HESI RN
HESI RN Fundamentals Exam 1 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: B
Rationale: Up-and-back is correct for adults.
Question 2 of 5
The nurse is viewing the admission assessment of a client with chronic pain. What intervention(s) should the nurse include in the client’s plan of care? Select all that apply.
Correct Answer: B,C,E
Rationale: Comfort, assessment, and analgesics manage pain.
Question 3 of 5
A nurse administers an opioid analgesic to a postoperative client who also has severe obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?
Correct Answer: C
Rationale: CPAP prevents airway collapse.
Question 4 of 5
The healthcare provider prescribes a 24-hour urine specimen to be collected for creatinine clearance. The client is eager to go home and tells the nurse that the first sample was put in the urinal 2 hours ago. Which action should the nurse implement?
Correct Answer: D
Rationale: First void is discarded for accuracy.
Question 5 of 5
What times should the nurse measure vital signs? Select all that apply.
Correct Answer: A,B,C,G,H
Rationale: Times align with fever monitoring.