HESI RN Exit Exam Capstone

Questions 101

HESI RN

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client is receiving morphine for postoperative pain. What is the nurse's priority assessment?

Correct Answer: A

Rationale: Monitoring respiratory rate helps assess for respiratory depression, a common side effect of morphine.

Question 2 of 5

A client is receiving lactulose for signs of hepatic encephalopathy. To evaluate the therapeutic response, which assessment should the nurse obtain?

Correct Answer: D

Rationale: Lactulose is used to reduce ammonia levels, so consciousness is an indicator of efficacy.

Question 3 of 5

The nurse is caring for a client with a suspected myocardial infarction (MI). Which laboratory test result is most indicative of a recent MI?

Correct Answer: A

Rationale: Elevated troponin levels are the most specific and sensitive indicator of myocardial infarction. Troponin levels increase within hours of an MI and remain elevated for several days.

Question 4 of 5

A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. Which acid-base imbalance does the nurse anticipate the client developing?

Correct Answer: B

Rationale: Hyperventilation from anxiety or fear causes an excessive loss of CO2, leading to respiratory alkalosis. This shift in pH results from the rapid, shallow breathing that reduces the level of carbon dioxide in the blood. Respiratory acidosis would occur in cases of poor ventilation or CO2 retention, while metabolic acidosis/alkalosis relates to disturbances in bicarbonate, not breathing patterns.

Question 5 of 5

A postoperative client with a history of diabetes mellitus is showing signs of hyperglycemia. What should the nurse assess first?

Correct Answer: C

Rationale: Hyperglycemia in postoperative clients, especially those with diabetes, can be a sign of infection. The nurse should assess blood glucose levels to confirm hyperglycemia.

Similar Questions

A postoperative client with a history of diabetes mellitus is showing signs of hyperglycemia. What should the nurse assess first?
A client with bipolar disorder is prescribed lithium. What should the nurse teach the client about lithium toxicity?
A client with atrial fibrillation is prescribed warfarin, and their INR is elevated. What is the nurse's priority action?
A client is experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?
An older client is admitted to the intensive care unit unconscious after several days of vomiting and diarrhea. The nurse inserts a urinary catheter and observes dark amber urine output. Which intervention should the nurse implement first?

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