HESI RN
HESI RN Exit Exam Capstone Questions
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?
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 a suspected myocardial infarction (MI). Which laboratory test result is most indicative of a recent MI?
Correct Answer: A
Rationale: Elevated troponin levels are the most specific and sensitive indicator of myocardial infarction. Troponin levels increase within hours of an MI and remain elevated for several days.
Question 3 of 5
A client with diabetes insipidus is admitted due to a pituitary tumor. What complication should the nurse monitor for closely?
Correct Answer: D
Rationale: Hypokalemia is a common complication of diabetes insipidus due to excessive urination and the resultant electrolyte imbalance.
Question 4 of 5
A client with a colostomy is being discharged. What teaching is most important for the nurse to provide?
Correct Answer: C
Rationale: Emptying the ostomy pouch when it's one-third full prevents leakage and skin irritation.
Question 5 of 5
An older adult client with eye dryness reports itching and excessive tearing. Which medication group is most likely to have produced this client's symptoms?
Correct Answer: D
Rationale: Anticholinergics often cause dryness of secretions and could lead to these symptoms.
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