HESI RN
HESI RN Fundamentals of Nursing Questions
Extract:
Question 1 of 5
The nurse is assessing a client in the clinic who is frightened and does not understand English. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Interpreter ensures accurate communication.
Question 2 of 5
A male client with a nasogastric tube connected to low intermittent suction tells the nurse that his mouth is very dry. Which action should the nurse implement?
Correct Answer: C
Rationale:
Toothettes safely moisten mouth.
Question 3 of 5
The nurse administers morphine to a client for chest pain who also has obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?
Correct Answer: B
Rationale: CPAP maintains airway in OSA.
Question 4 of 5
Prior to initiating digital removal of a fecal impaction, it is most important for the nurse to perform which client assessment?
Correct Answer: C
Rationale: Vital signs detect vagal stimulation.
Question 5 of 5
The nurse identifies several nursing problems for a client with paraplegia who has been having fecal incontinence and diarrhea. The client's parent is the primary caregiver. In planning care, the nurse should determine which problem is the highest priority?
Correct Answer: A
Rationale: Fluid deficit is life-threatening.