HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
The palliative care nurse receives a consult for a terminally ill client in the intensive care unit. The client is weak, mouth breathing, and refusing anything to eat or drink. Which intervention should the nurse include in plan of care?
Correct Answer: B
Rationale: Moist membranes enhance comfort in terminal care.
Question 2 of 5
Which client assessment should the nurse perform during nasopharyngeal suctioning?
Correct Answer: C
Rationale: Skin/mucous membrane observation monitors distress.
Question 3 of 5
The nurse is reviewing the admission assessment of a client with chronic pain. What intervention(s) should the nurse include in the client's plan of care?
Correct Answer: B,D,E
Rationale: Pain scale, analgesics, and comfort measures manage chronic pain.
Question 4 of 5
The nurse is caring for a client with a history of neuropathy who reports increasing numbness and tingling in the lower extremities. Which problem should the nurse determine is the priority for promoting foot care at this time?
Correct Answer: B
Rationale: Numbness increases risk of skin breakdown.
Question 5 of 5
When assuming care of a client at 1900, the nurse learns in report that a client with a urinary tract infection had an indwelling urinary catheter removed during the previous shift. Which information is most important for the nurse to obtain?
Correct Answer: B
Rationale: Voiding post-removal assesses urinary function.