HESI RN
HESI RN Fundamentals Exam I 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
The nurse is preparing a bladder irrigation for an adult client who has a long-term indwelling urinary catheter. The urine is cloudy with fibrin clots and sediment. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Slow irrigation safely clears clots and sediment.
Question 3 of 5
The nurse has agreed to serve as a client's advocate at the meeting of the hospital ethics committee, which was called to address an ethical dilemma involving the client. To successfully represent the client, what action is essential for the nurse to take?
Correct Answer: A
Rationale: Self-awareness prevents bias in advocacy.
Question 4 of 5
The nurse learns that members of the nursing staff are uncomfortable with responding to client family members who are angry. While designing a teaching session to help the staff respond more effectively in these situations, which instructional strategy is best for the nurse to use?
Correct Answer: C
Rationale: Role-playing builds confidence in handling anger.
Question 5 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.