HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 2 of 5
An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration status?
Correct Answer: A
Rationale: Urine specific gravity is the most accurate indicator of hydration status in this scenario.
Question 3 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 4 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 5 of 5
A client with bipolar disorder is prescribed lithium. What should the nurse teach the client about lithium toxicity?
Correct Answer: D
Rationale: Lithium toxicity can occur if levels become too high, especially if the client is dehydrated. Clients should be advised to avoid NSAIDs and maintain adequate hydration to prevent toxicity.
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