HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
The nurse observes that a client's wrist restraint is secured to the side rail of the bed. What action should the nurse take?
Correct Answer: B
Rationale: Restraints should always be secured to the bedframe, not the side rails, to prevent injury to the client in case the bed is adjusted.
Question 2 of 5
A client is suspected of having a stroke. What is the nurse's priority action?
Correct Answer: B
Rationale: A neurological assessment is the priority when a stroke is suspected to determine the extent of brain injury and identify any immediate risks, such as impaired airway, speech deficits, or loss of motor function. Early recognition of these signs is essential for timely intervention and to guide further treatment like the administration of tPA, if appropriate.
Question 3 of 5
The nurse is caring for a client post-surgery with an order to ambulate the client every 2 hours. Which of the following tasks could be safely delegated to an unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: Assisting with ambulation is a task that can be safely delegated to a UAP, as it does not involve clinical judgment.
Question 4 of 5
A client with pneumonia is prescribed antibiotics. What is the most important teaching point for the nurse to provide?
Correct Answer: C
Rationale: Antibiotics must be taken for the entire prescribed duration to ensure that the infection is completely eradicated. Stopping antibiotics early, even if symptoms improve, can lead to a recurrence of the infection or antibiotic resistance.
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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