HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
The nurse assesses a client one hour after starting a transfusion of packed red blood cells and determines that there are no indications of a transfusion reaction. What instruction should the nurse provide the UAP who is working with the nurse?
Correct Answer: D
Rationale: Monitoring vital signs throughout a transfusion is critical, as reactions can occur later in the process. The UAP should continue to check vital signs regularly to ensure that any delayed reaction is promptly detected.
Question 2 of 5
The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?
Correct Answer: B
Rationale: An intradermal injection for a tuberculosis skin test should be administered using a 27-gauge needle at a 15-degree angle. This technique ensures that the medication is delivered into the dermis layer of the skin.
Question 3 of 5
A client admitted with left-sided heart failure presents with shortness of breath and pink frothy sputum. Which assessment finding requires immediate intervention?
Correct Answer: C
Rationale: Pink frothy sputum is a sign of pulmonary edema, which needs immediate intervention to prevent respiratory failure.
Question 4 of 5
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?
Correct Answer: A
Rationale: It is important to use contraception until sperm is confirmed absent in the ejaculate.
Question 5 of 5
A client with Alzheimer's disease is prescribed donepezil. What is the most important teaching point?
Correct Answer: C
Rationale: Donepezil helps improve cognitive function but is not a cure for Alzheimer's disease.
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