HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 2 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 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
The mother of a 2-day-old infant girl expresses concern about a 'flea bite' type rash on her daughter's body. The nurse identifies a pink papular rash with vesicles superimposed over the thorax, back, buttocks, and abdomen. Which explanation should the nurse offer?
Correct Answer: C
Rationale: The rash described is typical of erythema toxicum neonatorum, a common and benign newborn rash that resolves on its own within a few days. No treatment is necessary, and the nurse should reassure the mother.
Question 5 of 5
A client with bipolar disorder is prescribed lithium. What should the nurse teach the client about lithium toxicity?
Correct Answer: D
Rationale: Lithium toxicity can occur if levels become too high, especially if the client is dehydrated. Clients should be advised to avoid NSAIDs and maintain adequate hydration to prevent toxicity.
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