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 client with atrial fibrillation is prescribed warfarin, and their INR is elevated. What is the nurse's priority action?

Correct Answer: D

Rationale: An elevated INR in clients taking warfarin increases the risk of bleeding. The nurse should notify the healthcare provider immediately and hold the next dose of warfarin to prevent complications.

Question 3 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 4 of 5

A client with Alzheimer's disease is prescribed donepezil. What is the most important teaching point?

Correct Answer: C

Rationale: Donepezil helps improve cognitive function but is not a cure for Alzheimer's disease.

Question 5 of 5

To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must

Correct Answer: A

Rationale: Suctioning for more than 10 seconds can cause hypoxia, so it should be limited to 10 seconds at most.

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