HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client receiving total parenteral nutrition (TPN) reports nausea and dizziness. What action should the nurse take first?
Correct Answer: B
Rationale: Checking vital signs and blood pressure helps assess the client's stability when reporting symptoms like nausea and dizziness during TPN.
Question 2 of 5
Which activity is most important for a client recovering from a hip replacement to avoid during the first few weeks of recovery?
Correct Answer: B
Rationale: Crossing the legs after a hip replacement can increase the risk of hip dislocation. Clients should be advised to avoid crossing their legs during recovery to protect the new joint.
Question 3 of 5
A client with a deep vein thrombosis (DVT) is prescribed enoxaparin. What teaching should the nurse provide?
Correct Answer: C
Rationale: Clients should report unusual bruising or bleeding when taking enoxaparin, as these are signs of excessive anticoagulation.
Question 4 of 5
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement?
Correct Answer: B
Rationale: The pillows along the side rails do not provide sufficient protection in the event of a seizure. The nurse should inform the UAP to remove the pillows and ensure proper padding of the side rails. This prevents injury, such as hitting the head or limbs during a seizure.
Question 5 of 5
The nurse is caring for a client post-surgery with an order to ambulate the client every 2 hours. Which of the following tasks could be safely delegated to an unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: Assisting with ambulation is a task that can be safely delegated to a UAP, as it does not involve clinical judgment.
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