HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A male client with HIV on saquinavir and other antiretrovirals reports increased hunger and thirst but weight loss. Which action should the nurse take?
Correct Answer: A
Rationale: Increased thirst and hunger while losing weight may indicate hyperglycemia. Blood glucose should be checked.
Question 2 of 5
An older client is admitted to the intensive care unit unconscious after several days of vomiting and diarrhea. The nurse inserts a urinary catheter and observes dark amber urine output. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: A fluid bolus is the first step in stabilizing a client with hypovolemic symptoms.
Question 3 of 5
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?
Correct Answer: A
Rationale: The infusion should be stopped immediately to prevent further reaction.
Question 4 of 5
A client with a myocardial infarction is prescribed nitroglycerin. What instruction should the nurse include?
Correct Answer: D
Rationale: Clients prescribed nitroglycerin should be instructed to limit its use to no more than three doses in 15 minutes. This prevents excessive use, which can lead to severe hypotension and other complications.
Question 5 of 5
A client admitted with left-sided heart failure presents with shortness of breath and pink frothy sputum. Which assessment finding requires immediate intervention?
Correct Answer: C
Rationale: Pink frothy sputum is a sign of pulmonary edema, which needs immediate intervention to prevent respiratory failure.
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