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 is suspected of having a stroke. What is the nurse's priority action?
Correct Answer: B
Rationale: A neurological assessment is the priority when a stroke is suspected to determine the extent of brain injury and identify any immediate risks, such as impaired airway, speech deficits, or loss of motor function. Early recognition of these signs is essential for timely intervention and to guide further treatment like the administration of tPA, if appropriate.
Question 3 of 5
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?
Correct Answer: A
Rationale: It is important to use contraception until sperm is confirmed absent in the ejaculate.
Question 4 of 5
A client is receiving a blood transfusion and reports feeling chilled and short of breath. What is the nurse's priority action?
Correct Answer: A
Rationale: Stopping the transfusion prevents further reactions, and notifying the healthcare provider ensures timely intervention.
Question 5 of 5
A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?
Correct Answer: B
Rationale: Phenytoin should be taken consistently, as missing doses can increase the risk of seizures. Additionally, clients should be aware of drug interactions, such as with antacids, which can reduce the absorption of phenytoin.
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