HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal retractions. After administering surfactant, which assessment is most important for the nurse to monitor?
Correct Answer: C
Rationale: Surfactant therapy is used to improve lung function and gas exchange in premature infants with respiratory distress. Monitoring arterial blood gases is essential to assess the effectiveness of the treatment and ensure adequate oxygenation.
Question 2 of 5
The nurse has received funding to design a health promotion project for African American women who are at risk for developing breast cancer. Which resource is most important in designing this program?
Correct Answer: A
Rationale: Involving community leaders helps ensure that the program is culturally relevant and addresses the needs of the target population. Community involvement also fosters trust and engagement in the health promotion project.
Question 3 of 5
The nurse is caring for a client with an exacerbation of chronic obstructive pulmonary disease (COPD). Which intervention is most important to promote effective breathing?
Correct Answer: A
Rationale: Diaphragmatic breathing helps improve lung expansion and oxygen exchange, promoting more effective breathing in clients with COPD. Increasing oxygen flow rate is not always appropriate and can worsen hypercapnia in these clients.
Question 4 of 5
A client with a peripherally inserted central catheter (PICC) line has a fever. What client assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Observing the antecubital fossa for inflammation can indicate infection or complications related to the PICC line, which is critical to assess in clients with a fever.
Question 5 of 5
A male client with heart failure presents with shortness of breath, audible wheezing, and pink frothy sputum. What action should the nurse take?
Correct Answer: B
Rationale: Morphine is needed to reduce the client's distress and should be given as prescribed.
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