Questions 9

HESI RN

Home > HESI RN > HESI RN Capstone > HESI RN Exit Exam Capstone
HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client is receiving 30 mg of enoxaparin subcutaneously twice a day. In assessing adverse effects of the medication, which serum laboratory value is most important for the nurse to monitor?

Correct Answer: B

Rationale: Enoxaparin can cause heparin-induced thrombocytopenia (HIT), making it important to monitor the platelet count. PT and aPTT are less impacted by enoxaparin, and hemoglobin checks are more related to bleeding than to thrombocytopenia.

Question 2 of 5

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which assessment finding indicates that the client's oxygenation is improving?

Correct Answer: A

Rationale: A pulse oximetry reading of 94% indicates adequate oxygenation. Monitoring oxygen saturation is the most objective way to assess the effectiveness of oxygen therapy.

Question 3 of 5

The nurse observes that a client's wrist restraint is secured to the side rail of the bed. What action should the nurse take?

Correct Answer: B

Rationale: Restraints should always be secured to the bedframe, not the side rails, to prevent injury to the client in case the bed is adjusted.

Question 4 of 5

A client is newly prescribed lithium for bipolar disorder. Which finding is most important to report to the healthcare provider?

Correct Answer: B

Rationale: Fine hand tremors are an early sign of lithium toxicity, and the healthcare provider should be notified to adjust the dose or monitor serum levels more closely.

Question 5 of 5

While changing a client's chest tube dressing, the nurse notes a cracking sensation when gentle pressure is applied to the skin at the insertion site. What should the nurse do next?

Correct Answer: D

Rationale: Measuring the area of swelling and crackling helps monitor subcutaneous emphysema progression.

Similar Questions

While changing a client's chest tube dressing, the nurse notes a cracking sensation when gentle pressure is applied to the skin at the insertion site. What should the nurse do next?
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?
As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?
A client with diabetes mellitus is experiencing diabetic ketoacidosis (DKA). What laboratory result should the nurse monitor closely?
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?

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for HESI-RN and 3000+ practice questions to help you pass your HESI-RN exam.

Call to Action Image