HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 2 of 5
A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (A1C) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale of insulin aspart every 6 hours are prescribed. What actions should the nurse include in this client's plan of care?
Correct Answer: D
Rationale: Effective diabetes management involves comprehensive care, including proper foot care, insulin administration technique, and maintaining carbohydrate consistency with meals. All of these interventions are critical in reducing hyperglycemic episodes and managing diabetes.
Question 3 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 4 of 5
A male client with HIV on saquinavir and other antiretrovirals reports increased hunger and thirst but weight loss. Which action should the nurse take?
Correct Answer: A
Rationale: Increased thirst and hunger while losing weight may indicate hyperglycemia. Blood glucose should be checked.
Question 5 of 5
Where should the nurse consider starting a screening program for hypothyroidism?
Correct Answer: B
Rationale: An African-American senior citizens' center is a suitable location for screening, as older adults are at increased risk of hypothyroidism, and African-Americans are more likely to be underserved in healthcare.
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