HESI RN
HESI RN Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse observes that a client on a clear liquid diet has a cup of coffee on the breakfast tray. Which action should the nurse implement?
Correct Answer: C
Rationale: Black coffee is allowed without additives.
Question 2 of 5
Prior to receiving a 120 mL hypertonic enema, an ambulatory female client tells the nurse that she does not believe that she can walk all the way to the bathroom without expelling the enema. Which intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Commode prevents enema expulsion accidents.
Question 3 of 5
The healthcare provider prescribes nasogastric tube (NGT) insertion for a client with a postoperative ileus. During insertion, the client begins to gag. Which action should the nurse take?
Correct Answer: D
Rationale: Removing and reinserting prevents discomfort and harm.
Question 4 of 5
The healthcare provider gives a verbal prescription for 2 mg of intravenous morphine to be given to a client every 4 hours as needed for severe pain. How should the nurse document the prescription?
Correct Answer: B
Rationale: Full drug name and no trailing zeros ensure clarity.
Question 5 of 5
During the prodromal stage of an infection, which is the priority nursing intervention?
Correct Answer: C
Rationale: Precautions prevent infection spread.