2024 Capstone HESI Exit Exam V1 – V2 + Test Bank | Guaranteed A+ Actual Questions and Answers, Complete 100%

2024 Capstone HESI Exit Exam V1 – V2 + Test Bank | Guaranteed A+ Actual Questions and Answers, Complete 100%

2024 Capstone HESI Exam Test Bank
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. the nurse is preparing a client for discharge to home who had a belowthe-knee amputation. which recommendations does the nurse provide
   the client? SATA
   a) inspect skin for redness
   b) use a residual limb shrinker
   c) apply alcohol after bathing
   d) wash with soap and water
   e) avoid range of motion exercises:
   Answer:
   a) inspect skin for redness
   b) use a residual limb shrinker
   d) wash with soap and water
2. when triaging emergency room clients, which client should the nurse
   assess first?
   a) a male adolescent who has been vomiting for the past 12 hours and
   describes himself as very weak.
   b) an elderly client with peripheral vascular disease who is complaining of
   severe leg pain when ambulating
   c) a female client with severe lower right abdominal pain who is febrile and
   vomiting
   d) a child who has a cold for two days and now is coughing up green
   sputum:
   Answer:
   c) a female client with severe lower right abdominal pain who is febrile
   and vomiting
3. after assessing a client, the nurse identifies three nursing problems. When
   developing the client’s plan of care, which action should the nurse take?
   a) collaborate with client to establish goals
   b) cluster supportive client data
   c) identify client care interventions
   d) prioritize the identified nursing diagnoses:
   Answer:

d) prioritize the identified nursing diagnoses the nursing problems must be
identified, then prioritized (D) before (A and C) can be implemented. (b) should be
completed before identifying the nursing problem

4. A 55-year-old female client with symptoms of osteoarthritis asks what form
   of exercise would be most beneficial for her. What is the best response by the
   nurse?
   a) “limit your exercise to just your daily activities”
   b) “Jogging or running are excellent aerobic exercises”
   c) “swimming is an excellent exercise for you”
   d) “Tennis or racquetball will increase your muscle strength”:
   Answer:
   c) “swimming is an excellent exercise for you”
5. a client receives a new prescription for guaifensesin (Robutissin) 2 tablespoons
   PO every 6 hours. The client takes the perscribed dose for 3 days
   every 6 hours. What is the total number of ounces of Robitussin the client
   has taken?:
   Answer:
   12
6. At 20-weeks gestation, a client who has gained 20 pounds during this
   pregnancy tells the nurse that she is feeling fetal movement. Fundal height
   measurement is 20 cm, and the client’s only complaint is that her breath
   sounds are leaking clear fluid. Which assessment finding warrants further
   evaluation?
   a) Presence of fetal movement
   b) leakage from breasts
   c) gestational weight gain
   d) fundal height measurement:
   Answer:
   c) gestational weight gain
   At this point in the pregnancy, the client should have gained 10.3 lbs and a weight
   gain of 20 should be investigated further.
7. A client who is admitted to the emergency room following a motorcycle
   accident is having difficulty breathing. While assessing the client’s chest and
   lungs, the nurse notes there are no breath sounds over the left fields. Which
   actions should the nurse implement? (SATA)

a) place client in Trendelenburg position
b) apply a high-flow oxygen by face mask
c) elevate the head of the bed 45 degrees
d) withhold narcotic pain medication
e) obtain a chest tube insertion kit.:
Answer:
b) apply a high-flow oxygen by face mask
c) elevate the head of the bed 45 degrees
e) obtain a chest tube insertion kit.

8. What equipment should the nurse use to most accurately measure a 2 ml
   dose of a viscous liquid solution to be administered orally?
   a) 3 ml syringe and a sterile needle
   b) 3 ml syringe
   c) Tuberculin syringe
   d) One ounce medicine cup:
   Answer:
   b) 3 ml syringe
9. An older man with a history of multiple falls at home tells the clinic
   nurse that his son, who has incarcerated last year for battery, has become
   increasingly abusive since his release from prison six weeks ago. Which
   intervention is most important for the nurse to implement?
   a) Tell the client to call Adult Protective Services if son’s abuse continues
   b) Refer the client to a program for victims of domestic violence
   c) verify the clients report by determining if there is physical evidence of
   abuse
   d) assist the client in developing an emergency safety pain:
   Answer:
   d) assist the client in developing an emergency safety pain
   think SAFETY first
10. While auscultating a client’s abdomen, the nurse her a low pitched blowing
    sound in the upper midline area. What is the likely indication of this
    finding?
    a) normal borborygmus sounds
    b) a minor variation
    c) hyperactive bowel sounds
    d) possible renal artery stenosis:

Answer:
d) possible renal artery stenosis
This sound is a vascular bruit, which is a blowing sound that is auscultated over a
stenosed artery. The location of the sound at the upper midline area is suggestive
of a renal artery stenosis.

