HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication

Correct Answer: A

Rationale: Hypokalemia combined with digoxin increases the risk of dysrhythmias.

Question 2 of 5

The nurse assesses a client one hour after starting a transfusion of packed red blood cells and determines that there are no indications of a transfusion reaction. What instruction should the nurse provide the UAP who is working with the nurse?

Correct Answer: D

Rationale: Monitoring vital signs throughout a transfusion is critical, as reactions can occur later in the process. The UAP should continue to check vital signs regularly to ensure that any delayed reaction is promptly detected.

Question 3 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 4 of 5

The nurse is caring for a client with an exacerbation of chronic obstructive pulmonary disease (COPD). Which intervention is most important to promote effective breathing?

Correct Answer: A

Rationale: Diaphragmatic breathing helps improve lung expansion and oxygen exchange, promoting more effective breathing in clients with COPD. Increasing oxygen flow rate is not always appropriate and can worsen hypercapnia in these clients.

Question 5 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.

Similar Questions

A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?
A male client with HIV on saquinavir and other antiretrovirals reports increased hunger and thirst but weight loss. Which action should the nurse take?
A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (A1C) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale of insulin aspart every 6 hours are prescribed. What actions should the nurse include in this client's plan of care?
The nurse has received funding to design a health promotion project for African American women who are at risk for developing breast cancer. Which resource is most important in designing this program?
Which intervention should the nurse include in the care plan for a child with tetanus?

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