Questions 9

HESI RN

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

The nurse is caring for a client with deep vein thrombosis (DVT) who is receiving anticoagulant therapy. Which intervention should the nurse implement to prevent complications?

Correct Answer: A

Rationale: Elevating the affected leg helps reduce swelling and improve venous return, which is important for preventing complications in clients with DVT. Other interventions, such as ambulation, are secondary to leg elevation.

Question 2 of 5

A 5-week-old infant who developed projectile vomiting over the last two weeks is diagnosed with hypertrophic pyloric stenosis. Which intervention should the nurse plan to implement?

Correct Answer: D

Rationale: Intravenous fluids are essential for rehydrating an infant who is likely suffering from dehydration due to projectile vomiting. This condition, commonly related to pyloric stenosis, causes rapid fluid loss. Oral rehydration methods might not be sufficient or appropriate for such a young infant, especially if vomiting persists. IV therapy ensures controlled and adequate fluid replacement to stabilize the child.

Question 3 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.

Question 4 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 5 of 5

A client is experiencing chest pain and is prescribed nitroglycerin. What should the nurse assess before administering the medication?

Correct Answer: B

Rationale: Before administering nitroglycerin, which can lower blood pressure and heart rate, it is important to assess both to avoid exacerbating hypotension or bradycardia. Nitroglycerin helps relieve chest pain by dilating coronary arteries, but its vasodilating effect can also cause a significant drop in blood pressure, which can be dangerous for some clients.

Similar Questions

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