HESI RN Exit Exam Capstone

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.

Correct Answer: A

Rationale: Diuretics are prescribed to reduce fluid overload in clients with heart failure. By promoting urine output, diuretics help alleviate symptoms like shortness of breath and swelling. Positioning and dietary changes can also be part of the care plan, but administering diuretics is the immediate priority.

Correct Answer: B

Rationale: An intradermal injection for a tuberculosis skin test should be administered using a 27-gauge needle at a 15-degree angle. This technique ensures that the medication is delivered into the dermis layer of the skin.

Correct Answer: B

Rationale: Checking vital signs and blood pressure helps assess the client's stability when reporting symptoms like nausea and dizziness during TPN.

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.