HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with psoriasis is prescribed topical corticosteroids. What side effect should the nurse monitor for?

Correct Answer: D

Rationale: Topical corticosteroids can cause skin thinning and increased redness if overused. The nurse should monitor for these side effects, especially in long-term use.

Question 2 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 3 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.

Question 4 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.

Question 5 of 5

A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. Which acid-base imbalance does the nurse anticipate the client developing?

Correct Answer: B

Rationale: Hyperventilation from anxiety or fear causes an excessive loss of CO2, leading to respiratory alkalosis. This shift in pH results from the rapid, shallow breathing that reduces the level of carbon dioxide in the blood. Respiratory acidosis would occur in cases of poor ventilation or CO2 retention, while metabolic acidosis/alkalosis relates to disturbances in bicarbonate, not breathing patterns.

Similar Questions

A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. Which acid-base imbalance does the nurse anticipate the client developing?
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?
A young woman with multiple sclerosis just received several immunizations in preparation for moving into a college dormitory. Two days later, she reports to the nurse that she is experiencing increasing fatigue and visual problems. What teaching should the nurse provide?
A client is receiving lactulose for signs of hepatic encephalopathy. To evaluate the therapeutic response, which assessment should the nurse obtain?
A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first

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