HESI RN Exit Exam Capstone

Questions 101

HESI RN

HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

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

Correct Answer: A

Rationale: A potassium level of 3.1 mEq/L is considered low. Administering a potassium supplement is the priority action to prevent complications such as cardiac arrhythmias, which can occur with hypokalemia.

Question 3 of 5

A client is receiving 30 mg of enoxaparin subcutaneously twice a day. In assessing adverse effects of the medication, which serum laboratory value is most important for the nurse to monitor?

Correct Answer: B

Rationale: Enoxaparin can cause heparin-induced thrombocytopenia (HIT), making it important to monitor the platelet count. PT and aPTT are less impacted by enoxaparin, and hemoglobin checks are more related to bleeding than to thrombocytopenia.

Question 4 of 5

A client with COPD and a history of emphysema presents with increasing shortness of breath. What action should the nurse implement first?

Correct Answer: C

Rationale: Checking the oxygen delivery system ensures the client is receiving adequate oxygen and addresses any equipment malfunction.

Question 5 of 5

A client with heart failure is prescribed digoxin. What assessment finding should the nurse report immediately?

Correct Answer: A

Rationale: Bradycardia is a sign of digoxin toxicity and should be reported immediately.

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