HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to question the client about sexual activity. Which approach is best for the nurse to use?
Correct Answer: A
Rationale: Less sensitive questions build rapport.
Question 2 of 5
The nurse observes the unlicensed assistive personnel (UAP) securing a client's wrist restraints to the bedside rails. Which action is most important for the nurse to implement?
Correct Answer: C
Rationale: Ensuring restraints are not tight prevents injury.
Question 3 of 5
The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?
Correct Answer: B
Rationale: Elbow flexion targets hinge joints.
Extract:
History and Physical
The client is a 64-year-old female with a 3-day history of cough and chest pain. She recently began to have difficulty breathing. Cardiac causes of chest pain were ruled out with laboratory tests. The client will be admitted for presumed pneumonia. The client has a history of type 2 diabetes mellitus. She takes insulin glargine 12 units in the morning and 10 units in the evening.
Nurses' Notes
0700
Insulin glargine 12 units given SUBQ.
0900
Azithromycin 1 gm given PO.
1900
Insulin glargine 10 units given SUBQ.
2000
Insulin glargine 10 units given SUBQ.
Imaging Studies
Chest x-ray consolidation in right lower lobe consistent with pneumonia
The primary nurse went on break at 1845. The covering nurse gave insulin glargine and decided to manually document the dose but forgot to enter it into the electronic health record. The primary nurse came back from break and gave a second dose of insulin because of being unaware the covering nurse gave the ordered dose.
Question 4 of 5
What medication error prevention techniques would have helped to avoid this error?
Correct Answer: C,E
Rationale: Immediate documentation and identifiers prevent errors.
Extract:
Question 5 of 5
When assuming care of a client at 1900, the nurse learns in report that a client with a urinary tract infection had an indwelling urinary catheter removed during the previous shift. Which information is most important for the nurse to obtain?
Correct Answer: B
Rationale: Voiding post-removal assesses urinary function.