HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with Alzheimer's disease is prescribed donepezil. What is the most important teaching point?
Correct Answer: C
Rationale: Donepezil helps improve cognitive function but is not a cure for Alzheimer's disease.
Question 2 of 5
A female client with acute respiratory distress syndrome (ARDS) is sedated and on a ventilator with 50% FIO2. What assessment finding warrants immediate intervention?
Correct Answer: B
Rationale: Diminished breath sounds in a sedated client with ARDS and on a ventilator indicate collapsed alveoli, which requires immediate intervention, such as chest tube insertion, to prevent further lung damage.
Question 3 of 5
A client with COPD and a history of emphysema presents with increasing shortness of breath. What action should the nurse implement first?
Correct Answer: C
Rationale: Checking the oxygen delivery system ensures the client is receiving adequate oxygen and addresses any equipment malfunction.
Question 4 of 5
A 48 year-old client with chronic alcoholism is admitted to the hospital. The nurse would anticipate that the client may be deficient in which vitamins?
Correct Answer: A
Rationale: Chronic alcoholism commonly leads to deficiencies in B vitamins, particularly thiamine, and vitamin C.
Question 5 of 5
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which assessment finding indicates that the client's oxygenation is improving?
Correct Answer: A
Rationale: A pulse oximetry reading of 94% indicates adequate oxygenation. Monitoring oxygen saturation is the most objective way to assess the effectiveness of oxygen therapy.
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