11. A post-menopausal female client with osteoporosis tells the nurse that
    she has increased her physical activity and hopes to participate in a charity
    walk-a-thon. How should the nurse respond?
    a) Affirm the benefits of increasing her weight-bearing activity
    b) Review the need for her to avoid large crowds of people
    c) Teach her how to take her pulse during prolonged activity
    d) Explain the need to limit phyiscal activity to reduce fracture risk:
    Answer:
    a) Affirm the benefits of increasing her weight-bearing activity increasing weightbearing activity may help restore the early bone loss in those with osteopenia and
    help prevent osteoporosis so the nurse should affirm the client’s increase in
    activity.
12. Which substance produced by the liver assists in maintaining the colloid
    osmotic pressure within the vasculature?
    a) Ammonia
    b) Bilirubin
    c) Glycogen
    d) Albumin:
    Answer:
    d) Albumin
    proteins, such as albumin maintain the colloid osmotic pressure within the
    vasculature by holding on to fluid.
13. The nurse is monitoring a client who has liver failure and is taking
    lactulose. Which findings indicate that the medication has the desired effect?
    SATA
    a) Increased urine output
    b) Increased serum ammonia
    c) Improved level of consciousness
    d) Increased bowel movements
    e) Decreased serum potassium:
    Answer:
    get pdf at https://learnexams.com/search/study?query=hesi

2024 Capstone HESI Exit Exam
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. Who should explain and describe a surgical procedure to the client, including
   both complications and the expected results of the procedure?:
   Answer:
   Health care provider
2. Who is responsible for making sure that the operative permit is signed and
   is on the chart?:
   Answer:
   The nurse

• Nurse must document that the client was given the information and agreed to it*

1. Good Samaritan Act:
   Answer:
   protects a nurse when they are performing emergency Care
2. Prescriptions and HCPs:
   Answer:
   If the nurse carries out a HCP script for which they aren’t skilled in and does not
   inform the HCP, the nurse is solely liable for any damages.
   If the nurse informs the HCP of their lack of skills and carries out the skill anyway,
   the nurse and HCP are liable for any damages.
3. Between a RN or LPN, who should do the sterile dressing change?:
   Answer:
   LPN
4. Restraints:
   Answer:
   Must be documented indicating specific reasons to prevent harm to the client or
   others.
5. What type of procedures should be assigned to professional nurses?: –
   Answer:
   Sterile or invasive procedures
6. Negligence is measured by reasonableness. What question might the
   nurse ask when determining such reasonableness?:
   Answer:
   Would a reasonable and prudent nurse act in the same manner under the same
   circumstances?
7. List the four elements that are necessary to prove malpractice (professional
   negligence): Duty: Failure to protect client against unreasonable risk.
   Breach of duty:
   Answer:
   Failure to perform according to establish standards.
   Causation: A connection exists between conduct of the nurse and the resulting
   damage.
   Damages: Damage is done to the client, whether physical or mental.
8. Define an intentional tort, and give one example:
   Answer:
   Conduct causing damage to another person in a willful or intentional way without
   just cause.
   Example: Hitting a client out of anger, not in a manner of self-protection
9. Differentiate between voluntary and involuntary admission.:
   Answer:
   Voluntary:
   Client admits self to an institution for treatment and retains their civil rights; may
   leave at any time.
   Involuntary: Someone other than the client applies for the client’s admission to an
   institution; requires a certificate by 1 or 2 HCPs that the client is is a danger to self
   or others. Client has a right to legal hearing (habeas corpus) to try and be released
   and the court determines the justification for holding client.
   get pdf at https://learnexams.com/search/study?query=hesi

2024 Capstone HESI Exit Version 1 (V1)
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. 1. Following discharge teaching, a male client with duodenal ulcer tells the
   nurse the he will drink plenty of dairy products, such as milk, to help coat
   and protect his ulcer. What is the best follow-up action by the nurse?:
   Answer:
   Review with the client the need to avoid foods that are rich in milk and cream
2. 2. A male client with hypertension, who received new antihypertensive
   prescriptions at his last visit returns to the clinic two weeks later to evaluate
   his blood pressure (BP). His BP is 158/106 and he admits that he has not been
   taking the prescribed medication because the drugs make him “feel bad”.
   In explaining the need for hypertension control, the nurse should stress
   that an elevated BP places the client at risk for which pathophysiological
   condition?:
   Answer:
   Stroke secondary to hemorrhage
3. 3. The nurse observes an unlicensed assistive personnel (UAP) positioning
   a newly admitted client who has a seizure disorder. The client is supine
   and the UAP is placing soft pillows along the side rails. What action should
   the nurse implement?:
   Answer:
   Instruct the UAP to obtain soft blankets to secure to the side rails instead of
   pillows.
4. 4. An adolescent with major depressive disorder has been taking duloxetine
   (Cymbalta) for the past 12 days. Which assessment finding requires
   immediate follow-up?:
   Answer:
   Describes life without purpose
5. 5. A 60-year-old female client with a positive family history of ovarian
   cancer has developed an abdominal mass and is being evaluated for possible
   ovarian cancer. Her Papanicolau (Pap) smear results are negative. What
   information should the nurse include in the client’s teaching plan?:

Answer:
Further evaluation involving surgery may be needed

6. 6. A client who recently underwear a tracheostomy is being prepared for
   discharge to home. Which instructions is most important for the nurse to
   include in the discharge plan?:
   Answer:
   Teach tracheal suctioning techniques
7. 7. In assessing an adult client with a partial rebreather mask, the nurse
   notes that the oxygen reservoir bag does not deflate completely during
   inspiration and the client’s respiratory rate is 14 breaths / minute. What action
   should the nurse implement?:
   Answer:
   Document the assessment data
8. 8. During shift report, the central electrocardiogram (EKG) monitoring system
   alarms. Which client alarm should the nurse investigate firs?:
   Answer:
   Respiratory apnea of 30 seconds
9. 9. During a home visit, the nurse observed an elderly client with diabetes
   slip and fall. What action should the nurse take first?:
   Answer:
   Check the client for lacerations or fractures
   10. At 0600 while admitting a woman for a schedule repeat cesarean
       section (C-Section), the client tells the nurse that she drank a cup a coffee at
       0400 because she wanted to avoid getting a headache. Which action should
       the nurse take first?:
       Answer:
       Inform the anesthesia care provider
   11. After placing a stethoscope as seen in the picture, the nurse auscultates
       get pdf at https://learnexams.com/search/study?query=hesi