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 is prescribed furosemide. The nurse notes that the client's potassium level is 3.1 mEq/L. What is the nurse's priority action?

Correct Answer: A

Rationale: A potassium level of 3.1 mEq/L is considered low. Administering a potassium supplement is the priority action to prevent complications such as cardiac arrhythmias, which can occur with hypokalemia.

Question 2 of 5

A client with type 1 diabetes mellitus is admitted to the emergency department with confusion, sweating, and a blood sugar level of 45 mg/dL. What is the nurse's priority action?

Correct Answer: A

Rationale: A blood sugar level of 45 mg/dL indicates severe hypoglycemia, which can lead to life-threatening complications if not treated immediately. The priority is to administer IV dextrose to rapidly increase the blood sugar level. Offering a carbohydrate snack may follow once the client is stable.

Question 3 of 5

The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement?

Correct Answer: B

Rationale: The pillows along the side rails do not provide sufficient protection in the event of a seizure. The nurse should inform the UAP to remove the pillows and ensure proper padding of the side rails. This prevents injury, such as hitting the head or limbs during a seizure.

Question 4 of 5

Where should the nurse consider starting a screening program for hypothyroidism?

Correct Answer: B

Rationale: An African-American senior citizens' center is a suitable location for screening, as older adults are at increased risk of hypothyroidism, and African-Americans are more likely to be underserved in healthcare.

Question 5 of 5

A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?

Correct Answer: A

Rationale: It is important to use contraception until sperm is confirmed absent in the ejaculate.

Similar Questions

A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?
A client with diabetes mellitus is experiencing diabetic ketoacidosis (DKA). What laboratory result should the nurse monitor closely?
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which assessment finding indicates that the client's oxygenation is improving?
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 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?

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