HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication
Correct Answer: A
Rationale: Hypokalemia combined with digoxin increases the risk of dysrhythmias.
Question 2 of 5
A client with a peripherally inserted central catheter (PICC) line has a fever. What client assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Observing the antecubital fossa for inflammation can indicate infection or complications related to the PICC line, which is critical to assess in clients with a fever.
Question 3 of 5
A female client with acute respiratory distress syndrome (ARDS) is sedated and on a ventilator with 50% FIO2. What assessment finding warrants immediate intervention?
Correct Answer: B
Rationale: Diminished breath sounds in a sedated client with ARDS and on a ventilator indicate collapsed alveoli, which requires immediate intervention, such as chest tube insertion, to prevent further lung damage.
Question 4 of 5
A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first
Correct Answer: C
Rationale: The nurse should first gather more details to better understand the situation before proceeding with documentation or reporting.
Question 5 of 5
While changing a client's chest tube dressing, the nurse notes a cracking sensation when gentle pressure is applied to the skin at the insertion site. What should the nurse do next?
Correct Answer: D
Rationale: Measuring the area of swelling and crackling helps monitor subcutaneous emphysema progression.
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