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 admitted with a suspected pulmonary embolism (PE). What is the nurse's priority intervention?

Correct Answer: D

Rationale: A CT scan can help confirm a pulmonary embolism and guide further treatment.

Question 3 of 5

To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must

Correct Answer: A

Rationale: Suctioning for more than 10 seconds can cause hypoxia, so it should be limited to 10 seconds at most.

Question 4 of 5

A client is suspected of having a stroke. What is the nurse's priority action?

Correct Answer: B

Rationale: A neurological assessment is the priority when a stroke is suspected to determine the extent of brain injury and identify any immediate risks, such as impaired airway, speech deficits, or loss of motor function. Early recognition of these signs is essential for timely intervention and to guide further treatment like the administration of tPA, if appropriate.

Question 5 of 5

After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication?

Correct Answer: B

Rationale: The primary goal of a proton pump inhibitor (PPI) is to reduce stomach acid, which alleviates gastrointestinal pain. Asking about pain levels is the most direct way to assess whether the medication is effective.

Similar Questions

After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication?
A 48 year-old client with chronic alcoholism is admitted to the hospital. The nurse would anticipate that the client may be deficient in which vitamins?
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?
Which intervention should the nurse include in the care plan for a child with tetanus?
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?

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