HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is assessing a client who is having pain of the right upper abdominal area. To assess the quality of the client's abdominal pain, which approach should the nurse use?
Correct Answer: B
Rationale: Client description reveals pain characteristics.
Question 3 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 4 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: D
Rationale: Suctioning clears airway obstruction during choking.
Question 5 of 5
A client with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing. When establishing a bowel training regimen, which intervention should the nurse implement?
Correct Answer: B
Rationale: Post-meal commode use leverages gastrocolic reflex.