Questions 9

HESI RN

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

A female client with acute respiratory distress syndrome (ARDS) is sedated and on a ventilator with 50% FIO2. What assessment finding warrants immediate intervention?

Correct Answer: B

Rationale: Diminished breath sounds in a sedated client with ARDS and on a ventilator indicate collapsed alveoli, which requires immediate intervention, such as chest tube insertion, to prevent further lung damage.

Question 2 of 5

A client who is bedridden after a stroke is at risk for developing pressure ulcers. Which nursing intervention is most important in preventing this complication?

Correct Answer: B

Rationale: Repositioning the client every 2 hours is essential in preventing pressure ulcers in bedridden clients.

Question 3 of 5

A young adult visits the clinic reporting symptoms associated with gastritis. Which information in the client's history is most important for the nurse to address in the teaching plan?

Correct Answer: B

Rationale: Excessive alcohol consumption is a major risk factor for gastritis and should be prioritized in the teaching plan. Although NSAIDs and spicy foods can contribute to gastritis, alcohol is the most significant factor requiring immediate lifestyle changes.

Question 4 of 5

A young woman with multiple sclerosis just received several immunizations in preparation for moving into a college dormitory. Two days later, she reports to the nurse that she is experiencing increasing fatigue and visual problems. What teaching should the nurse provide?

Correct Answer: A

Rationale: Immunizations can sometimes trigger relapses in multiple sclerosis due to the activation of the immune system. Extra rest can help manage these symptoms. While increased fluid intake may be helpful, the nurse should focus on explaining the connection between immunizations and MS symptoms.

Question 5 of 5

The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?

Correct Answer: C

Rationale: Shortness of breath is a sign that the anemia is severe enough to impair oxygenation. Immediate intervention is needed to address this potentially life-threatening complication.

Similar Questions

The nurse is providing care for a client with severe anemia. Which assessment finding requires immediate intervention?
A client asks the nurse for information about reducing risk factors for BPH. Which information should the nurse provide?
A client is admitted with pneumonia and is started on antibiotics. After 3 days, the client reports difficulty breathing and a rash. What is the nurse's first action?
The nurse has received funding to design a health promotion project for African American women who are at risk for developing breast cancer. Which resource is most important in designing this program?
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?

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