HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Which of the following should take priority in planning care?
Correct Answer: B
Rationale: Leukopenia, or a low white blood cell count, is a critical concern in clients undergoing radiation therapy due to increased risk of infection.
Question 2 of 5
An older client with SIRS has a temperature of 101.8°F, a heart rate of 110 beats per minute, and a respiratory rate of 24 breaths per minute. Which additional finding is most important to report to the healthcare provider?
Correct Answer: A
Rationale: A serum creatinine level of 2.0 mg/dL indicates possible acute kidney injury, which can occur during severe systemic inflammatory response syndrome (SIRS). Reporting this value promptly allows for interventions to prevent further renal damage.
Question 3 of 5
The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?
Correct Answer: C
Rationale: Shortness of breath is a sign that the anemia is severe enough to impair oxygenation. Immediate intervention is needed to address this potentially life-threatening complication.
Question 4 of 5
A client with a colostomy is being discharged. What teaching is most important for the nurse to provide?
Correct Answer: C
Rationale: Emptying the ostomy pouch when it's one-third full prevents leakage and skin irritation.
Question 5 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.
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