HESI RN
HESI RN Exit Exam 2024 Quizlet Capstone Questions
Question 1 of 5
When assessing constipation in elders, what action should be the nurse's priority?
Correct Answer: B
Rationale: Obtaining a detailed health and dietary history is crucial when assessing constipation in elders. This helps the nurse identify potential causes such as inadequate fluid intake, low fiber diet, lack of physical activity, or medications that could be contributing to constipation. A complete blood count (Choice A) is not the priority in the initial assessment of constipation. Referring to a provider for a physical examination (Choice C) would be done after gathering more information from the health history. Measuring height and weight (Choice D) is not directly relevant to assessing constipation and identifying its causes.
Question 2 of 5
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal thyroidectomy. Which of the client's serum laboratory values requires intervention by the nurse?
Correct Answer: C
Rationale: A total calcium level of 5.0 mg/dL is critically low and indicates possible hypocalcemia, a common complication after thyroid surgery. This condition can lead to tetany and requires immediate intervention. Blood glucose within normal range, sodium, and potassium levels are not indicative of an immediate postoperative complication like hypocalcemia in this case.
Question 3 of 5
The nurse reviews the diagnostic tests prescribed for a client with a positive skin test. Which subjective findings reported by the client support the diagnosis of tuberculosis?
Correct Answer: A
Rationale: A mucopurulent cough and night sweats are hallmark signs of active tuberculosis. These symptoms are key indicators of TB as the combination of a productive cough with night sweats is highly suggestive of the disease. Fatigue and headache (choice B) are nonspecific symptoms that can occur in many conditions and are not specific to TB. Persistent cough and weight gain (choice C) are not typical findings in tuberculosis. Weight loss and fever (choice D) can be present in TB, but the specific combination of mucopurulent cough and night sweats is more specific to the diagnosis.
Question 4 of 5
A client on mechanical ventilation is experiencing high-pressure alarms. What action should the nurse implement first?
Correct Answer: B
Rationale: The correct answer is to assess the client's endotracheal tube for obstruction. When a client on mechanical ventilation experiences high-pressure alarms, the first action should be to check for any potential obstructions in the airway, which can trigger the alarms. Checking the oxygen saturation (Choice A) is important but not the priority when dealing with high-pressure alarms. Repositioning the client (Choice C) may be necessary later but should not be the initial action. Suctioning the client's airway (Choice D) should only be done after assessing for and addressing any obstructions in the endotracheal tube.
Question 5 of 5
A middle-aged woman talks to the nurse in the healthcare provider's office about uterine fibroids, also called leiomyomas or myomas. What statement by the woman indicates more education is needed?
Correct Answer: D
Rationale: The correct answer is D because fibroids that do not cause symptoms do not necessarily need to be removed unless they pose other health risks. Choice A provides accurate information about the prevalence of fibroids among women of the woman's age group. Choice B correctly describes fibroids as noncancerous tumors. Choice C lists common symptoms associated with fibroids, which is relevant information. However, choice D is incorrect as fibroids that are asymptomatic or not causing problems usually do not require treatment, unless they lead to complications or health risks.
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