While palpating the gallbladder of a mildly obese client, the nurse expects what finding if the gallbladder is inflamed?- Skildor

Question 1 of 5

While palpating the gallbladder of a mildly obese client, the nurse expects what finding if the gallbladder is inflamed?

A. Severe tenderness and guarding B. Slight discomfort upon palpation C. A sensation of fullness D. No symptoms unless the gallbladder is extremely inflamed

Correct Answer: A

Rationale: If the gallbladder is inflamed, the nurse may find tenderness and guarding, a typical sign of acute cholecystitis.

Question 2 of 5

A client with deep vein thrombosis (DVT) is prescribed warfarin. What lab value should the nurse review before administering the medication?

A. Prothrombin time (PT). B. Hemoglobin and hematocrit (H&H). C. International Normalized Ratio (INR). D. Partial thromboplastin time (PTT).

Correct Answer: C

Rationale: INR should be reviewed before administering warfarin to ensure the client is within the therapeutic range.

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?

A. Begin dopamine infusion at 2 mcg/kg/minute. B. Begin potassium chloride 10 mEq over 1 hour. C. Give a bolus of 0.9% sodium chloride 1000 mL over 30 minutes. D. Administer promethazine 25 mg IV push.

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 a colostomy is being discharged. What teaching is most important for the nurse to provide?

A. Change the ostomy bag daily to prevent skin irritation. B. Avoid foods that can cause gas, such as broccoli. C. Empty the ostomy pouch when it is one-third full. D. Use a skin barrier to protect the surrounding skin.

Correct Answer: C

Rationale: Emptying the ostomy pouch when it's one-third full prevents leakage and skin irritation.

Question 5 of 5

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. Teach subcutaneous injection technique, site rotation, and insulin management B. Coordinate carbohydrate-controlled meals at consistent times and intervals C. Review with the client proper foot care and prevention of injury D. All of the above

Correct Answer: D

Rationale: Effective diabetes management involves comprehensive care, including proper foot care, insulin administration technique, and maintaining carbohydrate consistency with meals. All of these interventions are critical in reducing hyperglycemic episodes and managing diabetes.

HESI RN Exit Exam Capstone

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HESI RN

HESI RN

HESI RN Exit Exam Capstone Questions

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