HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 9
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 9
A client with bipolar disorder is prescribed lithium. What should the nurse teach the client about lithium toxicity?
Correct Answer: D
Rationale: Lithium toxicity can occur if levels become too high, especially if the client is dehydrated. Clients should be advised to avoid NSAIDs and maintain adequate hydration to prevent toxicity.
Question 3 of 9
A postoperative client with a history of diabetes mellitus is showing signs of hyperglycemia. What should the nurse assess first?
Correct Answer: C
Rationale: Hyperglycemia in postoperative clients, especially those with diabetes, can be a sign of infection. The nurse should assess blood glucose levels to confirm hyperglycemia.
Question 4 of 9
A client asks the nurse for information about reducing risk factors for BPH. Which information should the nurse provide?
Correct Answer: A
Rationale: Physical activity can help reduce the risk of benign prostatic hyperplasia (BPH) by improving overall circulation and reducing inflammation. While avoiding caffeine and alcohol may help with symptom management, increasing activity is more strongly linked to prevention.
Question 5 of 9
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 6 of 9
An older client with SIRS has a temperature of 101.8°F, a heart rate of 110 beats per minute, and a respiratory rate of 24 breaths per minute. Which additional finding is most important to report to the healthcare provider?
Correct Answer: A
Rationale: A serum creatinine level of 2.0 mg/dL indicates possible acute kidney injury, which can occur during severe systemic inflammatory response syndrome (SIRS). Reporting this value promptly allows for interventions to prevent further renal damage.
Question 7 of 9
A client with adrenal insufficiency is admitted to the ICU with acute adrenal crisis. The client's vital signs include heart rate 138 bpm and BP 80/60. What is the nurse's first intervention?
Correct Answer: B
Rationale: An IV fluid bolus stabilizes blood pressure during adrenal crisis.
Question 8 of 9
A client with 42-week gestation refuses induction. What is the most important action the nurse should take?
Correct Answer: A
Rationale: Supporting the client's birth plan helps reduce anxiety while ensuring informed decision-making.
Question 9 of 9
A client with COPD and a history of emphysema presents with increasing shortness of breath. What action should the nurse implement first?
Correct Answer: C
Rationale: Checking the oxygen delivery system ensures the client is receiving adequate oxygen and addresses any equipment malfunction.