HESI RN Fundamentals Exam 1 | Nurselytic

Questions 55

HESI RN

HESI RN Test Bank

HESI RN Fundamentals Exam 1 Questions

Extract:


Question 1 of 5

Which intervention should the nurse include in the plan of care for a terminally ill client who is weak, mouth breathing, and refusing anything to eat or drink?

Correct Answer: C

Rationale: Moist membranes enhance comfort.

Question 2 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 3 of 5

The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?

Correct Answer: D

Rationale: Inflate above pulse disappearance for accuracy.

Question 4 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.

Question 5 of 5

Which intervention is most important for the nurse to implement before leaving a postoperative client with severe obstructive sleep apnea (OSA) alone?

Correct Answer: C

Rationale: CPAP prevents airway collapse.

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