HESI RN Exit Exam Capstone

Questions 101

HESI RN

Home > HESI RN > HESI RN Capstone > HESI RN Exit Exam Capstone
HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with atrial fibrillation is prescribed warfarin, and their INR is elevated. What is the nurse's priority action?

Correct Answer: D

Rationale: An elevated INR in clients taking warfarin increases the risk of bleeding. The nurse should notify the healthcare provider immediately and hold the next dose of warfarin to prevent complications.

Question 2 of 5

A client asks the nurse for information about reducing risk factors for BPH. Which information should the nurse provide?

Correct Answer: A

Rationale: Physical activity can help reduce the risk of benign prostatic hyperplasia (BPH) by improving overall circulation and reducing inflammation. While avoiding caffeine and alcohol may help with symptom management, increasing activity is more strongly linked to prevention.

Question 3 of 5

The nurse is caring for a client with pancreatitis who is receiving total parenteral nutrition (TPN). Which assessment finding requires immediate intervention by the nurse?

Correct Answer: B

Rationale: Weakness and shakiness can indicate hypoglycemia, a potential complication of TPN. Immediate intervention is necessary to assess blood glucose levels and provide treatment as needed.

Question 4 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 5 of 5

Which intervention should the nurse include in the care plan for a child with tetanus?

Correct Answer: D

Rationale: Tetanus causes severe muscle spasms and sensitivity to stimuli, so minimizing stimuli like light, sound, and touch can help prevent painful spasms. Monitoring vital signs and administering antibiotics are important but managing stimuli is crucial for the child's comfort and safety.

Similar Questions

Which intervention should the nurse include in the care plan for a child with tetanus?
A client is scheduled for a colonoscopy. Which preparation is the most important for the nurse to implement?
The nurse is caring for a client with acute pancreatitis who is reporting severe abdominal pain. Which nursing intervention should the nurse implement first?
A client with bipolar disorder is prescribed lithium. What should the nurse teach the client about lithium toxicity?
A young adult visits the clinic reporting symptoms associated with gastritis. Which information in the client's history is most important for the nurse to address in the teaching plan?

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for HESI-RN and 3000+ practice questions to help you pass your HESI-RN exam.

Call to Action Image