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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client is suspected of having a stroke. What is the nurse's priority action?
Correct Answer: B
Rationale: A neurological assessment is the priority when a stroke is suspected to determine the extent of brain injury and identify any immediate risks, such as impaired airway, speech deficits, or loss of motor function. Early recognition of these signs is essential for timely intervention and to guide further treatment like the administration of tPA, if appropriate.
Question 4 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 5 of 5
A client with heart failure receiving furosemide develops muscle weakness. What is the nurse's priority action?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.