HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 2 of 5
A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first
Correct Answer: C
Rationale: The nurse should first gather more details to better understand the situation before proceeding with documentation or reporting.
Question 3 of 5
A client with hypothyroidism is prescribed levothyroxine. What assessment finding suggests the medication dosage is too high?
Correct Answer: B
Rationale: Increased heart rate and palpitations may indicate that the dosage of levothyroxine is too high, leading to hyperthyroidism.
Question 4 of 5
The nurse is caring for a client with a suspected myocardial infarction (MI). Which laboratory test result is most indicative of a recent MI?
Correct Answer: A
Rationale: Elevated troponin levels are the most specific and sensitive indicator of myocardial infarction. Troponin levels increase within hours of an MI and remain elevated for several days.
Question 5 of 5
The nurse is caring for a client with pancreatitis who is receiving total parenteral nutrition (TPN). Which assessment finding requires immediate intervention by the nurse?
Correct Answer: B
Rationale: Weakness and shakiness can indicate hypoglycemia, a potential complication of TPN. Immediate intervention is necessary to assess blood glucose levels and provide treatment as needed.
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