HESI RN Exit Exam Capstone

Questions 101

HESI RN

Home > HESI RN > HESI RN Capstone > HESI RN Exit Exam Capstone
HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal

Correct Answer: A

Rationale: An S3 ventricular gallop is typically heard in clients with congestive heart failure due to fluid overload.

Question 2 of 5

A nurse is caring for a client with a chest tube following lung surgery. What is the most important intervention to ensure the chest tube functions properly?

Correct Answer: C

Rationale: Keeping the chest tube drainage system below chest level ensures that gravity assists with drainage and prevents fluid or air from flowing back into the pleural space, which could compromise lung function.

Question 3 of 5

A female client with acute respiratory distress syndrome (ARDS) is sedated and on a ventilator with 50% FIO2. What assessment finding warrants immediate intervention?

Correct Answer: B

Rationale: Diminished breath sounds in a sedated client with ARDS and on a ventilator indicate collapsed alveoli, which requires immediate intervention, such as chest tube insertion, to prevent further lung damage.

Question 4 of 5

The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?

Correct Answer: C

Rationale: Shortness of breath is a sign that the anemia is severe enough to impair oxygenation. Immediate intervention is needed to address this potentially life-threatening complication.

Question 5 of 5

A male client with HIV on saquinavir and other antiretrovirals reports increased hunger and thirst but weight loss. Which action should the nurse take?

Correct Answer: A

Rationale: Increased thirst and hunger while losing weight may indicate hyperglycemia. Blood glucose should be checked.

Similar Questions

A male client with HIV on saquinavir and other antiretrovirals reports increased hunger and thirst but weight loss. Which action should the nurse take?
The nurse is caring for a client with a chest tube following surgery. The nurse should intervene if which of the following is observed?
A client reports unilateral leg swelling after a long flight. What complication is the nurse most concerned about?
The nurse is teaching a client about postoperative care following a total knee arthroplasty. What instruction should the nurse prioritize?
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?

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for HESI-RN and 3000+ practice questions to help you pass your HESI-RN exam.

Call to Action Image