HESI RN
HESI RN Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse notes that a client has cyanosis of the toes and fingertips. Which vital sign should the nurse obtain first?
Correct Answer: D
Rationale: Cyanosis suggests respiratory issues, needing immediate assessment.
Question 2 of 5
While suctioning a client's nasopharynx, the nurse observes that the client's oxygen saturation remains at 94%, which is the same reading obtained prior to starting the procedure. Which action should the nurse take in response to this finding?
Correct Answer: B
Rationale: Repositioning ensures accurate saturation readings.
Question 3 of 5
The healthcare provider gives a verbal prescription for 2 mg of intravenous morphine to be given to a client every 4 hours as needed for severe pain. How should the nurse document the prescription?
Correct Answer: B
Rationale: Full drug name and no trailing zeros ensure clarity.
Question 4 of 5
The healthcare provider prescribes nasogastric tube (NGT) insertion for a client with a postoperative ileus. During insertion, the client begins to gag. Which action should the nurse take?
Correct Answer: D
Rationale: Removing and reinserting prevents discomfort and harm.
Question 5 of 5
Twelve hours following a unilateral total knee replacement, a client reports being unable to sleep because of severe incisional pain. What is the best initial nursing action?
Correct Answer: A
Rationale: PCA pump allows self-administered analgesia for immediate pain relief.