HESI RN
HESI RN CAT Exit Exam Questions
Question 1 of 5
The nurse is planning care for a client who is receiving phenytoin (Dilantin) for seizure control. Which intervention is most important to include in this client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Implement seizure precautions. This is the most important intervention because phenytoin is an antiepileptic medication used for seizure control. Seizure precautions aim to prevent injury during a seizure by ensuring a safe environment for the client. Monitoring serum calcium levels (choice A) is not directly related to phenytoin therapy. Obtaining a baseline electrocardiogram (choice B) is not specifically indicated for clients on phenytoin. Encouraging a low-protein diet (choice D) is not a priority in the care of a client receiving phenytoin for seizure control.
Question 2 of 5
A client is taught how to collect a 24-hour urine specimen. Which statement indicates understanding of the procedure?
Correct Answer: D
Rationale: The correct answer is D because discarding the first morning specimen is essential to start the 24-hour collection accurately. By discarding the first void, the client ensures that the 24-hour collection will begin accurately. Choice A is incorrect because refrigeration is not necessary for a 24-hour urine collection. Choice B is incorrect because the collection should start after discarding the first morning void. Choice C is incorrect because keeping the urine on ice is not a standard practice for a 24-hour urine collection.
Question 3 of 5
A nurse is planning care for a client who is newly diagnosed with diabetes mellitus. Which instruction should the nurse include in this client¢â‚¬â„¢s teaching plan?
Correct Answer: C
Rationale: The correct answer is C: Rotate insulin injection sites. This is important to prevent lipodystrophy and ensure proper insulin absorption. Option A is incorrect because the client does not need to avoid all forms of sugar, but rather manage their intake. Option B is incorrect as blood glucose levels should be checked frequently, not just once a week. Option D is incorrect as monitoring urine ketone levels is not a primary teaching point for a newly diagnosed diabetic client.
Question 4 of 5
The nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client. Which action is most important for the nurse to take?
Correct Answer: A
Rationale: Step 1: Verify the client's blood type is crucial to ensure compatibility and prevent adverse reactions such as hemolytic transfusion reactions. Step 2: Ensuring PRBCs are warm is important but not the most critical as they can be warmed before administration. Step 3: Checking vital signs is important but not the priority compared to verifying blood type for safe transfusion. Step 4: Obtaining consent is essential but does not address the immediate safety concern of blood type compatibility.
Question 5 of 5
A client with a history of seizures is being discharged with a prescription for phenytoin (Dilantin). Which instruction should the nurse provide this client?
Correct Answer: B
Rationale: The correct answer is B: Avoid alcohol while taking this medication. Phenytoin interacts negatively with alcohol, increasing the risk of side effects and reducing its effectiveness in controlling seizures. Alcohol may also worsen drowsiness and dizziness caused by phenytoin. Choice A is incorrect as taking phenytoin with meals can decrease its absorption. Choice C is unrelated to phenytoin therapy. Choice D is incorrect as phenytoin should be taken at regular intervals throughout the day to maintain therapeutic levels.