HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must

Correct Answer: A

Rationale: Suctioning for more than 10 seconds can cause hypoxia, so it should be limited to 10 seconds at most.

Question 2 of 5

An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration status?

Correct Answer: A

Rationale: Urine specific gravity is the most accurate indicator of hydration status in this scenario.

Question 3 of 5

An older client is admitted to the intensive care unit unconscious after several days of vomiting and diarrhea. The nurse inserts a urinary catheter and observes dark amber urine output. Which intervention should the nurse implement first?

Correct Answer: C

Rationale: A fluid bolus is the first step in stabilizing a client with hypovolemic symptoms.

Question 4 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.

Question 5 of 5

While changing a client's chest tube dressing, the nurse notes a cracking sensation when gentle pressure is applied to the skin at the insertion site. What should the nurse do next?

Correct Answer: D

Rationale: Measuring the area of swelling and crackling helps monitor subcutaneous emphysema progression.

Similar Questions

While changing a client's chest tube dressing, the nurse notes a cracking sensation when gentle pressure is applied to the skin at the insertion site. What should the nurse do next?
When teaching a group of mothers of young children about emergency care for poisoning, which of the following statements should be included?
After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication?
A client who is bedridden after a stroke is at risk for developing pressure ulcers. Which nursing intervention is most important in preventing this complication?
A client receiving total parenteral nutrition (TPN) reports nausea and dizziness. What action should the nurse take first?

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