HESI RN Fundamentals Exam 1 | Nurselytic

Questions 55

HESI RN

HESI RN Test Bank

HESI RN Fundamentals Exam 1 Questions

Extract:


Question 1 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 2 of 5

The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?

Correct Answer: D

Rationale: Inflate above pulse disappearance for accuracy.

Question 3 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 4 of 5

The primary nurse went on break at 1845. The covering nurse gave a second dose of insulin because of being unaware the primary nurse gave the ordered dose. Which error prevention techniques would have helped to avoid this?

Correct Answer: A,C,D,E.F

Rationale: Documentation and verification prevent errors.

Question 5 of 5

The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

Correct Answer: A

Rationale: Bevel up ensures proper delivery.

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