HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
The nurse assesses a client one hour after starting a transfusion of packed red blood cells and determines that there are no indications of a transfusion reaction. What instruction should the nurse provide the UAP who is working with the nurse?
Correct Answer: D
Rationale: Monitoring vital signs throughout a transfusion is critical, as reactions can occur later in the process. The UAP should continue to check vital signs regularly to ensure that any delayed reaction is promptly detected.
Question 2 of 5
While palpating the gallbladder of a mildly obese client, the nurse expects what finding if the gallbladder is inflamed?
Correct Answer: A
Rationale: If the gallbladder is inflamed, the nurse may find tenderness and guarding, a typical sign of acute cholecystitis.
Question 3 of 5
A client with type 1 diabetes mellitus is admitted to the emergency department with confusion, sweating, and a blood sugar level of 45 mg/dL. What is the nurse's priority action?
Correct Answer: A
Rationale: A blood sugar level of 45 mg/dL indicates severe hypoglycemia, which can lead to life-threatening complications if not treated immediately. The priority is to administer IV dextrose to rapidly increase the blood sugar level. Offering a carbohydrate snack may follow once the client is stable.
Question 4 of 5
A client with hyperparathyroidism is preparing for surgery. Which preoperative lab finding is most important to report?
Correct Answer: A
Rationale: Elevated calcium levels can cause complications during surgery and should be reported.
Question 5 of 5
A client is admitted with ascites, malnutrition, and recent complaints of spitting up blood. What assessment finding warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: A round and tight abdomen suggests fluid accumulation from ascites, which could signal a more severe underlying condition requiring immediate intervention.
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