Questions 9

HESI RN

HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with diabetes insipidus is admitted due to a pituitary tumor. What complication should the nurse monitor for closely?

Correct Answer: D

Rationale: Hypokalemia is a common complication of diabetes insipidus due to excessive urination and the resultant electrolyte imbalance.

Question 2 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: Phenytoin should be taken consistently, as missing doses can increase the risk of seizures. Additionally, clients should be aware of drug interactions, such as with antacids, which can reduce the absorption of phenytoin.

Question 3 of 5

A client with atrial fibrillation is prescribed warfarin, and their INR is elevated. What is the nurse's priority action?

Correct Answer: D

Rationale: An elevated INR in clients taking warfarin increases the risk of bleeding. The nurse should notify the healthcare provider immediately and hold the next dose of warfarin to prevent complications.

Question 4 of 5

Which intervention should the nurse include in the care plan for a child with tetanus?

Correct Answer: D

Rationale: Tetanus causes severe muscle spasms and sensitivity to stimuli, so minimizing stimuli like light, sound, and touch can help prevent painful spasms. Monitoring vital signs and administering antibiotics are important but managing stimuli is crucial for the child's comfort and safety.

Question 5 of 5

The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?

Correct Answer: B

Rationale: An intradermal injection for a tuberculosis skin test should be administered using a 27-gauge needle at a 15-degree angle. This technique ensures that the medication is delivered into the dermis layer of the skin.

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