HESI RN
HESI RN Fundamentals of Nursing Questions
Extract:
Question 1 of 5
The nurse observes a decrease in a client's level of consciousness. Which vital sign should the nurse obtain first?
Correct Answer: C
Rationale: Respiratory rate reflects brain oxygenation.
Question 2 of 5
While changing the dressing of a leg ulcer, the nurse observes a red, tender, and swollen wound at the site of the lesion. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?
Correct Answer: B
Rationale: Neutrophil count indicates infection.
Question 3 of 5
The nurse is assessing a client in the clinic who is frightened and does not understand English. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Interpreter ensures accurate communication.
Question 4 of 5
The nurse identifies several nursing problems for a client with paraplegia who has been having fecal incontinence and diarrhea. The client's parent is the primary caregiver. In planning care, the nurse should determine which problem is the highest priority?
Correct Answer: A
Rationale: Fluid deficit is life-threatening.
Question 5 of 5
The nurse observes a decrease in a client's level of consciousness. Which vital sign should the nurse obtain first?
Correct Answer: C
Rationale: Respiratory rate reflects brain oxygenation.