HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with bipolar disorder is prescribed lithium. What should the nurse teach the client about lithium toxicity?
Correct Answer: D
Rationale: Lithium toxicity can occur if levels become too high, especially if the client is dehydrated. Clients should be advised to avoid NSAIDs and maintain adequate hydration to prevent toxicity.
Question 2 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.
Question 3 of 5
A client with heart failure is prescribed spironolactone. What is the nurse's priority intervention?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, so the nurse should closely monitor for signs of hyperkalemia, which can lead to cardiac arrhythmias.
Question 4 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 5 of 5
A client is admitted with a suspected pulmonary embolism (PE). What is the nurse's priority intervention?
Correct Answer: D
Rationale: A CT scan can help confirm a pulmonary embolism and guide further treatment.
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