HESI RN
HESI RN Exit Exam 2023 Capstone
1. A client with acute kidney injury has an elevated creatinine level. What is the nurse's priority intervention?
- A. Administer diuretics as prescribed.
- B. Prepare the client for dialysis.
- C. Restrict the client’s fluid intake.
- D. Notify the healthcare provider immediately.
Correct answer: B
Rationale: The correct answer is B: Prepare the client for dialysis. Clients with acute kidney injury and elevated creatinine may require dialysis to support kidney function and remove waste products from the blood. Preparing for dialysis ensures timely intervention in preventing further complications. Administering diuretics (Choice A) may worsen the client's condition by further compromising kidney function. Restricting fluid intake (Choice C) may be necessary in some cases, but it is not the priority over preparing for dialysis. Notifying the healthcare provider (Choice D) is important, but the immediate priority is to prepare for dialysis to address the acute kidney injury and elevated creatinine level.
2. Which hormone is detected in pregnancy tests?
- A. Estrogen
- B. Progesterone
- C. Luteinizing hormone (LH)
- D. Human chorionic gonadotropin (hCG)
Correct answer: D
Rationale: Human chorionic gonadotropin (hCG) is the hormone detected in pregnancy tests. During pregnancy, the placenta produces hCG, which can be detected in the urine or blood to confirm pregnancy. Estrogen and progesterone are also essential hormones in pregnancy but are not typically used for pregnancy tests. Luteinizing hormone (LH) is involved in the menstrual cycle and ovulation, not pregnancy.
3. The daughter of an older woman who became depressed following the death of her husband asks, 'My mother was always well-adjusted until my father died. Will she tend to be sick from now on?' Which response is best for the nurse to provide?
- A. She is almost sure to be less able to adapt than before.
- B. It's highly likely that she will recover and return to her pre-illness state.
- C. If you can interest her in something besides religion, it will help her stay well.
- D. Cultural strains contribute to each woman's tendencies for recurrences of depression.
Correct answer: B
Rationale: The successful resolution of a developmental crisis in the later years involves acceptance and adaptation, and the daughter should be reassured that recovery is likely.
4. The programs aimed at achieving total reproductive health as a social goal at the national level are called:
- A. Family organization
- B. Family planning
- C. Reproductive care
- D. Reproductive health
Correct answer: D
Rationale: The correct answer is D, 'Reproductive health.' Reproductive health programs focus on ensuring overall well-being in relation to reproduction, including access to reproductive services, education, and healthcare. Choice A, 'Family organization,' does not specifically address health aspects related to reproduction. Choice B, 'Family planning,' is more focused on birth control and family size rather than the broader aspects of reproductive health. Choice C, 'Reproductive care,' is limited to the aspect of medical care and does not encompass the comprehensive approach of reproductive health programs.
5. Which of the following is the process that reduces cells originally classified as diploid to haploid?
- A. Meiosis
- B. Photosynthesis
- C. Mitosis
- D. Cytokinesis
Correct answer: A
Rationale: The correct answer is A, Meiosis. Meiosis is the cell division process that reduces the chromosome number from diploid to haploid, which is essential for sexual reproduction. Choice B, Photosynthesis, is the process by which green plants and some other organisms use sunlight to synthesize foods with the help of chlorophyll. Choice C, Mitosis, is a cell division process that results in two diploid daughter cells with the same number of chromosomes as the parent cell. Choice D, Cytokinesis, is the division of the cytoplasm following cell division.