HESI RN
HESI RN Exit Exam 2023 Capstone Questions
Question 1 of 5
A client undergoing chemotherapy reports extreme fatigue. What should the nurse recommend to manage this symptom?
Correct Answer: B
Rationale: The correct recommendation for managing chemotherapy-induced fatigue is to advise the client to rest when needed and maintain a balanced diet. Increasing the dose of chemotherapy (
Choice
A) would exacerbate the fatigue and other side effects. While light physical activity (
Choice
C) can be beneficial, extreme fatigue may require more rest initially. Delaying chemotherapy treatment (
Choice
D) should only be considered after consultation with the healthcare provider, as timely treatment is usually crucial in cancer care.
Question 2 of 5
A client is admitted to isolation with active tuberculosis. What infection control measures should the nurse implement?
Correct Answer: D
Rationale: When caring for a client with active tuberculosis, it is crucial to implement negative pressure rooms and contact precautions to prevent the spread of infection.
Choice A, initiating protective environment precautions, is incorrect as this is not the recommended approach for tuberculosis.
Choice B, using droplet precautions only, is insufficient as tuberculosis requires additional precautions.
Choice C, ensuring a positive pressure environment in the room, is incorrect because negative pressure rooms are necessary to contain airborne pathogens like tuberculosis.
Therefore, the most appropriate measures include implementing negative pressure rooms and contact precautions.
Question 3 of 5
A client with a history of coronary artery disease is experiencing chest pain. What is the nurse's first action?
Correct Answer: A
Rationale: The correct answer is A: Administer sublingual nitroglycerin. Sublingual nitroglycerin is the first-line treatment for chest pain related to coronary artery disease. It helps dilate the coronary arteries and improve blood flow to the heart, providing immediate relief from ischemia. Administering nitroglycerin promptly can help alleviate the chest pain and prevent further complications. Obtaining a 12-lead electrocardiogram (
Choice
B) is important but should not delay the administration of nitroglycerin. Calling the healthcare provider (
Choice
C) can be done after initiating immediate treatment. Checking the client's oxygen saturation (
Choice
D) is relevant but not the first action to take in this scenario.
Question 4 of 5
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which information in the client's admission assessment is relevant to the nurse's plan for taking the blood pressure reading?
Correct Answer: A
Rationale: The correct answer is A: 'Frequent syncope.' Orthostatic hypotension, common in Parkinson's disease, often causes syncope (fainting) when blood pressure drops upon standing. This information is critical for planning safe blood pressure measurements, ensuring readings are taken in both lying and standing positions to assess for sudden drops in pressure. Muscle rigidity, tremors, or gait instability are important symptoms in Parkinson's disease but are not directly related to blood pressure assessment.
Question 5 of 5
A client with a urinary tract infection (UTI) is prescribed antibiotics. What is the most important instruction for the nurse to give the client?
Correct Answer: B
Rationale: The most crucial instruction for the nurse to give a client with a UTI who is prescribed antibiotics is to complete the full course of antibiotics. Completing the full course of antibiotics is essential to ensure that the infection is fully treated and to prevent the development of antibiotic resistance. While taking antibiotics with food, increasing fluid intake, and managing discomfort with pain relievers are important aspects of UTI management, completing the prescribed course of antibiotics is the top priority to achieve the best treatment outcomes and prevent recurrence of the infection.