HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
While changing a client's chest tube dressing, the nurse notes a cracking sensation when gentle pressure is applied to the skin at the insertion site. What should the nurse do next?
Correct Answer: D
Rationale: Measuring the area of swelling and crackling helps monitor subcutaneous emphysema progression.
Question 2 of 5
A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Which of the following should take priority in planning care?
Correct Answer: B
Rationale: Leukopenia, or a low white blood cell count, is a critical concern in clients undergoing radiation therapy due to increased risk of infection.
Question 3 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 4 of 5
An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration status?
Correct Answer: A
Rationale: Urine specific gravity is the most accurate indicator of hydration status in this scenario.
Question 5 of 5
A client is admitted with ascites, malnutrition, and recent complaints of spitting up blood. What assessment finding warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: A round and tight abdomen suggests fluid accumulation from ascites, which could signal a more severe underlying condition requiring immediate intervention.
Similar Questions
Join Our Community Today!
Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for HESI-RN and 3000+ practice questions to help you pass your HESI-RN exam.
Subscribe for Unlimited Access