HESI RN Fundamentals Exam 1 | Nurselytic

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HESI RN Fundamentals Exam 1 Questions

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Question 1 of 5

What times should the nurse measure vital signs? Select all that apply.

Correct Answer: A,B,C,D,E,F,G

Rationale: Context-dependent; typically every 4 hours.

Question 2 of 5

A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?

Correct Answer: C

Rationale: Abnormal findings are documented.

Question 3 of 5

A 45-year-old client with breast cancer which has metastasized is receiving hospice care. The client is at home and the family is concerned about their loved one. The nurse assesses the client. Which of the following signs indicate that the client is near death?

Correct Answer: A,C,D

Rationale: Muscle tone, breathing, and secretions indicate nearing death.

Question 4 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 countertop. Which action should the nurse implement?

Correct Answer: D

Rationale: Reporting ensures intervention.

Question 5 of 5

The nurse is caring for a client who is postoperative and receiving supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation is 89%. Which action should the nurse implement?

Correct Answer: A

Rationale: Verifying placement ensures accurate readings.

Similar Questions

The healthcare provider prescribes a 24-hour urine specimen to be collected for creatinine clearance. The client is eager to go home and tells the nurse that the first sample was put in the urinal 2 hours ago. Which action should the nurse implement?
The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?
The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain, the client denies having any pain. Which intervention should the nurse implement first?
A nurse is reviewing a client’s orders and notes the following: Vital signs every 4 hours, regular diet, Cefazolin 1g IV every 8 hours for 5 days, Metformin 1,000 mg PO every 12 hours, and point of care blood glucose check every 4 hours. Which action should the nurse take?
A nurse is reviewing a client’s laboratory results and notes a blood glucose result of 104 mg/dL (5.8 mmol/L). The reference range is 74 to 106 mg/dL (4.1 to 5.9 mmol/L). Which action should the nurse take?

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