HESI RN
HESI RN Exit Exam Capstone Questions
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?
Correct Answer: A
Rationale: Urine specific gravity is the most accurate indicator of hydration status in this scenario.
Question 2 of 5
A client is receiving 30 mg of enoxaparin subcutaneously twice a day. In assessing adverse effects of the medication, which serum laboratory value is most important for the nurse to monitor?
Correct Answer: B
Rationale: Enoxaparin can cause heparin-induced thrombocytopenia (HIT), making it important to monitor the platelet count. PT and aPTT are less impacted by enoxaparin, and hemoglobin checks are more related to bleeding than to thrombocytopenia.
Question 3 of 5
The nurse is caring for a client with deep vein thrombosis (DVT) who is receiving anticoagulant therapy. Which intervention should the nurse implement to prevent complications?
Correct Answer: A
Rationale: Elevating the affected leg helps reduce swelling and improve venous return, which is important for preventing complications in clients with DVT. Other interventions, such as ambulation, are secondary to leg elevation.
Question 4 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 5 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.
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