HESI RN
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
When teaching a group of mothers of young children about emergency care for poisoning, which of the following statements should be included?
Correct Answer: C
Rationale: The Poison Control Center should be contacted before any interventions to ensure appropriate care.
Question 3 of 5
The nurse assesses a client one hour after starting a transfusion of packed red blood cells and determines that there are no indications of a transfusion reaction. What instruction should the nurse provide the UAP who is working with the nurse?
Correct Answer: D
Rationale: Monitoring vital signs throughout a transfusion is critical, as reactions can occur later in the process. The UAP should continue to check vital signs regularly to ensure that any delayed reaction is promptly detected.
Question 4 of 5
A client receiving total parenteral nutrition (TPN) reports nausea and dizziness. What action should the nurse take first?
Correct Answer: B
Rationale: Checking vital signs and blood pressure helps assess the client's stability when reporting symptoms like nausea and dizziness during TPN.
Question 5 of 5
A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Which of the following should take priority in planning care?
Correct Answer: B
Rationale: Leukopenia, or a low white blood cell count, is a critical concern in clients undergoing radiation therapy due to increased risk of infection.
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