HESI RN Exit Exam Capstone

Questions 101

HESI RN

HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with heart failure is experiencing shortness of breath and swelling in the legs. What is the nurse's priority intervention?

Correct Answer: A

Rationale: Diuretics are prescribed to reduce fluid overload in clients with heart failure. By promoting urine output, diuretics help alleviate symptoms like shortness of breath and swelling. Positioning and dietary changes can also be part of the care plan, but administering diuretics is the immediate priority.

Question 2 of 5

As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?

Correct Answer: D

Rationale: Teens are more likely to be concerned with hair loss, as it is a visible and emotional side effect.

Question 3 of 5

The healthcare provider prescribes an IV infusion of isoproterenol in D5W at 300 mcg/hour. How many ml/hour should the nurse set the pump to?

Correct Answer: B

Rationale: To calculate the correct infusion rate, use the formula: 300 mcg/hour = 0.3 mg/hour. Given that the IV solution is 1 mg in 250 ml, the rate is set at 75 ml/hour.

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 hyperparathyroidism is preparing for surgery. Which preoperative lab finding is most important to report?

Correct Answer: A

Rationale: Elevated calcium levels can cause complications during surgery and should be reported.

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