Questions 9

HESI RN

HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with hyperthyroidism is admitted for total thyroidectomy. What is the nurse's priority post-operative intervention?

Correct Answer: A

Rationale: Calcium levels should be monitored closely as hypocalcemia is a common complication after thyroid surgery.

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 experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?

Correct Answer: B

Rationale: Before administering nitroglycerin, which can lower blood pressure and heart rate, it is important to assess both to avoid exacerbating hypotension or bradycardia. Nitroglycerin helps relieve chest pain by dilating coronary arteries, but its vasodilating effect can also cause a significant drop in blood pressure, which can be dangerous for some clients.

Question 4 of 5

The nurse is providing care for a client with schizophrenia who receives haloperidol decanoate 75 mg IM every 4 weeks. The client begins developing a puckering and smacking of the lips and facial grimacing. Which intervention should the nurse implement?

Correct Answer: C

Rationale: These symptoms are characteristic of tardive dyskinesia, a side effect of long-term antipsychotic use. The nurse should assess the severity of these movements using the AIMS scale and report to the healthcare provider for further management.

Question 5 of 5

A client with a recent myocardial infarction is prescribed a beta-blocker. What side effect should the nurse monitor for?

Correct Answer: B

Rationale: Beta-blockers can cause hypotension, so it's important to monitor the client's blood pressure closely.

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