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HESI RN Fundamentals Exam

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Total Questions : 59

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Question 1:

Twelve hours following a unilateral total knee replacement, a client reports being unable to sleep because of severe incisional pain. What is the best initial nursing action?

Answer and Explanation

A
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Question 2:

When turning a male client who has been lying on his back for 2 hours, the nurse notes that the skin over his sacrum is very white. The client is repositioned and when the nurse reassesses the sacrum 2 hours later, the area is bright red. Which intervention should the nurse implement?

Answer and Explanation

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Question 3:

Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?

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Question 4:

A client who is 2 days postoperative for thoracic surgery is reporting incisional pain 2 hours after receiving pain medication. The client rates the pain as 5 on a pain scale of 1 to 10. After placing a call to the healthcare provider, which action should the nurse implement?

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Question 5:

The nurse is caring for a client with obstructive sleep apnea. The nurse should recognize the client is at greater risk for the development of which complication?

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Question 6:

The healthcare provider prescribes nasogastric tube (NGT) insertion for a client with a postoperative ileus. During insertion, the client begins to gag. Which action should the nurse take?

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Question 7:

The nurse receives a new prescription to administer oxygen at 3 L/minute via a nasal cannula to maintain an oxygen saturation between 90 and 100% for an adult client. The nurse obtains an oxygen saturation reading of 85% and, after repositioning the oximeter on a different finger, obtains a second reading of 87%. Which action should the nurse take next?

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Question 8:

The healthcare provider prescribes cefixime oral suspension 200 mg by mouth twice a day for an older adult who has difficulty swallowing pills. The bottle is labeled, "Cefixime for Oral Suspension, USP 100 mg per 5 mL." How many mL should the nurse administer daily? (Enter numerical value only.)

Answer and Explanation
Correct Answer: "20" mL/day

Explanation

To calculate the total daily dose, we first need to determine the dose per administration:

  • Desired dose = 200 mg/dose
  • Concentration = 100 mg/5 mL

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

  • Volume = 200 mg / (100 mg/5 mL) = 10 mL

Now, calculate the total daily volume:

  • 10 mL/dose 2 doses/day = 20 mL/day

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Question 9:

An older adult client is admitted to the medical unit following a fall at home. While undressing the client, the nurse observes that the client is wearing an adult diaper and skin breakdown is obvious over the sacral area. Which action should the nurse implement first?

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Question 10:

A client is requesting medicine for pain 30 minutes after receiving morphine sulfate 5 mg intravenously. Which intervention should the nurse implement next?

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