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 a blood transfusion and reports feeling chilled and short of breath. What is the nurse's priority action?

Correct Answer: A

Rationale: Stopping the transfusion prevents further reactions, and notifying the healthcare provider ensures timely intervention.

Question 2 of 5

A client with a recent myocardial infarction is prescribed a beta-blocker. What side effect should the nurse monitor for?

Correct Answer: B

Rationale: Beta-blockers can cause hypotension, so it's important to monitor the client's blood pressure closely.

Question 3 of 5

The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) who has been experiencing increasing shortness of breath. Which finding requires immediate intervention?

Correct Answer: D

Rationale: A pulse oximetry reading of 88% indicates hypoxemia, which requires immediate intervention to improve oxygenation. The use of accessory muscles and a barrel chest appearance are common in COPD but do not require urgent intervention.

Question 4 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 5 of 5

The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?

Correct Answer: B

Rationale: An intradermal injection for a tuberculosis skin test should be administered using a 27-gauge needle at a 15-degree angle. This technique ensures that the medication is delivered into the dermis layer of the skin.

Similar Questions

The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?
A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (A1C) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale of insulin aspart every 6 hours are prescribed. What actions should the nurse include in this client's plan of care?
A client with deep vein thrombosis (DVT) is prescribed warfarin. What lab value should the nurse review before administering the medication?
A male client with heart failure presents with shortness of breath, audible wheezing, and pink frothy sputum. What action should the nurse take?
A client with a peripherally inserted central catheter (PICC) line has a fever. What client assessment is most important for the nurse to perform?

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