HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?
Correct Answer: C
Rationale: Up-and-back auricle pull is correct for adults.
Question 2 of 5
The nurse is assessing a client who is having pain of the right upper abdominal area. To assess the quality of the client's abdominal pain, which approach should the nurse use?
Correct Answer: B
Rationale: Client description reveals pain characteristics.
Extract:
History and Physical
Client was involved in a multi-car collision six days ago. Sustained a liver laceration, right rib fracture and right femur fracture. The liver laceration was repaired. An intermedullary rod was placed to repair the femur fracture. Client is progressing.
Orders
Post-op day 2
• Physical therapy evaluation
Question 3 of 5
Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: Condition: Isometric exercises; Actions: Support the extremity during exercise routine, Teach family how to participate in exercise program; Parameters: Pain level, Ability to perform activities of daily living
Rationale: Isometric exercises minimize stress; support and family aid compliance.
Extract:
Question 4 of 5
The nurse is caring for a client who is postoperative and receiving supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation is 89%. Which action should the nurse implement?
Correct Answer: B
Rationale: Accurate oximeter placement ensures valid readings.
Question 5 of 5
A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self-care at home?
Correct Answer: A
Rationale: Demonstration confirms wound care competency.