Questions 9

HESI RN

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client is admitted with pneumonia and is started on antibiotics. After 3 days, the client reports difficulty breathing and a rash. What is the nurse's first action?

Correct Answer: B

Rationale: The client's difficulty breathing and rash suggest a possible allergic reaction to the antibiotic. The nurse should immediately discontinue the antibiotic to prevent further exposure and then assess the client and notify the healthcare provider.

Question 2 of 5

The nurse has been teaching a client with congestive heart failure about proper nutrition. The selection of which lunch indicates the client has learned about sodium restriction?

Correct Answer: B

Rationale: The selection of a sliced turkey sandwich and canned pineapple shows an understanding of sodium restriction.

Question 3 of 5

An older client is admitted to the intensive care unit unconscious after several days of vomiting and diarrhea. The nurse inserts a urinary catheter and observes dark amber urine output. Which intervention should the nurse implement first?

Correct Answer: C

Rationale: A fluid bolus is the first step in stabilizing a client with hypovolemic symptoms.

Question 4 of 5

To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must

Correct Answer: A

Rationale: Suctioning for more than 10 seconds can cause hypoxia, so it should be limited to 10 seconds at most.

Question 5 of 5

A client with hyperparathyroidism is preparing for surgery. Which preoperative lab finding is most important to report?

Correct Answer: A

Rationale: Elevated calcium levels can cause complications during surgery and should be reported.

Similar Questions

A client with hyperparathyroidism is preparing for surgery. Which preoperative lab finding is most important to report?
The mother of a 2-day-old infant girl expresses concern about a 'flea bite' type rash on her daughter's body. The nurse identifies a pink papular rash with vesicles superimposed over the thorax, back, buttocks, and abdomen. Which explanation should the nurse offer?
The nurse observes that a client's wrist restraint is secured to the side rail of the bed. What action should the nurse take?
The nurse has received funding to design a health promotion project for African American women who are at risk for developing breast cancer. Which resource is most important in designing this program?
A client with heart failure is prescribed furosemide. The nurse notes that the client's potassium level is 3.1 mEq/L. What is the nurse's priority action?

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