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?- Skildor

Question 1 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 2 of 5

The nurse is caring for a client with acute pancreatitis who is reporting severe abdominal pain. Which nursing intervention should the nurse implement first?

A. Assess the client's bowel sounds B. Administer prescribed pain medication C. Encourage the client to sit upright D. Provide clear fluids to the client

Correct Answer: B

Rationale: Pain relief is a priority in clients with acute pancreatitis. Administering prescribed pain medication is the first intervention to improve comfort and reduce pain, which can help stabilize the client's condition.

Question 3 of 5

A client with a myocardial infarction is prescribed nitroglycerin. What instruction should the nurse include?

A. Take the medication only when experiencing severe chest pain. B. Store the medication in a dark container to protect it from light. C. Take the medication before engaging in physical activity that may trigger chest pain. D. Limit nitroglycerin use to no more than three doses in 15 minutes.

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 4 of 5

A young adult visits the clinic reporting symptoms associated with gastritis. Which information in the client's history is most important for the nurse to address in the teaching plan?

A. Experiences occasional heartburn after eating spicy food B. Consumes 10 or more drinks of alcohol every weekend C. Reports frequent use of NSAIDs D. Has a history of peptic ulcers

Correct Answer: B

Rationale: Excessive alcohol consumption is a major risk factor for gastritis and should be prioritized in the teaching plan. Although NSAIDs and spicy foods can contribute to gastritis, alcohol is the most significant factor requiring immediate lifestyle changes.

Question 5 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.

HESI RN Exit Exam Capstone

Skildor

HESI RN

HESI RN

HESI RN Exit Exam Capstone Questions

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Similar Questions

Join Our Community Today!