RN HESI Exit Exam Capstone

Questions 79

HESI RN

HESI RN Test Bank

RN HESI Exit Exam Capstone Questions

Question 1 of 5

A client receiving total parenteral nutrition (TPN) is experiencing nausea and vomiting. What is the nurse's first action?

Correct Answer: D

Rationale: The correct first action for the nurse to take when a client receiving TPN is experiencing nausea and vomiting is to check the client's TPN bag for solution accuracy. This is crucial to ensure that the correct solution is being administered and to address any potential errors. Checking the blood glucose level or administering an antiemetic may be necessary interventions but addressing the TPN bag's accuracy should be the priority to prevent any complications related to incorrect TPN solution.

Question 2 of 5

A client with chronic obstructive pulmonary disease (COPD) is being discharged home. What should the nurse include in the discharge teaching?

Correct Answer: C

Rationale: The correct answer is C. Pursed-lip breathing helps control breathing and improves oxygen exchange in clients with COPD. It can ease shortness of breath during activities and should be included in discharge teaching to manage symptoms. Option A is incorrect as adequate fluid intake is important for thinning mucus in COPD. Option B is wrong as physical activity, as tolerated, is beneficial for COPD patients. Option D is also incorrect because changing oxygen flow rate without healthcare provider guidance can be dangerous.

Question 3 of 5

A client receiving total parenteral nutrition (TPN) is experiencing nausea and vomiting. What is the nurse's first action?

Correct Answer: D

Rationale: The correct first action for the nurse to take when a client receiving TPN is experiencing nausea and vomiting is to check the client's TPN bag for solution accuracy. This is crucial to ensure that the correct solution is being administered and to address any potential errors. Checking the blood glucose level or administering an antiemetic may be necessary interventions but addressing the TPN bag's accuracy should be the priority to prevent any complications related to incorrect TPN solution.

Question 4 of 5

A client is prescribed metformin for type 2 diabetes. What should the nurse emphasize in the client's teaching?

Correct Answer: C

Rationale: The correct answer is to avoid alcohol consumption while taking metformin. Alcohol can increase the risk of lactic acidosis when combined with metformin. Choice A is incorrect because metformin is usually recommended to be taken with meals to reduce GI upset. Choice B is important but not the priority; muscle pain is more commonly associated with other diabetes medications. Choice D is incorrect because metformin typically does not cause hypoglycemia but rather helps control blood sugar levels in type 2 diabetes.

Question 5 of 5

While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. What is the nurse�€™s best response?

Correct Answer: C

Rationale: Diuretics must be continued as long as the fluid problem persists to prevent heart failure symptoms.

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