HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with heart failure receiving furosemide develops muscle weakness. What is the nurse's priority action?
Correct Answer: B
Rationale: Muscle weakness in a client receiving furosemide (a diuretic) is often a sign of hypokalemia, as furosemide increases potassium loss. Monitoring potassium levels is essential to identify and address any imbalances and prevent complications such as arrhythmias.
Question 2 of 5
An older client is admitted to the intensive care unit unconscious after several days of vomiting and diarrhea. The nurse inserts a urinary catheter and observes dark amber urine output. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: A fluid bolus is the first step in stabilizing a client with hypovolemic symptoms.
Question 3 of 5
A client is admitted with a suspected pulmonary embolism (PE). What is the nurse's priority intervention?
Correct Answer: D
Rationale: A CT scan can help confirm a pulmonary embolism and guide further treatment.
Question 4 of 5
A client receiving total parenteral nutrition (TPN) reports nausea and dizziness. What action should the nurse take first?
Correct Answer: B
Rationale: Checking vital signs and blood pressure helps assess the client's stability when reporting symptoms like nausea and dizziness during TPN.
Question 5 of 5
A client with hyperparathyroidism is preparing for surgery. Which preoperative lab finding is most important to report?
Correct Answer: A
Rationale: Elevated calcium levels can cause complications during surgery and should be reported.
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