FINAL HESI RN FUNDAMENTALS ACTUAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES FOR NGN LATEST 2024

FINAL HESI RN FUNDAMENTALS ACTUAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES FOR NGN LATEST 2024 Patient Assessment: Question 1: Patient Scenario: A 65-year-old patient with a history of diabetes and hypertension is admitted to the hospital complaining of shortness of breath. The nurse assesses the patient's vital signs. Which vital sign finding requires immediate attention? A) Blood pressure of 140/90 mmHg B) Heart rate of 90 beats per minute C) Respiratory rate of 28 breaths per minute D) Temperature of 99.8°F Answer: C) Respiratory rate of 28 breaths per minute Rationale: An elevated respiratory rate can indicate respiratory distress or inadequate oxygenation. In this case, the patient's shortness of breath makes the respiratory rate the priority vital sign to address. Prompt intervention is necessary to assess and address the underlying cause of respiratory distress. Question 2: Patient Scenario: A postoperative patient has been complaining of pain at the incision site. The nurse performs a pain assessment using the Numeric Rating Scale (NRS), where 0 represents no pain, and 10 represents the worst pain imaginable. The patient rates the pain as 8. What is the nurse's next appropriate action? A) Administer pain medication as ordered B) Reassure the patient that pain is expected after surgery C) Document the pain rating in the chart D) Assess the incision site for redness and swelling Answer: A) Administer pain medication as ordered Rationale: A pain rating of 8 indicates significant discomfort, and the nurse's priority is to address the patient's pain. Administering pain medication as ordered will help alleviate the pain and improve the patient's overall comfort. It is essential to follow the healthcare provider's prescribed pain management plan. Question 3: Patient Scenario: A 45-year-old patient is admitted with dehydration. The nurse is assessing the patient's skin turgor. Which finding is indicative of dehydration? A) Skin that recoils quickly B) Skin that remains elevated and tents C) Skin that feels cool to the touch D) Skin that is pink and moist