An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration status?- Skildor

Question 1 of 5

An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration status?

A. Urine specific gravity of 1.040. B. Systolic blood pressure decreases 10 points when standing. C. The client denies feeling thirsty. D. Skin turgor exhibits tenting on the forearm.

Correct Answer: A

Rationale: Urine specific gravity is the most accurate indicator of hydration status in this scenario.

Question 2 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?

A. We need to monitor the rash for signs of worsening or fever B. Your baby may have an allergic reaction to laundry detergent C. This is a common newborn rash that will resolve after several days D. This is likely a bacterial infection requiring antibiotics

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 3 of 5

An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration status?

A. Urine specific gravity of 1.040. B. Systolic blood pressure decreases 10 points when standing. C. The client denies feeling thirsty. D. Skin turgor exhibits tenting on the forearm.

Correct Answer: A

Rationale: Urine specific gravity is the most accurate indicator of hydration status in this scenario.

Question 4 of 5

A client is receiving morphine for postoperative pain. What is the nurse's priority assessment?

A. Monitor the client's respiratory rate. B. Monitor the client's level of consciousness. C. Assess the client's level of pain. D. Monitor the client's blood pressure.

Correct Answer: A

Rationale: Monitoring respiratory rate helps assess for respiratory depression, a common side effect of morphine.

Question 5 of 5

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. Serum creatinine of 2.0 mg/dL B. Elevated WBC count C. Blood pressure of 100/60 mmHg D. Oxygen saturation of 95%

Correct Answer: A

Rationale: A serum creatinine level of 2.0 mg/dL indicates possible acute kidney injury, which can occur during severe systemic inflammatory response syndrome (SIRS). Reporting this value promptly allows for interventions to prevent further renal damage.

HESI RN Exit Exam Capstone

Skildor

HESI RN

HESI RN

HESI RN Exit Exam Capstone Questions

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