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
After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication?
Correct Answer: B
Rationale: The primary goal of a proton pump inhibitor (PPI) is to reduce stomach acid, which alleviates gastrointestinal pain. Asking about pain levels is the most direct way to assess whether the medication is effective.
Question 3 of 5
The nurse is caring for a client with a chest tube following surgery. The nurse should intervene if which of the following is observed?
Correct Answer: C
Rationale: The chest drainage system should always be kept below chest level to ensure proper drainage.
Question 4 of 5
The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?
Correct Answer: C
Rationale: Shortness of breath is a sign that the anemia is severe enough to impair oxygenation. Immediate intervention is needed to address this potentially life-threatening complication.
Question 5 of 5
A postoperative client with a history of diabetes mellitus is showing signs of hyperglycemia. What should the nurse assess first?
Correct Answer: C
Rationale: Hyperglycemia in postoperative clients, especially those with diabetes, can be a sign of infection. The nurse should assess blood glucose levels to confirm hyperglycemia.
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