HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
The nurse observes the unlicensed assistive personnel (UAP) securing a client's wrist restraints to the bedside rails. Which action is most important for the nurse to implement?
Correct Answer: C
Rationale: Ensuring restraints are not tight prevents injury.
Question 2 of 5
A client who is paraplegic is admitted with a foul smelling drainage from a sacral ulcer. The client is suspected to have a methicillin resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurse include in the plan of care?
Correct Answer: B,D,E
Rationale: Contact precautions, culture, and WBC monitoring manage MRSA.
Question 3 of 5
The nurse in a skilled nursing facility observes a colleague leaving printed electronic medical record (EMR) copies of a client unattended on a counter top. Which action should the nurse implement?
Correct Answer: A
Rationale: Reporting to charge nurse ensures immediate action.
Question 4 of 5
A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as needed for cough. The bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL.' How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)
Correct Answer: 1
Rationale: 30 mg = 15 mL = 1 tablespoon.
Question 5 of 5
A confused older adult client is having trouble sleeping at night and is sometimes found wandering in the hallway. Which nursing intervention should the nurse implement first?
Correct Answer: D
Rationale: Back rub promotes relaxation non-invasively.