HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with COPD and a history of emphysema presents with increasing shortness of breath. What action should the nurse implement first?
Correct Answer: C
Rationale: Checking the oxygen delivery system ensures the client is receiving adequate oxygen and addresses any equipment malfunction.
Question 2 of 5
The nurse is caring for a client with pancreatitis who is receiving total parenteral nutrition (TPN). Which assessment finding requires immediate intervention by the nurse?
Correct Answer: B
Rationale: Weakness and shakiness can indicate hypoglycemia, a potential complication of TPN. Immediate intervention is necessary to assess blood glucose levels and provide treatment as needed.
Question 3 of 5
A client with psoriasis is prescribed topical corticosteroids. What side effect should the nurse monitor for?
Correct Answer: D
Rationale: Topical corticosteroids can cause skin thinning and increased redness if overused. The nurse should monitor for these side effects, especially in long-term use.
Question 4 of 5
A scrub nurse preparing for the first surgery of the day asks if a 3-minute surgical hand scrub is adequate. What should the circulating nurse advise?
Correct Answer: B
Rationale: The circulating nurse should advise the scrub nurse to extend the hand scrub to 5 minutes for thorough preparation, particularly for the first surgery of the day.
Question 5 of 5
A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Which of the following should take priority in planning care?
Correct Answer: B
Rationale: Leukopenia, or a low white blood cell count, is a critical concern in clients undergoing radiation therapy due to increased risk of infection.
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