HESI RN
HESI RN Fundamentals with NGN 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: A
Rationale: Up-and-back auricle pull is correct for adults.
Question 2 of 5
The nurse uses a sterile syringe to obtain a urine specimen from a client's indwelling urinary catheter. After placing the specimen in a biohazard bag, the nurse transports the specimen to the laboratory. During which part of this procedure should the nurse wear gloves?
Correct Answer: D
Rationale: Gloves during syringe use prevent contamination.
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 maintains airway in OSA.
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: B
Rationale: Next void starts accurate 24-hour collection.
Question 5 of 5
The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?
Correct Answer: C
Rationale: Inflate higher to detect true systolic pressure.