HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client is newly prescribed lithium for bipolar disorder. Which finding is most important to report to the healthcare provider?
Correct Answer: B
Rationale: Fine hand tremors are an early sign of lithium toxicity, and the healthcare provider should be notified to adjust the dose or monitor serum levels more closely.
Question 2 of 5
A client with hyperparathyroidism is preparing for surgery. Which preoperative lab finding is most important to report?
Correct Answer: A
Rationale: Elevated calcium levels can cause complications during surgery and should be reported.
Question 3 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 4 of 5
An older client with SIRS has a temperature of 101.8�F, a heart rate of 110 beats per minute, and a respiratory rate of 24 breaths per minute. Which additional finding is most important to report to the healthcare provider?
Correct Answer: A
Rationale: A serum creatinine level of 2.0 mg/dL indicates possible acute kidney injury, which can occur during severe systemic inflammatory response syndrome (SIRS). Reporting this value promptly allows for interventions to prevent further renal damage.
Question 5 of 5
As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?
Correct Answer: D
Rationale: Teens are more likely to be concerned with hair loss, as it is a visible and emotional side effect.
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