guided imagery promotes relaxation to manage moderate pain.
Question 4 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 5 of 5
The home health nurse is reviewing the personal care needs of an older adult client who lives alone. What client assessment finding(s) indicate(s) the need to assign an unlicensed assistive personnel (UAP) to provide routine foot care and file the client's toenails? Select all that apply.
Correct Answer: A,B,D
Rationale: Tremors, gait issues, and poor vision impair safe foot care.