HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 2 of 5
The nurse is caring for a client post-surgery with an order to ambulate the client every 2 hours. Which of the following tasks could be safely delegated to an unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: Assisting with ambulation is a task that can be safely delegated to a UAP, as it does not involve clinical judgment.
Question 3 of 5
A client is experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?
Correct Answer: B
Rationale: Before administering nitroglycerin, which can lower blood pressure and heart rate, it is important to assess both to avoid exacerbating hypotension or bradycardia. Nitroglycerin helps relieve chest pain by dilating coronary arteries, but its vasodilating effect can also cause a significant drop in blood pressure, which can be dangerous for some clients.
Question 4 of 5
The nurse observes that a client's wrist restraint is secured to the side rail of the bed. What action should the nurse take?
Correct Answer: B
Rationale: Restraints should always be secured to the bedframe, not the side rails, to prevent injury to the client in case the bed is adjusted.
Question 5 of 5
A client with adrenal insufficiency is admitted to the ICU with acute adrenal crisis. The client's vital signs include heart rate 138 bpm and BP 80/60. What is the nurse's first intervention?
Correct Answer: B
Rationale: An IV fluid bolus stabilizes blood pressure during adrenal crisis.
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