HESI RN
HESI Exit Exam RN Capstone Questions
Question 1 of 5
The nurse is providing care for a client with advanced liver disease who is experiencing ascites. Which intervention should the nurse implement to help manage the client's fluid volume?
Correct Answer: D
Rationale: Administering a diuretic as prescribed is the most appropriate intervention to manage fluid volume in a client with ascites due to advanced liver disease. Diuretics help reduce fluid accumulation in the body, including the abdominal cavity where ascites occurs. Increasing sodium intake would worsen fluid retention, and encouraging more fluid intake can exacerbate ascites. Placing the client in a supine position does not directly address the fluid volume issue associated with ascites.
Question 2 of 5
A client presents to the clinic with a large abscess on the right thigh. The healthcare provider incises and drains the abscess. Which instruction should the nurse provide to the client upon discharge?
Correct Answer: B
Rationale: After incision and drainage of an abscess, it is crucial to perform daily wound care and dressing changes to prevent infection and promote healing. Avoiding showering until the wound is completely closed (choice A) may not be practical or necessary. Applying heat to the wound (choice C) can increase the risk of infection and delay healing. While taking the prescribed antibiotic (choice D) is important, wound care and dressing changes are more directly related to promoting healing and preventing complications.
Question 3 of 5
A client with chronic kidney disease has a potassium level of 6.2 mEq/L. Which intervention should the nurse implement?
Correct Answer: C
Rationale: A potassium level of 6.2 mEq/L indicates hyperkalemia, which is dangerous and requires immediate treatment. Administering a potassium-binding medication will help lower potassium levels and prevent life-threatening complications.
Question 4 of 5
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at night with no relief of his discomfort. Which action should the nurse take?
Correct Answer: D
Rationale: In this situation, the client's pruritus (itching) is likely exacerbated by hot baths, which can worsen the itching sensation. Using cooler water will help soothe the skin and reduce pruritus. Additionally, applying calamine lotion after soaking can provide further relief. Instructing the client to use a moisturizer immediately after the bath (Choice A) may not address the root cause of pruritus aggravated by hot baths. Advising the client to take shorter baths with less water (Choice B) might not be as effective in relieving the itching sensation caused by cirrhosis. Suggesting antihistamines for the pruritus (Choice C) may not directly address the impact of hot baths on the client's discomfort.
Question 5 of 5
A client with chronic renal failure has a potassium level of 6.5 mEq/L. What is the nurse's priority action?
Correct Answer: B
Rationale: A potassium level of 6.5 mEq/L indicates hyperkalemia, which can lead to life-threatening arrhythmias. The correct priority action for the nurse is to notify the healthcare provider immediately. Hyperkalemia requires prompt intervention to lower potassium levels and prevent complications. Administering a potassium supplement (Choice A) would worsen the condition. Administering calcium gluconate (Choice C) is a treatment option but is not the nurse's priority action. Restricting the client's potassium intake (Choice D) may be necessary but is not the immediate priority when facing a critical potassium level.
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