HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client is admitted with ascites, malnutrition, and recent complaints of spitting up blood. What assessment finding warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: A round and tight abdomen suggests fluid accumulation from ascites, which could signal a more severe underlying condition requiring immediate intervention.
Question 2 of 5
A client who is bedridden after a stroke is at risk for developing pressure ulcers. Which nursing intervention is most important in preventing this complication?
Correct Answer: B
Rationale: Repositioning the client every 2 hours is essential in preventing pressure ulcers in bedridden clients.
Question 3 of 5
A client with a peripherally inserted central catheter (PICC) line has a fever. What client assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Observing the antecubital fossa for inflammation can indicate infection or complications related to the PICC line, which is critical to assess in clients with a fever.
Question 4 of 5
The nurse is preparing a teaching plan for a client diagnosed with asthma. The primary purpose of the plan is to
Correct Answer: D
Rationale: Avoiding allergens that trigger asthma attacks is essential in managing the condition and preventing flare-ups.
Question 5 of 5
A male client with heart failure presents with shortness of breath, audible wheezing, and pink frothy sputum. What action should the nurse take?
Correct Answer: B
Rationale: Morphine is needed to reduce the client's distress and should be given as prescribed.
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