HESI RN
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
The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?
Correct Answer: B
Rationale: An intradermal injection for a tuberculosis skin test should be administered using a 27-gauge needle at a 15-degree angle. This technique ensures that the medication is delivered into the dermis layer of the skin.
Question 3 of 5
A male client with heart failure presents with shortness of breath, audible wheezing, and pink frothy sputum. What action should the nurse take?
Correct Answer: B
Rationale: Morphine is needed to reduce the client's distress and should be given as prescribed.
Question 4 of 5
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which assessment finding indicates that the client's oxygenation is improving?
Correct Answer: A
Rationale: A pulse oximetry reading of 94% indicates adequate oxygenation. Monitoring oxygen saturation is the most objective way to assess the effectiveness of oxygen therapy.
Question 5 of 5
A client is receiving a blood transfusion and reports feeling chilled and short of breath. What is the nurse's priority action?
Correct Answer: A
Rationale: Stopping the transfusion prevents further reactions, and notifying the healthcare provider ensures timely intervention.
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