HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first
Correct Answer: C
Rationale: The nurse should first gather more details to better understand the situation before proceeding with documentation or reporting.
Question 2 of 5
A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?
Correct Answer: B
Rationale: Phenytoin should be taken consistently, as missing doses can increase the risk of seizures. Additionally, clients should be aware of drug interactions, such as with antacids, which can reduce the absorption of phenytoin.
Question 3 of 5
A client is scheduled for a colonoscopy. Which preparation is the most important for the nurse to implement?
Correct Answer: D
Rationale: Verifying that the client has completed bowel prep ensures the colon is clear for accurate visualization during the procedure.
Question 4 of 5
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?
Correct Answer: D
Rationale: The client's cough producing pink, frothy sputum is indicative of pulmonary edema, which needs immediate treatment. Obtaining a sputum sample helps identify any infection that may be contributing to the pulmonary issues. Administering diuretics and notifying the provider are also important, but sputum analysis will guide specific treatment.
Question 5 of 5
The nurse is caring for a client with a suspected myocardial infarction (MI). Which laboratory test result is most indicative of a recent MI?
Correct Answer: A
Rationale: Elevated troponin levels are the most specific and sensitive indicator of myocardial infarction. Troponin levels increase within hours of an MI and remain elevated for several days.
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