HESI RN
HESI RN Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse knows that skin turgor changes with age. Which intervention is most helpful in dealing with normal aging changes of the skin?
Correct Answer: A
Rationale: Lotion combats dryness in aging skin.
Question 2 of 5
Prior to receiving a 120 mL hypertonic enema, an ambulatory female client tells the nurse that she does not believe that she can walk all the way to the bathroom without expelling the enema. Which intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Commode prevents enema expulsion accidents.
Question 3 of 5
The nurse receives a report that a client with an indwelling urinary catheter has an output of 150 mL for the previous 8-hour shift. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Checking for kinks ensures catheter functionality.
Question 4 of 5
The nurse finds a confused client wandering in the hallway during the night. Which actions should the nurse implement? (Select all that apply)
Correct Answer: C,D,E
Rationale: Orienting, alarming, and escorting ensure safety.
Question 5 of 5
The nurse receives a new prescription to administer oxygen at 3 L/minute via a nasal cannula to maintain an oxygen saturation between 90 and 100% for an adult client. The nurse obtains an oxygen saturation reading of 85% and, after repositioning the oximeter on a different finger, obtains a second reading of 87%. Which action should the nurse take next?
Correct Answer: C
Rationale: Proper cannula placement ensures effective oxygen delivery.