HESI RN
HESI RN Fundamentals Exam I Questions
Extract:
Question 1 of 5
To assess a client's dorsalis pedis pulse, the nurse applies firm pressure over the top of the foot between the extension tendons of the great and first toes, but does not feel a pulsation. Which action should the nurse take next?
Correct Answer: A
Rationale: Reducing pressure may reveal the pulse.
Question 2 of 5
The healthcare provider prescribes two doses of an antihypertensive medication for a client. Before administering the second dose, the nurse obtains a blood pressure measurement of 80/50 mm Hg. Which action should the nurse take?
Correct Answer: D
Rationale: Holding medication prevents worsening hypotension.
Question 3 of 5
The nurse receives a new prescription to administer oxygen at 3 L/minute via a nasal cannula to maintain an oxygen saturation between 90 and 100% for an adult client. The nurse obtains an oxygen saturation reading of 85% and, after repositioning the oximeter on a different finger, obtains a second reading of 87%. Which action should the nurse take next?
Correct Answer: C
Rationale: Proper cannula placement ensures effective oxygen delivery.
Question 4 of 5
Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?
Correct Answer: A
Rationale: Log rolling maintains spinal alignment for safety.
Question 5 of 5
The nurse is teaching a spouse how to care for a client who recently had a stroke and has residual weakness on the right side. Which style shoes should the nurse recommend the client wear when ambulating with the spouse's assistance?
Correct Answer: A
Rationale: Velcro tennis shoes provide support and stability.