HESI RN
HESI 799 RN Exit Exam Quizlet Questions
Question 1 of 5
A client with chronic heart failure is receiving furosemide (Lasix). Which laboratory value requires immediate intervention?
Correct Answer: A
Rationale: A serum potassium level of 3.0 mEq/L requires immediate intervention in a client receiving furosemide. Furosemide can cause potassium loss, leading to hypokalemia, which can be dangerous, especially in patients with heart failure. Hypokalemia can predispose the client to cardiac dysrhythmias, weakness, and other complications.
Therefore, prompt intervention is necessary to prevent these adverse effects.
Choice B (Serum sodium of 135 mEq/L) is within the normal range and does not require immediate intervention.
Choice C (Serum creatinine of 1.5 mg/dl) may indicate kidney dysfunction but does not pose an immediate threat to the client's safety.
Choice D (Blood glucose of 200 mg/dl) may suggest hyperglycemia, which is important but not as urgent as addressing hypokalemia in a client with heart failure receiving furosemide.
Question 2 of 5
The nurse provides feeding tube instructions to the wife of a client with end-stage cancer. The client's wife performs a return demonstration correctly but begins crying and tells the nurse, 'I just don't think I can do this every day.' The nurse should direct further teaching strategies toward which learning domain?
Correct Answer: B
Rationale: The correct answer is B: Affective. The affective domain involves feelings and emotions, which are significant factors in the wife's ability to cope and perform the required care. In this scenario, the wife's emotional response indicates a need for further support and teaching strategies to address her emotional concerns and build her confidence.
Choices A, C, and D are incorrect because the issue at hand is not purely cognitive (knowledge), comprehension (understanding), or psychomotor (physical skills), but rather an emotional response that falls under the affective domain.
Question 3 of 5
A client with type 1 diabetes is admitted with diabetic ketoacidosis (DKA). Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Administering intravenous insulin is the initial priority in managing diabetic ketoacidosis (DK
A). Insulin helps to reduce blood glucose levels and correct metabolic acidosis, addressing the underlying cause of DKA. Monitoring urine output (choice
B) is important but is not the first intervention needed. Administering intravenous fluids (choice
C) is essential to correct dehydration in DKA, but insulin therapy takes precedence. Administering 50% dextrose IV push (choice
D) is contraindicated in DKA as it can exacerbate hyperglycemia.
Question 4 of 5
A client with a history of rheumatoid arthritis is prescribed prednisone. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: The correct answer is B. Weight gain of 2 pounds in 24 hours is concerning in a client with rheumatoid arthritis on prednisone as it may indicate fluid retention or worsening heart failure. Increased joint pain, blood glucose level of 150 mg/dl, and fever of 100.4°F are important assessments but do not require immediate intervention compared to the potential severity of rapid weight gain.
Question 5 of 5
The nurse is triaging several children as they present to the emergency room after an accident. Which child requires the most immediate intervention by the nurse?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.