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 receiving furosemide develops muscle weakness. What is the nurse's priority action?

Correct Answer: B

Rationale: Muscle weakness in a client receiving furosemide (a diuretic) is often a sign of hypokalemia, as furosemide increases potassium loss. Monitoring potassium levels is essential to identify and address any imbalances and prevent complications such as arrhythmias.

Question 2 of 5

A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication

Correct Answer: A

Rationale: Hypokalemia combined with digoxin increases the risk of dysrhythmias.

Question 3 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.

Question 4 of 5

A client with pneumonia is prescribed antibiotics. What is the most important teaching point for the nurse to provide?

Correct Answer: C

Rationale: Antibiotics must be taken for the entire prescribed duration to ensure that the infection is completely eradicated. Stopping antibiotics early, even if symptoms improve, can lead to a recurrence of the infection or antibiotic resistance.

Question 5 of 5

The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal

Correct Answer: A

Rationale: An S3 ventricular gallop is typically heard in clients with congestive heart failure due to fluid overload.

Similar Questions

The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal
The nurse is caring for a client with a suspected myocardial infarction (MI). Which laboratory test result is most indicative of a recent MI?
A 5-week-old infant who developed projectile vomiting over the last two weeks is diagnosed with hypertrophic pyloric stenosis. Which intervention should the nurse plan to implement?
The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?
An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration status?

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