Questions 9

HESI RN

HESI RN Test Bank

HESI RN Exit Exam Capstone Questions

Question 1 of 5

The nurse is caring for a client with acute pancreatitis who is reporting severe abdominal pain. Which nursing intervention should the nurse implement first?

Correct Answer: B

Rationale: Pain relief is a priority in clients with acute pancreatitis. Administering prescribed pain medication is the first intervention to improve comfort and reduce pain, which can help stabilize the client's condition.

Question 2 of 5

A client is receiving a blood transfusion and reports feeling chilled and short of breath. What is the nurse's priority action?

Correct Answer: A

Rationale: Stopping the transfusion prevents further reactions, and notifying the healthcare provider ensures timely intervention.

Question 3 of 5

A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. Which acid-base imbalance does the nurse anticipate the client developing?

Correct Answer: B

Rationale: Hyperventilation from anxiety or fear causes an excessive loss of CO2, leading to respiratory alkalosis. This shift in pH results from the rapid, shallow breathing that reduces the level of carbon dioxide in the blood. Respiratory acidosis would occur in cases of poor ventilation or CO2 retention, while metabolic acidosis/alkalosis relates to disturbances in bicarbonate, not breathing patterns.

Question 4 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 5 of 5

Which activity is most important for a client recovering from a hip replacement to avoid during the first few weeks of recovery?

Correct Answer: B

Rationale: Crossing the legs after a hip replacement can increase the risk of hip dislocation. Clients should be advised to avoid crossing their legs during recovery to protect the new joint.

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