HESI RN
HESI RN Fundamentals with NGN 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: Proper restraint securing prevents injury.
Question 2 of 5
An unlicensed assistive personnel (UAP) is assigned to feed a client who has received a prescription to institute droplet precautions for a bacterial meningitis infection. The UAP requests a change in assignment, reporting having not yet been fitted for a particulate filter mask. Which action should the nurse take?
Correct Answer: C
Rationale: Standard mask suffices for droplet precautions.
Question 3 of 5
After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?
Correct Answer: D
Rationale: Addendum ensures accurate, timely documentation.
Question 4 of 5
Which client assessment should the nurse perform during nasopharyngeal suctioning?
Correct Answer: D
Rationale: Skin/mucous membrane observation monitors distress.
Question 5 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,C,E
Rationale: Contact precautions, culture, and WBC monitoring manage MRSA.