HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) who has been experiencing increasing shortness of breath. Which finding requires immediate intervention?
Correct Answer: D
Rationale: A pulse oximetry reading of 88% indicates hypoxemia, which requires immediate intervention to improve oxygenation. The use of accessory muscles and a barrel chest appearance are common in COPD but do not require urgent intervention.
Question 2 of 5
A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have disappeared, and that her eyes are puffy. What follow-up question is best for the nurse to ask?
Correct Answer: D
Rationale: Cold intolerance, fatigue, and other changes may indicate hypothyroidism, which could explain the hair and eyebrow loss, and puffy eyes.
Question 3 of 5
The nurse is teaching a client about postoperative care following a total knee arthroplasty. What instruction should the nurse prioritize?
Correct Answer: B
Rationale: Continuous passive motion therapy helps maintain mobility and prevent stiffness postoperatively.
Question 4 of 5
The nurse is caring for a client with a chest tube following surgery. The nurse should intervene if which of the following is observed?
Correct Answer: C
Rationale: The chest drainage system should always be kept below chest level to ensure proper drainage.
Question 5 of 5
Where should the nurse consider starting a screening program for hypothyroidism?
Correct Answer: B
Rationale: An African-American senior citizens' center is a suitable location for screening, as older adults are at increased risk of hypothyroidism, and African-Americans are more likely to be underserved in healthcare.
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