HESI RN
HESI RN Fundamentals Exam 1 Questions
Extract:
Question 1 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 2 of 5
The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to ask the client about sexual activity. Which approach is best for the nurse to use?
Correct Answer: A
Rationale: Less sensitive queries build rapport.
Question 3 of 5
The nurse is caring for a client with a history of neuropathy who reports increasing numbness and tingling in the lower extremities. Which problem should the nurse determine is the priority for promoting foot care at this time?
Correct Answer: D
Rationale: Neuropathy increases skin breakdown risk.
Question 4 of 5
The nurse is caring for a client with type 2 diabetes mellitus who had surgery for a large bowel resection with a colostomy placement. The client has now developed hyperglycemia which requires self-injections of insulin after discharge. When designing the postoperative plan of care, which outcome statement should the nurse use?
Correct Answer: D
Rationale: Medication adherence manages hyperglycemia.
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 about the client’s laboratory results. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: Emancipated minors have autonomy.