HESI RN
HESI RN Exit Exam 2024 Quizlet Capstone
1. The client provides three positive responses to the CAGE questionnaire. Which interpretation should the nurse provide?
- A. The CAGE is a tool for identifying substance abuse.
- B. Two positive responses suggest alcohol dependence.
- C. One positive response indicates potential alcohol issues.
- D. All responses must be positive for alcohol dependence.
Correct answer: B
Rationale: The CAGE questionnaire is a widely used screening tool for alcohol dependence. Two or more positive responses suggest a higher likelihood of alcohol dependence. One positive response may indicate potential alcohol issues, but two or more significantly increase the likelihood of dependence. Therefore, choice B is the most appropriate interpretation. Choice A is incorrect because the CAGE questionnaire specifically focuses on alcohol-related issues, not substance abuse in general. Choice C is incorrect as one positive response does not indicate addiction but rather raises a concern. Choice D is incorrect as not all responses need to be positive to suggest alcohol dependence.
2. An adult male is brought to the emergency department following a motorcycle accident, presenting with periorbital bruising and bloody drainage from both ears. Which assessment finding warrants immediate intervention by the nurse?
- A. Rebound abdominal tenderness.
- B. Diminished bilateral breath sounds.
- C. Rib pain with deep inspiration.
- D. Nausea with projectile vomiting.
Correct answer: D
Rationale: In this scenario, the patient's presentation with periorbital bruising and bloody ear drainage suggests a basilar skull fracture. Projectile vomiting, as described in choice D, is concerning for increased intracranial pressure due to the skull fracture. This finding warrants immediate intervention to prevent further neurological compromise. Choices A, B, and C are not the priority in this situation. Rebound abdominal tenderness (choice A) is indicative of intra-abdominal injury but is not as urgent as managing potential intracranial issues. Diminished breath sounds (choice B) and rib pain with deep inspiration (choice C) may suggest underlying chest injuries, which need attention but are not as immediately life-threatening as increased intracranial pressure.
3. The healthcare provider prescribes a sedative for a client with severe hypothyroidism. What is the best action for the nurse to take?
- A. Affirm the nurse's plan to review the prescription with the provider.
- B. Administer the sedative as prescribed.
- C. Advise the nurse to administer the medication as prescribed.
- D. Offer to administer the medication since the nurse is concerned.
Correct answer: A
Rationale: The correct answer is to affirm the nurse's plan to review the prescription with the provider. Sedatives can worsen symptoms of hypothyroidism, so it is crucial to ensure the safety of the prescribed medication. Administering the sedative without further consultation could lead to adverse effects. Simply advising the nurse to administer the medication without addressing the need for review is not the best course of action. Offering to administer the medication without proper assessment or consulting the provider is not appropriate and could potentially harm the client.
4. The nurse is conducting diet teaching for a client diagnosed with hypertension. Which foods should the nurse encourage the client to eat?
- A. Pickled olives
- B. Canned soup
- C. Fresh or frozen vegetables without sauce
- D. Fruits without sauce
Correct answer: C
Rationale: The correct answer is C: Fresh or frozen vegetables without sauce. These foods are low in sodium, which is crucial for managing hypertension. Pickled olives (choice A) and canned soup (choice B) are high in sodium, which can exacerbate hypertension. While fruits without sauce (choice D) are generally healthy, emphasizing vegetables is more beneficial for hypertension due to their lower sodium content.
5. The nurse is conducting intake interviews of children at a city clinic. Which child is most susceptible to contracting lead poisoning?
- A. An 8-year-old living in a housing project.
- B. A 2-year-old playing on aging playground equipment.
- C. An adolescent working in a paint factory.
- D. A 10-year-old with Type 1 diabetes.
Correct answer: B
Rationale: The correct answer is B. Young children, like the 2-year-old playing on aging playground equipment, are more susceptible to lead poisoning from environmental sources due to their behaviors like hand-to-mouth contact and exploratory behaviors. Choices A, C, and D are less likely to be at high risk for lead poisoning compared to young children due to differences in exposure levels and behaviors related to potential sources of lead contamination.
Access More Features
HESI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 30 days access
HESI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All HESI courses Coverage
- 90 days access