The nurse is teaching a client about postoperative care following a total knee arthroplasty. What instruction should the nurse prioritize?- Skildor

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

The nurse is teaching a client about postoperative care following a total knee arthroplasty. What instruction should the nurse prioritize?

A. Begin ambulation as soon as possible. B. Use continuous passive motion therapy to maintain joint mobility. C. Avoid putting weight on the affected leg. D. Apply ice packs to reduce pain and swelling.

Correct Answer: B

Rationale: Continuous passive motion therapy helps maintain mobility and prevent stiffness postoperatively.

Question 2 of 5

The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?

A. Use a 25-gauge needle at a 90-degree angle B. Use a 27-gauge needle at a 15-degree angle C. Use a 22-gauge needle at a 45-degree angle D. Use a 20-gauge needle at a 90-degree angle

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 client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?

A. Until the health care provider has determined that your ejaculate doesn't contain sperm, continue to use another form of contraception. B. This procedure doesn't impede the production of male hormones or the production of sperm in the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate. C. After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work doesn't involve hard physical labor, you can return to your job as soon as you feel up to it. The stitches generally dissolve in seven to ten days. D. The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-counter pain medication to relieve any discomfort.

Correct Answer: A

Rationale: It is important to use contraception until sperm is confirmed absent in the ejaculate.

Question 4 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?

A. Provide detailed education about the procedure B. Administer prescribed anti-anxiety medication C. Instruct client to write down the questions D. Reassure the client about the safety of 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.

Question 5 of 5

A client is admitted with ascites, malnutrition, and recent complaints of spitting up blood. What assessment finding warrants immediate intervention by the nurse?

A. Capillary refill of 8 seconds B. Bruises on arms and legs C. Round and tight abdomen D. Pitting edema in lower legs

Correct Answer: C

Rationale: A round and tight abdomen suggests fluid accumulation from ascites, which could signal a more severe underlying condition requiring immediate intervention.

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HESI RN Exit Exam Capstone

Skildor

HESI RN

HESI RN

HESI RN Exit Exam Capstone Questions

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