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 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 scrub nurse preparing for the first surgery of the day asks if a 3-minute surgical hand scrub is adequate. What should the circulating nurse advise?

Correct Answer: B

Rationale: The circulating nurse should advise the scrub nurse to extend the hand scrub to 5 minutes for thorough preparation, particularly for the first surgery of the day.

Question 3 of 5

An older client with SIRS has a temperature of 101.8�F, a heart rate of 110 beats per minute, and a respiratory rate of 24 breaths per minute. Which additional finding is most important to report to the healthcare provider?

Correct Answer: A

Rationale: A serum creatinine level of 2.0 mg/dL indicates possible acute kidney injury, which can occur during severe systemic inflammatory response syndrome (SIRS). Reporting this value promptly allows for interventions to prevent further renal damage.

Question 4 of 5

After working with a very demanding client, an unlicensed assistive personnel (UAP) tells the nurse, 'I have had it with that client. I just can't do anything that pleases him. I'm not going in there again.' The nurse should respond by saying

Correct Answer: C

Rationale: Acknowledging the UAP's feelings while exploring the client's behavior provides a supportive and collaborative approach. This helps maintain a therapeutic environment for both the UAP and the client.

Question 5 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.

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