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HESI RN · HESI Fundamentals of Nursing · Introduction to Community Health Nursing

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which action should the nurse plan to prevent aspiration in a high-risk patient?

A. Turn and reposition an immobile patient at least every 2 hours.

B. Place a patient with altered consciousness in a side-lying position.

C. Insert a nasogastric tube for feeding a patient with high-calorie needs.

D. Monitor respiratory symptoms in a patient who is immunosuppressed.

Expert Explanatory Rationale

Correct Answer: Place a patient with altered consciousness in a side-lying position.

Question 2 of 5

In performing enemas, the indicated height for adults should be:

A. 10-12 inches above the rectum

B. 10-16 inches above the bed

C. 12-18 inches above the bed

D. 12-18 inches above the rectum

Expert Explanatory Rationale

Correct Answer: 12-18 inches above the rectum

Question 3 of 5

The medication order of a client indicates: hs. This means that the nurse should administer the medication:

A. As desired

B. At once

C. Before meals

D. At bedtime

Expert Explanatory Rationale

Correct Answer: At bedtime

Question 4 of 5

An older adult client has been moved from home to a skilled nursing facility (SNF). Which behavior, demonstrated by this client, indicates a problem with daily functioning?

A. The client eats 80% of meals.

B. The client watches television with others.

C. The client wants to wear one9s own clothing.

D. The client will not use the prescribed walker.

Expert Explanatory Rationale

Correct Answer: The client will not use the prescribed walker.

Question 5 of 5

Nurse Jasmine provides a list of instructions to a client being discharged to home with a peripherally inserted central catheter (PICC). The nurse determines that the client needs further instructions if the client made which statement?

A. I need to wear a MedicAlert tag or bracelet.

B. I need to restrict my activity while this catheter is in place.

C. I need to keep the insertion site protected when in the shower or bath.

D. I need to check the markings on the catheter each time the dressing is changed.

Expert Explanatory Rationale

Correct Answer: I need to restrict my activity while this catheter is in place.

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