HESI RN
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.
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