HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
The nurse is caring for a client receiving a blood transfusion who develops urticaria one-half hour after the transfusion has begun. What is the first action the nurse should take?
Correct Answer: A
Rationale: The infusion should be stopped immediately to prevent further reaction.
Question 2 of 5
Which intervention should the nurse include in the care plan for a child with tetanus?
Correct Answer: D
Rationale: Tetanus causes severe muscle spasms and sensitivity to stimuli, so minimizing stimuli like light, sound, and touch can help prevent painful spasms. Monitoring vital signs and administering antibiotics are important but managing stimuli is crucial for the child's comfort and safety.
Question 3 of 5
A young woman with multiple sclerosis just received several immunizations in preparation for moving into a college dormitory. Two days later, she reports to the nurse that she is experiencing increasing fatigue and visual problems. What teaching should the nurse provide?
Correct Answer: A
Rationale: Immunizations can sometimes trigger relapses in multiple sclerosis due to the activation of the immune system. Extra rest can help manage these symptoms. While increased fluid intake may be helpful, the nurse should focus on explaining the connection between immunizations and MS symptoms.
Question 4 of 5
After working with a very demanding client, an unlicensed assistive personnel (UAP) tells the nurse, 'I have had it with that client. I just can't do anything that pleases him. I'm not going in there again.' The nurse should respond by saying
Correct Answer: C
Rationale: Acknowledging the UAP's feelings while exploring the client's behavior provides a supportive and collaborative approach. This helps maintain a therapeutic environment for both the UAP and the client.
Question 5 of 5
A client scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. Which intervention has the highest priority in preparing the client for the procedure?
Correct Answer: C
Rationale: Encouraging the client to write down questions allows the nurse to address concerns systematically, reducing anxiety. This approach is empowering and ensures that all concerns are covered before the procedure, reducing the risk of miscommunication or unaddressed fears.
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