HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with diabetes mellitus is experiencing diabetic ketoacidosis (DKA). What laboratory result should the nurse monitor closely?
Correct Answer: B
Rationale: A blood glucose level of 320 mg/dL indicates the need for insulin to manage diabetic ketoacidosis.
Question 2 of 5
A client with a myocardial infarction is prescribed nitroglycerin. What instruction should the nurse include?
Correct Answer: D
Rationale: Clients prescribed nitroglycerin should be instructed to limit its use to no more than three doses in 15 minutes. This prevents excessive use, which can lead to severe hypotension and other complications.
Question 3 of 5
A client is receiving 30 mg of enoxaparin subcutaneously twice a day. In assessing adverse effects of the medication, which serum laboratory value is most important for the nurse to monitor?
Correct Answer: B
Rationale: Enoxaparin can cause heparin-induced thrombocytopenia (HIT), making it important to monitor the platelet count. PT and aPTT are less impacted by enoxaparin, and hemoglobin checks are more related to bleeding than to thrombocytopenia.
Question 4 of 5
A client is receiving morphine for postoperative pain. What is the nurse's priority assessment?
Correct Answer: A
Rationale: Monitoring respiratory rate helps assess for respiratory depression, a common side effect of morphine.
Question 5 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.
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