HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with bipolar disorder is prescribed lithium. What should the nurse teach the client about lithium toxicity?
Correct Answer: D
Rationale: Lithium toxicity can occur if levels become too high, especially if the client is dehydrated. Clients should be advised to avoid NSAIDs and maintain adequate hydration to prevent toxicity.
Question 2 of 5
A client is admitted with a suspected pulmonary embolism (PE). What is the nurse's priority intervention?
Correct Answer: D
Rationale: A CT scan can help confirm a pulmonary embolism and guide further treatment.
Question 3 of 5
A scrub nurse preparing for the first surgery of the day asks if a 3-minute surgical hand scrub is adequate. What should the circulating nurse advise?
Correct Answer: B
Rationale: The circulating nurse should advise the scrub nurse to extend the hand scrub to 5 minutes for thorough preparation, particularly for the first surgery of the day.
Question 4 of 5
A client with heart failure is prescribed spironolactone. What is the nurse's priority intervention?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, so the nurse should closely monitor for signs of hyperkalemia, which can lead to cardiac arrhythmias.
Question 5 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.
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