HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?

Correct Answer: B

Rationale: An intradermal injection for a tuberculosis skin test should be administered using a 27-gauge needle at a 15-degree angle. This technique ensures that the medication is delivered into the dermis layer of the skin.

Question 2 of 5

A client admitted with left-sided heart failure presents with shortness of breath and pink frothy sputum. Which assessment finding requires immediate intervention?

Correct Answer: C

Rationale: Pink frothy sputum is a sign of pulmonary edema, which needs immediate intervention to prevent respiratory failure.

Question 3 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 4 of 5

A client reports unilateral leg swelling after a long flight. What complication is the nurse most concerned about?

Correct Answer: A

Rationale: Unilateral leg swelling following a long flight may indicate a pulmonary embolism, which is a life-threatening complication requiring immediate attention.

Question 5 of 5

A client is admitted with a suspected pulmonary embolism (PE). What is the nurse's priority intervention?

Correct Answer: D

Rationale: A CT scan can help confirm a pulmonary embolism and guide further treatment.

Similar Questions

A client is admitted with a suspected pulmonary embolism (PE). What is the nurse's priority intervention?
The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?
A client receiving total parenteral nutrition (TPN) reports nausea and dizziness. What action should the nurse take first?
A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?
The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal retractions. After administering surfactant, which assessment is most important for the nurse to monitor?

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