HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client who is bedridden after a stroke is at risk for developing pressure ulcers. Which nursing intervention is most important in preventing this complication?
Correct Answer: B
Rationale: Repositioning the client every 2 hours is essential in preventing pressure ulcers in bedridden clients.
Question 2 of 5
A client with bipolar disorder is prescribed lithium. What should the nurse teach the client about lithium toxicity?
Correct Answer: D
Rationale: Lithium toxicity can occur if levels become too high, especially if the client is dehydrated. Clients should be advised to avoid NSAIDs and maintain adequate hydration to prevent toxicity.
Question 3 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 4 of 5
A client reports unilateral leg swelling after a long flight. What complication is the nurse most concerned about?
Correct Answer: A
Rationale: Unilateral leg swelling following a long flight may indicate a pulmonary embolism, which is a life-threatening complication requiring immediate attention.
Question 5 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.
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