HESI RN
HESI 799 RN Exit Exam Capstone Questions
Question 1 of 5
Which information is a priority for the RN to reinforce to an older client after intravenous pyelography?
Correct Answer: D
Rationale: After intravenous pyelography, it is crucial for the client to measure urine output in the next day to monitor for any potential complications, such as kidney issues. Promptly notifying the healthcare provider in case of decreased urine output is essential for timely intervention. While rest and hydration are important post-procedure, monitoring urine output takes precedence due to its direct correlation with potential complications.
Question 2 of 5
A client is admitted for first and second-degree burns on the face, neck, anterior chest, and hands. The nurse's priority should be
Correct Answer: B
Rationale: Assessing for dyspnea or stridor is crucial as these are signs of airway compromise, which is a priority concern in burns involving the face. Burns on the face can lead to airway swelling or compromise due to airway proximity, making respiratory assessment the top priority. Covering the areas with dry sterile dressings, initiating intravenous therapy, and administering pain medication are important interventions but assessing for airway issues takes precedence in this situation.
Question 3 of 5
During an excretory urogram, which observation made by the nurse indicates a complication?
Correct Answer: B
Rationale: The correct answer is B because a whole-body bright red color indicates a severe reaction to the contrast dye and must be addressed immediately. Choices A, C, and D do not indicate a severe complication during an excretory urogram. Choice A is a common side effect of the dye, choice C could be a normal sensation due to the injection, and choice D may indicate nausea which is less severe compared to a whole-body red color reaction.
Question 4 of 5
An antibiotic IM injection for a 2-year-old child is ordered. The total volume of the injection equals 2.0 ml. The correct action is to
Correct Answer: A
Rationale: Injections over 1 mL should be split into two separate injections for young children. This helps in preventing discomfort, ensuring proper absorption, and reducing the risk of tissue damage. Giving the medication in one injection of 2.0 ml might be too much for a 2-year-old child. Choices B and D are incorrect because the dorsal gluteal site is not recommended for children due to potential injury, and changing the form of medication might not be necessary if the volume can be adjusted. Choice C is unnecessary as splitting the dose into two injections is the appropriate action.
Question 5 of 5
The nurse has given discharge instructions to parents of a child on phenytoin (Dilantin). Which of the following statements suggests that the teaching was effective?
Correct Answer: B
Rationale: In this scenario, option B, "Our child should brush and floss carefully after every meal," suggests that the teaching was effective. This statement indicates an understanding of the side effects of phenytoin, such as gingival hyperplasia, which can be mitigated by good oral hygiene practices. Option A is incorrect because acne is not a common side effect of phenytoin, so calling the healthcare provider for this reason is unnecessary. Option C is incorrect because skipping a dose of phenytoin can lead to a decrease in the medication's effectiveness and potentially trigger seizures. Option D is incorrect because stopping phenytoin abruptly can be dangerous and lead to rebound seizures. The educational context here is to emphasize the importance of accurate medication knowledge and adherence to prescribed regimens in managing epilepsy effectively. It is crucial to educate parents on the proper administration and potential side effects of antiepileptic medications to ensure the safety and well-being of the child.