HESI RN Exit Exam Capstone

HESI RN

HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have disappeared, and that her eyes are puffy. What follow-up question is best for the nurse to ask?

A. Have you noticed any changes in your fingernails? B. Have you had any changes in weight or energy levels? C. Do you have a family history of thyroid problems? D. Have you had recent cold intolerance or unusual fatigue?

Correct Answer: D

Rationale: Cold intolerance, fatigue, and other changes may indicate hypothyroidism, which could explain the hair and eyebrow loss, and puffy eyes.

Question 2 of 5

A client with psoriasis is prescribed topical corticosteroids. What side effect should the nurse monitor for?

A. Monitor for weight gain and skin thinning. B. Assess for increased sensitivity to sunlight. C. Monitor for hair loss and excessive bruising. D. Report any signs of increased redness or itching.

Correct Answer: D

Rationale:
Topical corticosteroids can cause skin thinning and increased redness if overused. The nurse should monitor for these side effects, especially in long-term use.

Question 3 of 5

A female client with acute respiratory distress syndrome (ARDS) is sedated and on a ventilator with 50% FIO2. What assessment finding warrants immediate intervention?

A. Assess the client's lung sounds bilaterally. B. Diminished left lower lobe sounds. C. Monitor ventilator settings for changes in oxygen levels. D. Increased sputum production and shortness of breath.

Correct Answer: B

Rationale: Diminished breath sounds in a sedated client with ARDS and on a ventilator indicate collapsed alveoli, which requires immediate intervention, such as chest tube insertion, to prevent further lung damage.

Question 4 of 5

A scrub nurse preparing for the first surgery of the day asks if a 3-minute surgical hand scrub is adequate. What should the circulating nurse advise?

A. Proceed with surgery preparation B. Extend scrub time to 5 minutes C. Use an alcohol-based hand sanitizer D. Scrub time depends on the type of surgery

Correct Answer: B

Rationale: The circulating nurse should advise the scrub nurse to extend the hand scrub to 5 minutes for thorough preparation, particularly for the first surgery of the day.

Question 5 of 5

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

A. Notify the healthcare provider of the client's distress. B. Auscultate the client's lung sounds and oxygen saturation. C. Determine if the client is experiencing anxiety. D. Assess the oxygen delivery system.

Correct Answer: C

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

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