HESI RN
HESI RN Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse is assisting an older adult client who has problems with constipation and reports fear of defecation because of painful hemorrhoids, to establish a regular bowel pattern. Which action should the nurse take?
Correct Answer: A
Rationale: Stool softeners ease defecation, reducing hemorrhoid pain.
Question 2 of 5
The nurse is preparing a bladder irrigation for an adult client who has a long-term indwelling urinary catheter. The urine is cloudy with fibrin clots and sediment. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Slow irrigation safely clears clots and sediment.
Question 3 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 4 of 5
When evaluating the effectiveness of a client's nursing care, the nurse first reviews the expected outcomes identified in the plan of care. What action should the nurse take next?
Correct Answer: C
Rationale: Comparing data assesses care effectiveness.
Question 5 of 5
Twelve hours following a unilateral total knee replacement, a client reports being unable to sleep because of severe incisional pain. What is the best initial nursing action?
Correct Answer: A
Rationale: PCA pump allows self-administered analgesia for immediate pain relief.