HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A male client with heart failure presents with shortness of breath, audible wheezing, and pink frothy sputum. What action should the nurse take?

Correct Answer: B

Rationale: Morphine is needed to reduce the client's distress and should be given as prescribed.

Question 2 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 3 of 5

Which activity is most important for a client recovering from a hip replacement to avoid during the first few weeks of recovery?

Correct Answer: B

Rationale: Crossing the legs after a hip replacement can increase the risk of hip dislocation. Clients should be advised to avoid crossing their legs during recovery to protect the new joint.

Question 4 of 5

A client with a colostomy is being discharged. What teaching is most important for the nurse to provide?

Correct Answer: C

Rationale: Emptying the ostomy pouch when it's one-third full prevents leakage and skin irritation.

Question 5 of 5

A client with heart failure is experiencing shortness of breath and swelling in the legs. What is the nurse's priority intervention?

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.

Similar Questions

A client with heart failure is experiencing shortness of breath and swelling in the legs. What is the nurse's priority intervention?
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?
A postoperative client with a history of diabetes mellitus is showing signs of hyperglycemia. What should the nurse assess first?
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
A client receiving total parenteral nutrition (TPN) reports nausea and dizziness. What action should the nurse take first?

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