HESI Exit Exam RN Capstone

HESI Exit Exam RN Capstone Related

Review HESI Exit Exam RN Capstone related questions and content

An adult client is admitted to the emergency department after falling from a ladder. While waiting to have a CT scan, the client requests something for a severe headache. When the nurse offers a prescribed dose of acetaminophen, the client asks for something stronger. Which intervention should the nurse implement?

  • A. Administer an anti-inflammatory medication instead
  • B. Explain the reason for using only non-narcotics
  • C. Consult the healthcare provider about a stronger medication
  • D. Administer a stronger medication as requested
Correct Answer: B

Rationale: In this scenario, the nurse should explain the reason for using only non-narcotics. Following head trauma, non-narcotic medications such as acetaminophen are preferred to avoid masking symptoms of neurological changes, such as increased intracranial pressure, that could worsen after stronger pain medication. Administering an anti-inflammatory medication (Choice A) may not be appropriate as it may not address the severity of the headache. Consulting the healthcare provider about a stronger medication (Choice C) is important, but the immediate need is to educate the client on the rationale for using non-narcotic medications first. Administering a stronger medication as requested (Choice D) could potentially mask important symptoms and should be avoided in this situation.

You may also like to solve these questions

The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250, and the ventricular rate is controlled at 75. Which of the following findings is cause for the most concern?

  • A. Diminished bowel sounds
  • B. Loss of appetite
  • C. A cold, pale lower leg
  • D. Tachypnea
Correct Answer: C

Rationale: A cold, pale lower leg is cause for the most concern as it could indicate compromised blood circulation, potentially leading to serious complications like ischemia or thrombosis. Diminished bowel sounds, loss of appetite, and tachypnea are not directly related to the client's condition in atrial fibrillation and the heart rate discrepancy.

A client with a tracheostomy develops copious, thick secretions. What is the nurse's priority action?

  • A. Increase the client's fluid intake.
  • B. Perform tracheal suctioning.
  • C. Administer a mucolytic agent.
  • D. Increase the humidity of the oxygen source.
Correct Answer: D

Rationale: The correct answer is to increase the humidity of the oxygen source. This action helps thin thick secretions, making them easier to clear from the tracheostomy tube. Increasing fluid intake (Choice A) can be beneficial in some cases but addressing humidity is more specific to managing thick secretions in a client with a tracheostomy. Tracheal suctioning (Choice B) should be done after attempting to thin the secretions with increased humidity. Administering a mucolytic agent (Choice C) is a possible intervention but typically comes after addressing humidity and before resorting to suctioning to avoid unnecessary invasiveness.

The nurse is providing teaching to a client with gastroesophageal reflux disease (GERD). Which instruction should the nurse include?

  • A. Eat large meals to decrease acid production
  • B. Avoid lying down immediately after eating
  • C. Limit fluid intake with meals
  • D. Drink carbonated beverages to aid digestion
Correct Answer: B

Rationale: The correct instruction for a client with GERD is to avoid lying down immediately after eating. This helps prevent stomach acid from flowing back into the esophagus, which can worsen symptoms. Eating large meals can actually increase acid production and exacerbate GERD. Limiting fluid intake with meals may be beneficial for some individuals, but it is not a key instruction for managing GERD. Drinking carbonated beverages can trigger reflux symptoms and should be avoided by individuals with GERD.

The nurse is developing an educational program for older clients discharged with new antihypertensive medications. The nurse should ensure that the education materials include which characteristics?

  • A. Uses pictures to help illustrate complex ideas
  • B. Contains a list with definitions of unfamiliar terms
  • C. Uses common words with few syllables
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D, 'All of the above.' When developing educational materials for older clients with new antihypertensive medications, it is essential to include characteristics such as using pictures to illustrate complex ideas, providing a list with definitions of unfamiliar terms, and using common words with few syllables. These features help enhance understanding and medication adherence, especially for older adults who may have challenges with health literacy. Choices A, B, and C collectively address the need for simplicity, visual support, and clarification of terms in educational materials, making them crucial for effective patient education.

The nurse is providing care for a client receiving total parenteral nutrition (TPN). Which action should the nurse include in the client's plan of care?

  • A. Increase the TPN infusion rate if the client is hungry
  • B. Administer TPN via a peripheral IV line
  • C. Monitor blood glucose levels regularly
  • D. Ensure the TPN solution is refrigerated at all times
Correct Answer: C

Rationale: The correct action the nurse should include in the client's plan of care is to monitor blood glucose levels regularly. Clients receiving TPN are at risk for hyperglycemia due to the high glucose content of the solution. Regular monitoring of blood glucose levels is essential to ensure appropriate management of blood sugar. Choice A is incorrect because increasing the TPN infusion rate based on hunger is not a valid parameter for adjusting TPN. Choice B is incorrect because TPN should be administered through a central line, not a peripheral IV line, to prevent complications. Choice D is incorrect because TPN solutions should be stored at room temperature, not refrigerated.

Copyright © 2025 Nokea. All rights reserved.