HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication?
Correct Answer: B
Rationale: The primary goal of a proton pump inhibitor (PPI) is to reduce stomach acid, which alleviates gastrointestinal pain. Asking about pain levels is the most direct way to assess whether the medication is effective.
Question 2 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.
Question 3 of 5
As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?
Correct Answer: D
Rationale: Teens are more likely to be concerned with hair loss, as it is a visible and emotional side effect.
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
An older client with SIRS has a temperature of 101.8°F, a heart rate of 110 beats per minute, and a respiratory rate of 24 breaths per minute. Which additional finding is most important to report to the healthcare provider?
Correct Answer: A
Rationale: A serum creatinine level of 2.0 mg/dL indicates possible acute kidney injury, which can occur during severe systemic inflammatory response syndrome (SIRS). Reporting this value promptly allows for interventions to prevent further renal damage.
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