HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 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: Beta-blockers can cause hypotension, so it's important to monitor the client's blood pressure closely.
Question 3 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 4 of 5
The healthcare provider prescribes an IV infusion of isoproterenol in D5W at 300 mcg/hour. How many ml/hour should the nurse set the pump to?
Correct Answer: B
Rationale: To calculate the correct infusion rate, use the formula: 300 mcg/hour = 0.3 mg/hour. Given that the IV solution is 1 mg in 250 ml, the rate is set at 75 ml/hour.
Question 5 of 5
A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?
Correct Answer: B
Rationale: Phenytoin should be taken consistently, as missing doses can increase the risk of seizures. Additionally, clients should be aware of drug interactions, such as with antacids, which can reduce the absorption of phenytoin.
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