Questions 9

HESI RN

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A client with psoriasis is prescribed topical corticosteroids. What side effect should the nurse monitor for?

Correct Answer: D

Rationale: Topical corticosteroids can cause skin thinning and increased redness if overused. The nurse should monitor for these side effects, especially in long-term use.

Question 2 of 5

The nurse is caring for a client with a chest tube following surgery. The nurse should intervene if which of the following is observed?

Correct Answer: C

Rationale: The chest drainage system should always be kept below chest level to ensure proper drainage.

Question 3 of 5

The nurse is caring for a client receiving a blood transfusion who develops urticaria one-half hour after the transfusion has begun. What is the first action the nurse should take?

Correct Answer: A

Rationale: The infusion should be stopped immediately to prevent further reaction.

Question 4 of 5

A 5-week-old infant who developed projectile vomiting over the last two weeks is diagnosed with hypertrophic pyloric stenosis. Which intervention should the nurse plan to implement?

Correct Answer: D

Rationale: Intravenous fluids are essential for rehydrating an infant who is likely suffering from dehydration due to projectile vomiting. This condition, commonly related to pyloric stenosis, causes rapid fluid loss. Oral rehydration methods might not be sufficient or appropriate for such a young infant, especially if vomiting persists. IV therapy ensures controlled and adequate fluid replacement to stabilize the child.

Question 5 of 5

The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) who has been experiencing increasing shortness of breath. Which finding requires immediate intervention?

Correct Answer: D

Rationale: A pulse oximetry reading of 88% indicates hypoxemia, which requires immediate intervention to improve oxygenation. The use of accessory muscles and a barrel chest appearance are common in COPD but do not require urgent intervention.

Similar Questions

The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) who has been experiencing increasing shortness of breath. Which finding requires immediate intervention?
While assessing a client who is admitted with heart failure and pulmonary edema, the nurse identifies dependent peripheral edema, an irregular heart rate, and a persistent cough that produces pink blood-tinged sputum. After initiating continuous telemetry and positioning the client, which intervention should the nurse implement?
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?
A client is admitted to the emergency department after a motor vehicle accident. The client has a Glasgow Coma Scale (GCS) score of 10. What does this score indicate?
A client is experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?

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