A client is suspected of having a stroke. What is the nurse's priority action?

Questions 101

HESI RN

HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 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 2 of 5

A client with heart failure receiving furosemide develops muscle weakness. What is the nurse's priority action?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A client with pneumonia is prescribed antibiotics. What is the most important teaching point for the nurse to provide?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A client with heart failure is prescribed spironolactone. What is the nurse's priority intervention?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Access More Questions!

HESI RN Basic


$89/ 30 days

HESI RN Premium


$150/ 90 days

Similar Questions