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 hyperthyroidism is admitted for total thyroidectomy. What is the nurse's priority post-operative intervention?
Correct Answer: A
Rationale: Calcium levels should be monitored closely as hypocalcemia is a common complication after thyroid surgery.
Question 3 of 5
A client with COPD and a history of emphysema presents with increasing shortness of breath. What action should the nurse implement first?
Correct Answer: C
Rationale: Checking the oxygen delivery system ensures the client is receiving adequate oxygen and addresses any equipment malfunction.
Question 4 of 5
The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal
Correct Answer: A
Rationale: An S3 ventricular gallop is typically heard in clients with congestive heart failure due to fluid overload.
Question 5 of 5
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?
Correct Answer: A
Rationale: It is important to use contraception until sperm is confirmed absent in the ejaculate.
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