HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
The nurse is demonstrating three-point gait crutch walking to an older adult client who broke a foot while playing soccer with the grandchildren. Which behavior indicates that the client understands proper crutch walking?
Correct Answer: D
Rationale: Three-point gait involves affected leg touchdown.
Question 2 of 5
The nurse is teaching the client to self administer a dose of low molecular weight heparin SUBQ. Which instruction should the nurse include?
Correct Answer: D
Rationale: Abdominal injection site minimizes complications.
Question 3 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 4 of 5
The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?
Correct Answer: C
Rationale: Up-and-back auricle pull is correct for adults.
Question 5 of 5
The nurse in a skilled nursing facility observes a colleague leaving printed electronic medical record (EMR) copies of a client unattended on a counter top. Which action should the nurse implement?
Correct Answer: A
Rationale: Reporting to charge nurse ensures immediate action.