Questions 82

HESI RN

HESI RN Test Bank

HESI RN Exit Exam 2024 Quizlet Capstone Questions

Question 1 of 5

A client with diabetes mellitus is admitted with an infected foot ulcer. What intervention is most important for the nurse to implement?

Correct Answer: B

Rationale: Administering prescribed IV antibiotics is the most crucial intervention in managing an infected foot ulcer in a client with diabetes mellitus. Antibiotics help combat the infection and prevent its spread systemically, which is vital in diabetic clients to prevent serious complications like sepsis. While obtaining a wound culture (
Choice
A) may provide valuable information for targeted antibiotic therapy, administering antibiotics promptly takes precedence to prevent the infection from worsening. Elevating the affected foot (
Choice
C) can help reduce swelling but is not as urgent as administering antibiotics. Consulting the wound care nurse (
Choice
D) may be beneficial for long-term wound management but does not address the immediate need to control the infection.

Question 2 of 5

A client is experiencing acute bronchospasm. What is the nurse's priority intervention?

Correct Answer: A

Rationale: The correct answer is to administer a nebulizer treatment of albuterol. In acute bronchospasm, the priority intervention is to deliver a bronchodilator like albuterol to open the airways and improve breathing. Starting an IV infusion of normal saline (
Choice
B) may be necessary but not the priority in this situation. Administering oxygen at 4L/min via nasal cannula (
Choice
C) is important but not the first intervention for bronchospasm. Positioning the client in a high Fowler's position (
Choice
D) can help with breathing but is not the priority over administering a bronchodilator.

Question 3 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.

Question 4 of 5

A client with hypothyroidism is prescribed levothyroxine. What instruction should the nurse provide?

Correct Answer: A

Rationale: The correct answer is A: 'Take the medication in the morning before eating.' Levothyroxine should be taken on an empty stomach in the morning for optimal absorption.
Choice B is incorrect because while taking medication with water is generally recommended, levothyroxine specifically needs to be taken on an empty stomach.
Choice C is incorrect as taking levothyroxine with food can interfere with its absorption.
Choice D is incorrect as levothyroxine should be taken regularly as prescribed, not only when symptoms worsen.

Question 5 of 5

A client with atrial fibrillation is prescribed warfarin. Which instruction should the nurse include in the teaching?

Correct Answer: B

Rationale: Clients on warfarin are at increased risk of bleeding due to its anticoagulant effects. Using an electric razor reduces the risk of cuts and bleeding, which is an important safety precaution. While leafy greens should not be avoided, their intake should be consistent to maintain a stable level of vitamin K in the body. Monitoring blood pressure daily is important for other conditions but not directly related to warfarin therapy. Avoiding bananas and oranges is not a standard instruction for clients on warfarin.

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