HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 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 2 of 5
A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Which of the following should take priority in planning care?
Correct Answer: B
Rationale: Leukopenia, or a low white blood cell count, is a critical concern in clients undergoing radiation therapy due to increased risk of infection.
Question 3 of 5
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 4 of 5
A client with pneumonia is prescribed antibiotics. What is the most important teaching point for the nurse to provide?
Correct Answer: C
Rationale: Antibiotics must be taken for the entire prescribed duration to ensure that the infection is completely eradicated. Stopping antibiotics early, even if symptoms improve, can lead to a recurrence of the infection or antibiotic resistance.
Question 5 of 5
A client is suspected of having a stroke. What is the nurse's priority action?
Correct Answer: B
Rationale: A neurological assessment is the priority when a stroke is suspected to determine the extent of brain injury and identify any immediate risks, such as impaired airway, speech deficits, or loss of motor function. Early recognition of these signs is essential for timely intervention and to guide further treatment like the administration of tPA, if appropriate.
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