HESI RN
HESI RN Exit Exam 2024 Quizlet Capstone Questions
Question 1 of 5
The nurse is developing a plan of care for a client who reports tingling in the feet and who is newly diagnosed with peripheral vascular disease. Which outcome should the nurse include in the plan of care for this client?
Correct Answer: D
Rationale: Controlling blood pressure is critical in managing peripheral vascular disease, as elevated pressure can exacerbate vascular damage and complications. While foot care, shoe fit, and exercise are important, lowering blood pressure is a primary goal. Proper blood pressure management helps in preventing further damage to the blood vessels and reduces the risk of complications associated with peripheral vascular disease, making it the most crucial outcome to include in the plan of care for this client.
Question 2 of 5
What is the primary purpose of the logrolling technique for turning?
Correct Answer: B
Rationale: The correct answer is B: To maintain straight spinal alignment. Logrolling is a technique used to carefully turn a client while keeping the spine in a straight line, especially important for those with spinal injuries or after back surgery. Choice A is incorrect because the primary purpose is not specifically to decrease the risk of back injury but to ensure safe turning. Choice C is incorrect as the main aim is not to increase client safety by using multiple people but to protect the spine. Choice D is incorrect because the primary purpose of logrolling is not to prevent skin damage but to safeguard the spine during turning.
Question 3 of 5
A client with acute pancreatitis is experiencing severe abdominal pain. Which intervention should the nurse implement to help manage the client's pain?
Correct Answer: B
Rationale: The correct intervention to help manage the client's pain in acute pancreatitis is to place the client in a side-lying position with knees bent. This position can alleviate abdominal pain by reducing pressure on the pancreas and improving comfort. Encouraging deep breathing exercises (Choice A) is beneficial for other conditions but may not directly help alleviate abdominal pain in pancreatitis. Administering oral analgesics (Choice C) may be necessary but is not the initial priority for managing pain in acute pancreatitis. Encouraging the client to take small sips of water (Choice D) is important for hydration but is not directly related to pain management in this context.
Question 4 of 5
An older adult client with heart failure (HF) and hypertension (HTN) is receiving atenolol, furosemide, and enalapril. Which assessments are essential to evaluate the effectiveness of the medications?
Correct Answer: B
Rationale: Monitoring daily weight and blood pressure is crucial to assess the effectiveness of diuretics (furosemide) and antihypertensives (atenolol, enalapril) in managing heart failure and hypertension. Changes in weight indicate fluid status, while blood pressure readings reflect the control of hypertension. Assessing bowel sounds and range of motion are important but not directly related to evaluating the effectiveness of these specific medications in this scenario. Monitoring for hypokalemia is important due to furosemide's potential side effect, but it is not the primary assessment to evaluate medication effectiveness.
Question 5 of 5
After a spider bite on the lower extremity, a client is admitted to treat an infection that is spreading up the leg. Which admission assessment findings should the nurse report to the healthcare provider?
Correct Answer: C
Rationale: All of the above findings should be reported to the healthcare provider for prompt evaluation and treatment. Swollen lymph nodes in the groin indicate regional lymphatic involvement, a core body temperature of 100.5�F suggests a mild fever response, and an elevated white blood cell count indicates an ongoing infection process. These findings collectively point towards the spread of infection and require immediate attention to prevent further complications.
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