HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 2 of 5
A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first
Correct Answer: C
Rationale: The nurse should first gather more details to better understand the situation before proceeding with documentation or reporting.
Question 3 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.
Question 4 of 5
The nurse is caring for a client with a suspected myocardial infarction (MI). Which laboratory test result is most indicative of a recent MI?
Correct Answer: A
Rationale: Elevated troponin levels are the most specific and sensitive indicator of myocardial infarction. Troponin levels increase within hours of an MI and remain elevated for several days.
Question 5 of 5
A client with a myocardial infarction is prescribed nitroglycerin. What instruction should the nurse include?
Correct Answer: D
Rationale: Clients prescribed nitroglycerin should be instructed to limit its use to no more than three doses in 15 minutes. This prevents excessive use, which can lead to severe hypotension and other complications.
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