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HESI RN · HESI RN Capstone · HESI RN Exit Exam Capstone

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A young woman with multiple sclerosis just received several immunizations in preparation for moving into a college dormitory. Two days later, she reports to the nurse that she is experiencing increasing fatigue and visual problems. What teaching should the nurse provide?

A. Immunizations can trigger a relapse of the disease, so get plenty of extra rest

B. Visual problems are unrelated to the recent immunizations

C. Increase fluid intake to reduce symptoms of fatigue

D. Consult the healthcare provider immediately for steroid therapy

Expert Explanatory Rationale

Correct Answer: Immunizations can trigger a relapse of the disease, so get plenty of extra rest

Question 2 of 5

A postoperative client with a history of diabetes mellitus is showing signs of hyperglycemia. What should the nurse assess first?

A. Assess for signs of infection.

B. Monitor the client's fluid intake and output.

C. Check the client's capillary blood glucose level.

D. Assess the client's serum potassium level.

Expert Explanatory Rationale

Correct Answer: Check the client's capillary blood glucose level.

Question 3 of 5

A client with diabetes insipidus is admitted due to a pituitary tumor. What complication should the nurse monitor for closely?

A. Monitor for elevated blood pressure.

B. Monitor for ketonuria.

C. Monitor for peripheral edema.

D. Monitor for hypokalemia.

Expert Explanatory Rationale

Correct Answer: Monitor for hypokalemia.

Question 4 of 5

A client with heart failure is prescribed spironolactone. What is the nurse's priority intervention?

A. Monitor the client's potassium levels closely.

B. Assess for signs of hyperkalemia.

C. Instruct the client to increase intake of potassium-rich foods.

D. Increase the client's fluid intake to prevent dehydration.

Expert Explanatory Rationale

Correct Answer: Assess for signs of hyperkalemia.

Question 5 of 5

Which intervention should the nurse include in the care plan for a child with tetanus?

A. Ensure proper hydration

B. Administer prescribed antibiotics

C. Monitor vital signs frequently

D. Minimize the amount of stimuli in the room

Expert Explanatory Rationale

Correct Answer: Minimize the amount of stimuli in the room

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