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
A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (A1C) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale of insulin aspart every 6 hours are prescribed. What actions should the nurse include in this client's plan of care?
Correct Answer: D
Rationale: Effective diabetes management involves comprehensive care, including proper foot care, insulin administration technique, and maintaining carbohydrate consistency with meals. All of these interventions are critical in reducing hyperglycemic episodes and managing diabetes.
Question 3 of 5
The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?
Correct Answer: C
Rationale: Shortness of breath is a sign that the anemia is severe enough to impair oxygenation. Immediate intervention is needed to address this potentially life-threatening complication.
Question 4 of 5
A client with 42-week gestation refuses induction. What is the most important action the nurse should take?
Correct Answer: A
Rationale: Supporting the client's birth plan helps reduce anxiety while ensuring informed decision-making.
Question 5 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.
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