HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A 5-week-old infant who developed projectile vomiting over the last two weeks is diagnosed with hypertrophic pyloric stenosis. Which intervention should the nurse plan to implement?

Correct Answer: D

Rationale: Intravenous fluids are essential for rehydrating an infant who is likely suffering from dehydration due to projectile vomiting. This condition, commonly related to pyloric stenosis, causes rapid fluid loss. Oral rehydration methods might not be sufficient or appropriate for such a young infant, especially if vomiting persists. IV therapy ensures controlled and adequate fluid replacement to stabilize the child.

Question 2 of 5

The nurse has received funding to design a health promotion project for African American women who are at risk for developing breast cancer. Which resource is most important in designing this program?

Correct Answer: A

Rationale: Involving community leaders helps ensure that the program is culturally relevant and addresses the needs of the target population. Community involvement also fosters trust and engagement in the health promotion project.

Question 3 of 5

A client with hypothyroidism is prescribed levothyroxine. What assessment finding suggests the medication dosage is too high?

Correct Answer: B

Rationale: Increased heart rate and palpitations may indicate that the dosage of levothyroxine is too high, leading to hyperthyroidism.

Question 4 of 5

A client is receiving morphine for postoperative pain. What is the nurse's priority assessment?

Correct Answer: A

Rationale: Monitoring respiratory rate helps assess for respiratory depression, a common side effect of morphine.

Question 5 of 5

A client with heart failure receiving furosemide develops muscle weakness. What is the nurse's priority action?

Correct Answer: B

Rationale: Muscle weakness in a client receiving furosemide (a diuretic) is often a sign of hypokalemia, as furosemide increases potassium loss. Monitoring potassium levels is essential to identify and address any imbalances and prevent complications such as arrhythmias.

Similar Questions

A client with heart failure receiving furosemide develops muscle weakness. What is the nurse's priority action?
A male client with HIV on saquinavir and other antiretrovirals reports increased hunger and thirst but weight loss. Which action should the nurse take?
While assessing a client who is admitted with heart failure and pulmonary edema, the nurse identifies dependent peripheral edema, an irregular heart rate, and a persistent cough that produces pink blood-tinged sputum. After initiating continuous telemetry and positioning the client, which intervention should the nurse implement?
A client with a peripherally inserted central catheter (PICC) line has a fever. What client assessment is most important for the nurse to perform?
An older client is admitted to the intensive care unit unconscious after several days of vomiting and diarrhea. The nurse inserts a urinary catheter and observes dark amber urine output. Which intervention should the nurse implement first?

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