HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
A client with hypothyroidism is prescribed levothyroxine. What assessment finding suggests the medication dosage is too high?
Correct Answer: B
Rationale: Increased heart rate and palpitations may indicate that the dosage of levothyroxine is too high, leading to hyperthyroidism.
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
The mother of a 2-day-old infant girl expresses concern about a 'flea bite' type rash on her daughter's body. The nurse identifies a pink papular rash with vesicles superimposed over the thorax, back, buttocks, and abdomen. Which explanation should the nurse offer?
Correct Answer: C
Rationale: The rash described is typical of erythema toxicum neonatorum, a common and benign newborn rash that resolves on its own within a few days. No treatment is necessary, and the nurse should reassure the mother.
Question 4 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 5 of 5
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which assessment finding indicates that the client's oxygenation is improving?
Correct Answer: A
Rationale: A pulse oximetry reading of 94% indicates adequate oxygenation. Monitoring oxygen saturation is the most objective way to assess the effectiveness of oxygen therapy.
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