HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 2 of 5
A client with adrenal insufficiency is admitted to the ICU with acute adrenal crisis. The client's vital signs include heart rate 138 bpm and BP 80/60. What is the nurse's first intervention?
Correct Answer: B
Rationale: An IV fluid bolus stabilizes blood pressure during adrenal crisis.
Question 3 of 5
A client with 42-week gestation refuses induction. What is the most important action the nurse should take?
Correct Answer: A
Rationale: Supporting the client's birth plan helps reduce anxiety while ensuring informed decision-making.
Question 4 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 5 of 5
A client with type 1 diabetes mellitus is admitted to the emergency department with confusion, sweating, and a blood sugar level of 45 mg/dL. What is the nurse's priority action?
Correct Answer: A
Rationale: A blood sugar level of 45 mg/dL indicates severe hypoglycemia, which can lead to life-threatening complications if not treated immediately. The priority is to administer IV dextrose to rapidly increase the blood sugar level. Offering a carbohydrate snack may follow once the client is stable.
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