HESI RN
HESI RN Fundamentals II 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: B
Rationale: Accurate oximeter placement ensures valid readings.
Question 2 of 5
A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?
Correct Answer: D
Rationale: Diminished lung sounds indicate abnormality.
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: A
Rationale: Activity tolerance assesses functional capacity.
Question 4 of 5
The nurse is caring for a client one week postsurgery. Which finding should the nurse expect to see if the surgical incision is healing properly?
Correct Answer: D
Rationale: Well-approximated edges indicate proper healing.
Question 5 of 5
A 16-year-old emancipated client is being seen in the emergency department following a minor automobile accident. The client's parents arrive and are asking questions about the client's laboratory results. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: Emancipated minors have confidentiality rights.