HESI RN Exit Exam Capstone

Questions 101

HESI RN

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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 with heart failure is prescribed digoxin. What assessment finding should the nurse report immediately?

Correct Answer: A

Rationale: Bradycardia is a sign of digoxin toxicity and should be reported immediately.

Question 3 of 5

A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication

Correct Answer: A

Rationale: Hypokalemia combined with digoxin increases the risk of dysrhythmias.

Question 4 of 5

A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have disappeared, and that her eyes are puffy. What follow-up question is best for the nurse to ask?

Correct Answer: D

Rationale: Cold intolerance, fatigue, and other changes may indicate hypothyroidism, which could explain the hair and eyebrow loss, and puffy eyes.

Question 5 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.

Similar Questions

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?
An older client with SIRS has a temperature of 101.8�F, a heart rate of 110 beats per minute, and a respiratory rate of 24 breaths per minute. Which additional finding is most important to report to the healthcare provider?
The nurse assesses a client one hour after starting a transfusion of packed red blood cells and determines that there are no indications of a transfusion reaction. What instruction should the nurse provide the UAP who is working with the nurse?
A client with hyperparathyroidism is preparing for surgery. Which preoperative lab finding is most important to report?
A client with a deep vein thrombosis (DVT) is prescribed enoxaparin. What teaching should the nurse provide?

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