HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with a colostomy is being discharged. What teaching is most important for the nurse to provide?
Correct Answer: C
Rationale: Emptying the ostomy pouch when it's one-third full prevents leakage and skin irritation.
Question 2 of 5
The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal retractions. After administering surfactant, which assessment is most important for the nurse to monitor?
Correct Answer: C
Rationale: Surfactant therapy is used to improve lung function and gas exchange in premature infants with respiratory distress. Monitoring arterial blood gases is essential to assess the effectiveness of the treatment and ensure adequate oxygenation.
Question 3 of 5
A client with diabetes mellitus is experiencing diabetic ketoacidosis (DKA). What laboratory result should the nurse monitor closely?
Correct Answer: B
Rationale: A blood glucose level of 320 mg/dL indicates the need for insulin to manage diabetic ketoacidosis.
Question 4 of 5
A client is admitted with pneumonia and is started on antibiotics. After 3 days, the client reports difficulty breathing and a rash. What is the nurse's first action?
Correct Answer: B
Rationale: The client's difficulty breathing and rash suggest a possible allergic reaction to the antibiotic. The nurse should immediately discontinue the antibiotic to prevent further exposure and then assess the client and notify the healthcare provider.
Question 5 of 5
A client with heart failure receiving furosemide develops muscle weakness. What is the nurse's priority action?
Correct Answer: B
Rationale: Muscle weakness in a client receiving furosemide (a diuretic) is often a sign of hypokalemia, as furosemide increases potassium loss. Monitoring potassium levels is essential to identify and address any imbalances and prevent complications such as arrhythmias.
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