Questions 9

HESI RN

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. Which intervention has the highest priority in preparing the client for the procedure?

Correct Answer: C

Rationale: Encouraging the client to write down questions allows the nurse to address concerns systematically, reducing anxiety. This approach is empowering and ensures that all concerns are covered before the procedure, reducing the risk of miscommunication or unaddressed fears.

Question 2 of 5

The healthcare provider prescribes an IV infusion of isoproterenol in D5W at 300 mcg/hour. How many ml/hour should the nurse set the pump to?

Correct Answer: B

Rationale: To calculate the correct infusion rate, use the formula: 300 mcg/hour = 0.3 mg/hour. Given that the IV solution is 1 mg in 250 ml, the rate is set at 75 ml/hour.

Question 3 of 5

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?

Correct Answer: A

Rationale: Involving community leaders helps ensure that the program is culturally relevant and addresses the needs of the target population. Community involvement also fosters trust and engagement in the health promotion project.

Question 4 of 5

A client with a deep vein thrombosis (DVT) is prescribed enoxaparin. What teaching should the nurse provide?

Correct Answer: C

Rationale: Clients should report unusual bruising or bleeding when taking enoxaparin, as these are signs of excessive anticoagulation.

Question 5 of 5

A client is experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?

Correct Answer: B

Rationale: Before administering nitroglycerin, which can lower blood pressure and heart rate, it is important to assess both to avoid exacerbating hypotension or bradycardia. Nitroglycerin helps relieve chest pain by dilating coronary arteries, but its vasodilating effect can also cause a significant drop in blood pressure, which can be dangerous for some clients.

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