HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with hyperparathyroidism is preparing for surgery. Which preoperative lab finding is most important to report?

Correct Answer: A

Rationale: Elevated calcium levels can cause complications during surgery and should be reported.

Question 2 of 5

Which intervention should the nurse include in the care plan for a child with tetanus?

Correct Answer: D

Rationale: Tetanus causes severe muscle spasms and sensitivity to stimuli, so minimizing stimuli like light, sound, and touch can help prevent painful spasms. Monitoring vital signs and administering antibiotics are important but managing stimuli is crucial for the child's comfort and safety.

Question 3 of 5

A client who is bedridden after a stroke is at risk for developing pressure ulcers. Which nursing intervention is most important in preventing this complication?

Correct Answer: B

Rationale: Repositioning the client every 2 hours is essential in preventing pressure ulcers in bedridden clients.

Question 4 of 5

The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) who has been experiencing increasing shortness of breath. Which finding requires immediate intervention?

Correct Answer: D

Rationale: A pulse oximetry reading of 88% indicates hypoxemia, which requires immediate intervention to improve oxygenation. The use of accessory muscles and a barrel chest appearance are common in COPD but do not require urgent intervention.

Question 5 of 5

A young adult visits the clinic reporting symptoms associated with gastritis. Which information in the client's history is most important for the nurse to address in the teaching plan?

Correct Answer: B

Rationale: Excessive alcohol consumption is a major risk factor for gastritis and should be prioritized in the teaching plan. Although NSAIDs and spicy foods can contribute to gastritis, alcohol is the most significant factor requiring immediate lifestyle changes.

Similar Questions

A young adult visits the clinic reporting symptoms associated with gastritis. Which information in the client's history is most important for the nurse to address in the teaching plan?
A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?
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 nurse is caring for a client receiving a blood transfusion who develops urticaria one-half hour after the transfusion has begun. What is the first action the nurse should take?
A client with COPD and a history of emphysema presents with increasing shortness of breath. What action should the nurse implement first?

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