HESI RN Exit Exam Capstone

Questions 101

HESI RN

Home > HESI RN > HESI RN Capstone > HESI RN Exit Exam Capstone
HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

A nurse is caring for a client with a chest tube following lung surgery. What is the most important intervention to ensure the chest tube functions properly?

Correct Answer: C

Rationale: Keeping the chest tube drainage system below chest level ensures that gravity assists with drainage and prevents fluid or air from flowing back into the pleural space, which could compromise lung function.

Question 2 of 5

A scrub nurse preparing for the first surgery of the day asks if a 3-minute surgical hand scrub is adequate. What should the circulating nurse advise?

Correct Answer: B

Rationale: The circulating nurse should advise the scrub nurse to extend the hand scrub to 5 minutes for thorough preparation, particularly for the first surgery of the day.

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 is newly prescribed lithium for bipolar disorder. Which finding is most important to report to the healthcare provider?

Correct Answer: B

Rationale: Fine hand tremors are an early sign of lithium toxicity, and the healthcare provider should be notified to adjust the dose or monitor serum levels more closely.

Question 5 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.

Similar Questions

A client with heart failure receiving furosemide develops muscle weakness. What is the nurse's priority action?
The nurse is providing care for a client with schizophrenia who receives haloperidol decanoate 75 mg IM every 4 weeks. The client begins developing a puckering and smacking of the lips and facial grimacing. Which intervention should the nurse implement?
The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?
A client with adrenal insufficiency is admitted to the ICU with acute adrenal crisis. The client's vital signs include heart rate 138 bpm and BP 80/60. What is the nurse's first intervention?
A client reports unilateral leg swelling after a long flight. What complication is the nurse most concerned about?

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for HESI-RN and 3000+ practice questions to help you pass your HESI-RN exam.

Call to Action Image