HESI RN Exit Exam Capstone

Questions 101

HESI RN

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HESI RN Exit Exam Capstone Questions

Question 1 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 2 of 5

The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal retractions. After administering surfactant, which assessment is most important for the nurse to monitor?

Correct Answer: C

Rationale: Surfactant therapy is used to improve lung function and gas exchange in premature infants with respiratory distress. Monitoring arterial blood gases is essential to assess the effectiveness of the treatment and ensure adequate oxygenation.

Question 3 of 5

A client with pneumonia is prescribed antibiotics. What is the most important teaching point for the nurse to provide?

Correct Answer: C

Rationale: Antibiotics must be taken for the entire prescribed duration to ensure that the infection is completely eradicated. Stopping antibiotics early, even if symptoms improve, can lead to a recurrence of the infection or antibiotic resistance.

Question 4 of 5

A client with heart failure is prescribed spironolactone. What is the nurse's priority intervention?

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic, so the nurse should closely monitor for signs of hyperkalemia, which can lead to cardiac arrhythmias.

Question 5 of 5

A client with hypothyroidism is prescribed levothyroxine. What assessment finding suggests the medication dosage is too high?

Correct Answer: B

Rationale: Increased heart rate and palpitations may indicate that the dosage of levothyroxine is too high, leading to hyperthyroidism.

Similar Questions

A client with hypothyroidism is prescribed levothyroxine. What assessment finding suggests the medication dosage is too high?
A client with a colostomy is being discharged. What teaching is most important for the nurse to provide?
A client with heart failure is prescribed furosemide. The nurse notes that the client's potassium level is 3.1 mEq/L. What is the nurse's priority action?
A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (A1C) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale of insulin aspart every 6 hours are prescribed. What actions should the nurse include in this client's plan of care?
A female client with acute respiratory distress syndrome (ARDS) is sedated and on a ventilator with 50% FIO2. What assessment finding warrants immediate intervention?

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