HESI RN
HESI RN Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
Which assessment should the nurse document when charting by exception?
Correct Answer: C
Rationale: Abnormal findings are documented.
Question 2 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 3 of 5
A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as needed for cough. The bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL.' How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)
Correct Answer: 1
Rationale: 30 mg ÷ (30 mg/15 mL) = 1 tablespoon.
Question 4 of 5
What times should the nurse measure vital signs? Select all that apply.
Correct Answer: A,B,C,G,H
Rationale: Times align with clinical changes.
Question 5 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 arrhythmias; cardiac monitoring is critical.