HESI RN
HESI RN Fundamentals of Nursing Questions
Extract:
Question 1 of 5
The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration. Which action by the UAP should the nurse recognize indicates the need for additional teaching?
Correct Answer: D
Rationale: Rest reduces alertness, increasing aspiration risk.
Question 2 of 5
A female client assigned to a mental health unit visits with her significant other during the evening. After the significant other leaves, the nurse notices that the client is more isolative and refuses to attend the evening group. Which response by the nurse is most therapeutic?
Correct Answer: A
Rationale: Open-ended response invites sharing.
Question 3 of 5
The nurse administers morphine to a client for chest pain who also has obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?
Correct Answer: B
Rationale: CPAP maintains airway in OSA.
Question 4 of 5
Which equipment should the nurse use to measure a 5 mL dose of viscous liquid solution most accurately to be administered orally?
Correct Answer: C
Rationale: 3 mL syringe measures 5 mL accurately.
Question 5 of 5
After reviewing the admission assessment of a client with chronic pain, which intervention(s) should the nurse include in this client's plan of care?
Correct Answer: A,C,E
Rationale: Comfort measures, pain scale, and analgesics manage chronic pain.