HESI Fundamentals Study Guide

Question 1 of 5

While providing care to a group of patients, which patient should the nurse prioritize seeing first?

A. A patient with a hip replacement on prolonged bed rest reporting chest pain and dyspnea B. A bedridden patient with a reddened area on the buttocks who needs to be turned C. A patient on bed rest with renal calculi who needs to go to the bathroom D. A patient post-knee surgery who needs range of motion exercises

Question 2 of 5

A client with Guillain-Barre syndrome is in a non-responsive state, yet vital signs are stable and breathing is independent. What should the nurse document to most accurately describe the client's condition?

A. Comatose, breathing unlabored B. Glasgow Coma Scale 8, respirations regular C. Appears to be sleeping, vital signs stable D. Glasgow Coma Scale 13, no ventilator required

Question 3 of 5

After repositioning a client who reports shortness of breath, which of the following actions should the nurse take next?

A. Observe the rate, depth, and character of the client's respirations. B. Take the client's blood pressure. C. Assess the client's pulse. D. Offer supplemental oxygen.

Question 4 of 5

A client has restraints on each extremity. Which of the following assessments should the nurse perform first?

A. Peripheral pulses B. Comfort level C. Elimination needs D. Skin integrity

Question 5 of 5

During an assessment, a nurse is evaluating the breath sounds of an adult client diagnosed with pneumonia. Which of the following actions should the nurse take?

A. Follow a systematic pattern from side-to-side moving down the client's chest. B. Ask the client to breathe in deeply through their nose. C. Instruct the client to sit upright with their head slightly tilted backward. D. Place the diaphragm of the stethoscope on the client's chest.

HESI Fundamentals Study Guide

Skildor

HESI LPN

HESI LPN