HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client is receiving 30 mg of enoxaparin subcutaneously twice a day. In assessing adverse effects of the medication, which serum laboratory value is most important for the nurse to monitor?

Correct Answer: B

Rationale: Enoxaparin can cause heparin-induced thrombocytopenia (HIT), making it important to monitor the platelet count. PT and aPTT are less impacted by enoxaparin, and hemoglobin checks are more related to bleeding than to thrombocytopenia.

Question 2 of 5

The nurse observes that a client's wrist restraint is secured to the side rail of the bed. What action should the nurse take?

Correct Answer: B

Rationale: Restraints should always be secured to the bedframe, not the side rails, to prevent injury to the client in case the bed is adjusted.

Question 3 of 5

A client with deep vein thrombosis (DVT) is prescribed warfarin. What lab value should the nurse review before administering the medication?

Correct Answer: C

Rationale: INR should be reviewed before administering warfarin to ensure the client is within the therapeutic range.

Question 4 of 5

A client asks the nurse for information about reducing risk factors for BPH. Which information should the nurse provide?

Correct Answer: A

Rationale: Physical activity can help reduce the risk of benign prostatic hyperplasia (BPH) by improving overall circulation and reducing inflammation. While avoiding caffeine and alcohol may help with symptom management, increasing activity is more strongly linked to prevention.

Question 5 of 5

The nurse is caring for a client post-surgery with an order to ambulate the client every 2 hours. Which of the following tasks could be safely delegated to an unlicensed assistive personnel (UAP)?

Correct Answer: C

Rationale: Assisting with ambulation is a task that can be safely delegated to a UAP, as it does not involve clinical judgment.

Similar Questions

The nurse is caring for a client post-surgery with an order to ambulate the client every 2 hours. Which of the following tasks could be safely delegated to an unlicensed assistive personnel (UAP)?
Where should the nurse consider starting a screening program for hypothyroidism?
At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
A client is experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?
A client with a recent myocardial infarction is prescribed a beta-blocker. What side effect should the nurse monitor for?

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