HESI RN
HESI RN Exit Exam 2024 Quizlet Capstone
1. A client with diabetes mellitus is admitted with an infected foot ulcer. What intervention is most important for the nurse to implement?
- A. Obtain a wound culture for testing.
- B. Administer prescribed IV antibiotics.
- C. Elevate the affected foot to reduce swelling.
- D. Consult the wound care nurse for assessment.
Correct answer: B
Rationale: Administering prescribed IV antibiotics is the most crucial intervention in managing an infected foot ulcer in a client with diabetes mellitus. Antibiotics help combat the infection and prevent its spread systemically, which is vital in diabetic clients to prevent serious complications like sepsis. While obtaining a wound culture (Choice A) may provide valuable information for targeted antibiotic therapy, administering antibiotics promptly takes precedence to prevent the infection from worsening. Elevating the affected foot (Choice C) can help reduce swelling but is not as urgent as administering antibiotics. Consulting the wound care nurse (Choice D) may be beneficial for long-term wound management but does not address the immediate need to control the infection.
2. Which of the following is not true of mitosis?
- A. Mitosis produces daughter cells
- B. Mitosis has five main stages
- C. Mitosis can only be done by haploids
- D. Following mitosis, daughter cells are identical to parent cells
Correct answer: C
Rationale: The correct answer is C. Mitosis occurs in diploid cells and involves stages that result in the production of two identical daughter cells. Haploids do not undergo mitosis, as mitosis is a process specific to diploid cells. Choice A is true as mitosis does produce daughter cells. Choice B is incorrect as mitosis typically consists of four main stages: prophase, metaphase, anaphase, and telophase. Choice D is true, as one of the main outcomes of mitosis is the production of daughter cells that are genetically identical to the parent cell.
3. The healthcare professional is using the Glasgow Coma Scale to perform a neurologic assessment. A comatose client winces and pulls away from a painful stimulus. What action should the healthcare professional take next?
- A. Document that the client responds to a painful stimulus.
- B. Observe the client's response to verbal stimulation.
- C. Place the client on seizure precautions for 24 hours.
- D. Report decorticate posturing to the healthcare provider.
Correct answer: A
Rationale: The client's response to a painful stimulus indicates a purposeful reaction, which should be accurately documented as per the assessment findings. This documentation is essential for ongoing monitoring and communication of the client's condition to the healthcare team.
4. The nurse is providing care for a client with a new tracheostomy. Which of these assessments is a priority?
- A. Checking the client's oxygen saturation level
- B. Monitoring the client's pain level
- C. Checking the tracheostomy site for signs of infection
- D. Monitoring the client's level of consciousness
Correct answer: C
Rationale: When caring for a client with a new tracheostomy, the priority assessment is checking the tracheostomy site for signs of infection. This is essential to detect early signs of complications such as infection, which can lead to serious issues. Monitoring oxygen saturation is important but not as critical as ensuring the tracheostomy site is free from infection. Pain assessment and level of consciousness are also important but secondary to assessing for signs of infection in this scenario.
5. Which of the following statements is true regarding ethical principles and laws?
- A. The government enforces ethics.
- B. Laws establish standards that aid in decision-making.
- C. Ethics are highly specific.
- D. Ethical principles can serve as the foundation for laws.
Correct answer: D
Rationale: The correct answer is D. Ethical principles can influence the creation of laws but are not equivalent to laws themselves. Laws are established by governing bodies to provide a framework for society, whereas ethical principles guide individuals' moral conduct. Choice A is incorrect because governments enforce laws, not ethics. Choice B is incorrect as laws set legal standards rather than ethical ones. Choice C is incorrect because ethics are principles that guide behavior but are not necessarily highly specific.