HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client is receiving lactulose for signs of hepatic encephalopathy. To evaluate the therapeutic response, which assessment should the nurse obtain?
Correct Answer: D
Rationale: Lactulose is used to reduce ammonia levels, so consciousness is an indicator of efficacy.
Question 2 of 5
A client is suspected of having a stroke. What is the nurse's priority action?
Correct Answer: B
Rationale: A neurological assessment is the priority when a stroke is suspected to determine the extent of brain injury and identify any immediate risks, such as impaired airway, speech deficits, or loss of motor function. Early recognition of these signs is essential for timely intervention and to guide further treatment like the administration of tPA, if appropriate.
Question 3 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 4 of 5
After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication?
Correct Answer: B
Rationale: The primary goal of a proton pump inhibitor (PPI) is to reduce stomach acid, which alleviates gastrointestinal pain. Asking about pain levels is the most direct way to assess whether the medication is effective.
Question 5 of 5
A client with Alzheimer's disease is prescribed donepezil. What is the most important teaching point?
Correct Answer: C
Rationale: Donepezil helps improve cognitive function but is not a cure for Alzheimer's disease.
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