HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with deep vein thrombosis (DVT) is prescribed warfarin. What lab value should the nurse review before administering the medication?
Correct Answer: C
Rationale: INR should be reviewed before administering warfarin to ensure the client is within the therapeutic range.
Question 2 of 5
A client who is bedridden after a stroke is at risk for developing pressure ulcers. Which nursing intervention is most important in preventing this complication?
Correct Answer: B
Rationale: Repositioning the client every 2 hours is essential in preventing pressure ulcers in bedridden clients.
Question 3 of 5
The nurse is caring for a client with a suspected myocardial infarction (MI). Which laboratory test result is most indicative of a recent MI?
Correct Answer: A
Rationale: Elevated troponin levels are the most specific and sensitive indicator of myocardial infarction. Troponin levels increase within hours of an MI and remain elevated for several days.
Question 4 of 5
An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration status?
Correct Answer: A
Rationale: Urine specific gravity is the most accurate indicator of hydration status in this scenario.
Question 5 of 5
A client is admitted to the emergency department after a motor vehicle accident. The client has a Glasgow Coma Scale (GCS) score of 10. What does this score indicate?
Correct Answer: B
Rationale: A Glasgow Coma Scale score of 10 falls into the range of moderate impairment, indicating the need for further assessment and monitoring.
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