HESI RN
HESI RN Fundamentals with NGN 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: C
Rationale: Inflate higher to detect true systolic pressure.
Question 2 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: C
Rationale: Numbness increases risk of skin breakdown.
Question 3 of 5
The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration. Which action by the UAP should the nurse recognize indicates the need for additional teaching?
Correct Answer: D
Rationale: Rest before feeding is not standard practice.
Question 4 of 5
The nurse is teaching a client about use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?
Correct Answer: A
Rationale: Hand washing is key to standard precautions.
Question 5 of 5
The nurse attaches a pulse oximeter to a client's finger and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?
Correct Answer: C
Rationale: Edema interferes with oximeter accuracy.