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

While palpating the gallbladder of a mildly obese client, the nurse expects what finding if the gallbladder is inflamed?

Correct Answer: A

Rationale: If the gallbladder is inflamed, the nurse may find tenderness and guarding, a typical sign of acute cholecystitis.

Question 3 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 4 of 5

A client with 42-week gestation refuses induction. What is the most important action the nurse should take?

Correct Answer: A

Rationale: Supporting the client's birth plan helps reduce anxiety while ensuring informed decision-making.

Question 5 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.

Similar Questions

A male client with heart failure presents with shortness of breath, audible wheezing, and pink frothy sputum. What action should the nurse take?
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 is admitted with pneumonia and is started on antibiotics. After 3 days, the client reports difficulty breathing and a rash. What is the nurse's first action?
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?
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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