HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
While assessing a client who is admitted with heart failure and pulmonary edema, the nurse identifies dependent peripheral edema, an irregular heart rate, and a persistent cough that produces pink blood-tinged sputum. After initiating continuous telemetry and positioning the client, which intervention should the nurse implement?
Correct Answer: D
Rationale: The client's cough producing pink, frothy sputum is indicative of pulmonary edema, which needs immediate treatment. Obtaining a sputum sample helps identify any infection that may be contributing to the pulmonary issues. Administering diuretics and notifying the provider are also important, but sputum analysis will guide specific treatment.
Question 2 of 5
A client is receiving a blood transfusion and reports feeling chilled and short of breath. What is the nurse's priority action?
Correct Answer: A
Rationale: Stopping the transfusion prevents further reactions, and notifying the healthcare provider ensures timely intervention.
Question 3 of 5
A client with a deep vein thrombosis (DVT) is prescribed enoxaparin. What teaching should the nurse provide?
Correct Answer: C
Rationale: Clients should report unusual bruising or bleeding when taking enoxaparin, as these are signs of excessive anticoagulation.
Question 4 of 5
The nurse has received funding to design a health promotion project for African American women who are at risk for developing breast cancer. Which resource is most important in designing this program?
Correct Answer: A
Rationale: Involving community leaders helps ensure that the program is culturally relevant and addresses the needs of the target population. Community involvement also fosters trust and engagement in the health promotion project.
Question 5 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.
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