HESI RN
HESI RN Fundamentals with NGN Questions
Extract:
Question 1 of 5
When assessing a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L), which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Hyperkalemia risks cardiac dysrhythmias.
Question 2 of 5
A 16-year-old emancipated client is being seen in the emergency department following a minor automobile accident. The client's parents arrive and are asking questions about the client's laboratory results. Which response is best for the nurse to provide?
Correct Answer: B
Rationale: Emancipated minors have confidentiality rights.
Question 3 of 5
The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration. Which action by the UAP should the nurse recognize indicates the need for additional teaching?
Correct Answer: D
Rationale: Rest before feeding is not standard practice.
Question 4 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: A
Rationale: Voiding post-removal assesses urinary function.
Question 5 of 5
A hospitalized client who has an advance directive and healthcare power of attorney is receiving enteral nutrition through a nasogastric (NG) tube. The client vomits and appears to be choking. Which action should the nurse take?
Correct Answer: C
Rationale: Head elevation reduces aspiration risk.