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 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.

Question 2 of 5

A client with hypothyroidism is prescribed levothyroxine. What assessment finding suggests the medication dosage is too high?

Correct Answer: B

Rationale: Increased heart rate and palpitations may indicate that the dosage of levothyroxine is too high, leading to hyperthyroidism.

Question 3 of 5

A postoperative client with a history of diabetes mellitus is showing signs of hyperglycemia. What should the nurse assess first?

Correct Answer: C

Rationale: Hyperglycemia in postoperative clients, especially those with diabetes, can be a sign of infection. The nurse should assess blood glucose levels to confirm hyperglycemia.

Question 4 of 5

A client receiving total parenteral nutrition (TPN) reports nausea and dizziness. What action should the nurse take first?

Correct Answer: B

Rationale: Checking vital signs and blood pressure helps assess the client's stability when reporting symptoms like nausea and dizziness during TPN.

Question 5 of 5

A client is receiving 30 mg of enoxaparin subcutaneously twice a day. In assessing adverse effects of the medication, which serum laboratory value is most important for the nurse to monitor?

Correct Answer: B

Rationale: Enoxaparin can cause heparin-induced thrombocytopenia (HIT), making it important to monitor the platelet count. PT and aPTT are less impacted by enoxaparin, and hemoglobin checks are more related to bleeding than to thrombocytopenia.

Similar Questions

A client is receiving 30 mg of enoxaparin subcutaneously twice a day. In assessing adverse effects of the medication, which serum laboratory value is most important for the nurse to monitor?
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?
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?
While assessing a client who is admitted with heart failure and pulmonary edema, the nurse identifies dependent peripheral edema, an irregular heart rate, and a persistent cough that produces pink blood-tinged sputum. After initiating continuous telemetry and positioning the client, which intervention should the nurse implement?
The nurse is caring for a client receiving a blood transfusion who develops urticaria one-half hour after the transfusion has begun. What is the first action the nurse should take?

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