HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A 48 year-old client with chronic alcoholism is admitted to the hospital. The nurse would anticipate that the client may be deficient in which vitamins?
Correct Answer: A
Rationale: Chronic alcoholism commonly leads to deficiencies in B vitamins, particularly thiamine, and vitamin C.
Question 2 of 5
A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication
Correct Answer: A
Rationale: Hypokalemia combined with digoxin increases the risk of dysrhythmias.
Question 3 of 5
A client is experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?
Correct Answer: B
Rationale: Before administering nitroglycerin, which can lower blood pressure and heart rate, it is important to assess both to avoid exacerbating hypotension or bradycardia. Nitroglycerin helps relieve chest pain by dilating coronary arteries, but its vasodilating effect can also cause a significant drop in blood pressure, which can be dangerous for some clients.
Question 4 of 5
A client with heart failure is prescribed spironolactone. What is the nurse's priority intervention?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, so the nurse should closely monitor for signs of hyperkalemia, which can lead to cardiac arrhythmias.
Question 5 of 5
A male client with heart failure presents with shortness of breath, audible wheezing, and pink frothy sputum. What action should the nurse take?
Correct Answer: B
Rationale: Morphine is needed to reduce the client's distress and should be given as prescribed.
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