HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client is admitted with pneumonia and is started on antibiotics. After 3 days, the client reports difficulty breathing and a rash. What is the nurse's first action?
Correct Answer: B
Rationale: The client's difficulty breathing and rash suggest a possible allergic reaction to the antibiotic. The nurse should immediately discontinue the antibiotic to prevent further exposure and then assess the client and notify the healthcare provider.
Question 2 of 5
A client with type 1 diabetes mellitus is admitted to the emergency department with confusion, sweating, and a blood sugar level of 45 mg/dL. What is the nurse's priority action?
Correct Answer: A
Rationale: A blood sugar level of 45 mg/dL indicates severe hypoglycemia, which can lead to life-threatening complications if not treated immediately. The priority is to administer IV dextrose to rapidly increase the blood sugar level. Offering a carbohydrate snack may follow once the client is stable.
Question 3 of 5
A client with pneumonia is prescribed antibiotics. What is the most important teaching point for the nurse to provide?
Correct Answer: C
Rationale: Antibiotics must be taken for the entire prescribed duration to ensure that the infection is completely eradicated. Stopping antibiotics early, even if symptoms improve, can lead to a recurrence of the infection or antibiotic resistance.
Question 4 of 5
The nurse is providing care for a client with schizophrenia who receives haloperidol decanoate 75 mg IM every 4 weeks. The client begins developing a puckering and smacking of the lips and facial grimacing. Which intervention should the nurse implement?
Correct Answer: C
Rationale: These symptoms are characteristic of tardive dyskinesia, a side effect of long-term antipsychotic use. The nurse should assess the severity of these movements using the AIMS scale and report to the healthcare provider for further management.
Question 5 of 5
A client who is bedridden after a stroke is at risk for developing pressure ulcers. Which nursing intervention is most important in preventing this complication?
Correct Answer: B
Rationale: Repositioning the client every 2 hours is essential in preventing pressure ulcers in bedridden clients.
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