HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with heart failure is experiencing shortness of breath and swelling in the legs. What is the nurse's priority intervention?
Correct Answer: A
Rationale: Diuretics are prescribed to reduce fluid overload in clients with heart failure. By promoting urine output, diuretics help alleviate symptoms like shortness of breath and swelling. Positioning and dietary changes can also be part of the care plan, but administering diuretics is the immediate priority.
Question 2 of 5
A postoperative client with a history of diabetes mellitus is showing signs of hyperglycemia. What should the nurse assess first?
Correct Answer: C
Rationale: Hyperglycemia in postoperative clients, especially those with diabetes, can be a sign of infection. The nurse should assess blood glucose levels to confirm hyperglycemia.
Question 3 of 5
A 48 year-old client with chronic alcoholism is admitted to the hospital. The nurse would anticipate that the client may be deficient in which vitamins?
Correct Answer: A
Rationale: Chronic alcoholism commonly leads to deficiencies in B vitamins, particularly thiamine, and vitamin C.
Question 4 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 5 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.
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