HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 9
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 2 of 9
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.
Question 3 of 9
A client with COPD and a history of emphysema presents with increasing shortness of breath. What action should the nurse implement first?
Correct Answer: C
Rationale: Checking the oxygen delivery system ensures the client is receiving adequate oxygen and addresses any equipment malfunction.
Question 4 of 9
A client with heart failure is experiencing shortness of breath and swelling in the legs. What is the nurse's priority intervention?
Correct Answer: A
Rationale: Diuretics are prescribed to reduce fluid overload in clients with heart failure. By promoting urine output, diuretics help alleviate symptoms like shortness of breath and swelling. Positioning and dietary changes can also be part of the care plan, but administering diuretics is the immediate priority.
Question 5 of 9
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 6 of 9
Which intervention should the nurse include in the care plan for a child with tetanus?
Correct Answer: D
Rationale: Tetanus causes severe muscle spasms and sensitivity to stimuli, so minimizing stimuli like light, sound, and touch can help prevent painful spasms. Monitoring vital signs and administering antibiotics are important but managing stimuli is crucial for the child's comfort and safety.
Question 7 of 9
A client with a colostomy is being discharged. What teaching is most important for the nurse to provide?
Correct Answer: C
Rationale: Emptying the ostomy pouch when it's one-third full prevents leakage and skin irritation.
Question 8 of 9
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 9 of 9
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.