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 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 3 of 5
The nurse is teaching a client about postoperative care following a total knee arthroplasty. What instruction should the nurse prioritize?
Correct Answer: B
Rationale: Continuous passive motion therapy helps maintain mobility and prevent stiffness postoperatively.
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 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.
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