HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with adrenal insufficiency is admitted to the ICU with acute adrenal crisis. The client's vital signs include heart rate 138 bpm and BP 80/60. What is the nurse's first intervention?

Correct Answer: B

Rationale: An IV fluid bolus stabilizes blood pressure during adrenal crisis.

Question 2 of 5

A client with hyperthyroidism is admitted for total thyroidectomy. What is the nurse's priority post-operative intervention?

Correct Answer: A

Rationale: Calcium levels should be monitored closely as hypocalcemia is a common complication after thyroid surgery.

Question 3 of 5

A client is experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?

Correct Answer: B

Rationale: Before administering nitroglycerin, which can lower blood pressure and heart rate, it is important to assess both to avoid exacerbating hypotension or bradycardia. Nitroglycerin helps relieve chest pain by dilating coronary arteries, but its vasodilating effect can also cause a significant drop in blood pressure, which can be dangerous for some clients.

Question 4 of 5

The nurse has been teaching a client with congestive heart failure about proper nutrition. The selection of which lunch indicates the client has learned about sodium restriction?

Correct Answer: B

Rationale: The selection of a sliced turkey sandwich and canned pineapple shows an understanding of sodium restriction.

Question 5 of 5

A client is receiving lactulose for signs of hepatic encephalopathy. To evaluate the therapeutic response, which assessment should the nurse obtain?

Correct Answer: D

Rationale: Lactulose is used to reduce ammonia levels, so consciousness is an indicator of efficacy.

Similar Questions

A client is receiving lactulose for signs of hepatic encephalopathy. To evaluate the therapeutic response, which assessment should the nurse obtain?
A client with COPD and a history of emphysema presents with increasing shortness of breath. What action should the nurse implement first?
A client with type 1 diabetes mellitus is admitted to the emergency department with confusion, sweating, and a blood sugar level of 45 mg/dL. What is the nurse's priority action?
A client with adrenal insufficiency is admitted to the ICU with acute adrenal crisis. The client's vital signs include heart rate 138 bpm and BP 80/60. What is the nurse's first intervention?
A client with atrial fibrillation is prescribed warfarin, and their INR is elevated. What is the nurse's priority action?

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