HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal
Correct Answer: A
Rationale: An S3 ventricular gallop is typically heard in clients with congestive heart failure due to fluid overload.
Question 2 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.
Question 3 of 5
A client with deep vein thrombosis (DVT) is prescribed warfarin. What lab value should the nurse review before administering the medication?
Correct Answer: C
Rationale: INR should be reviewed before administering warfarin to ensure the client is within the therapeutic range.
Question 4 of 5
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
Correct Answer: A
Rationale: Suctioning for more than 10 seconds can cause hypoxia, so it should be limited to 10 seconds at most.
Question 5 of 5
A client with psoriasis is prescribed topical corticosteroids. What side effect should the nurse monitor for?
Correct Answer: D
Rationale: Topical corticosteroids can cause skin thinning and increased redness if overused. The nurse should monitor for these side effects, especially in long-term use.
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