2024 Capstone HESI Exit Version (V1 – V2) Guaranteed A+ Actual Questions and Answers, Complete 100%
2024 Capstone HESI Exit Exam
Guaranteed A+ Actual Questions and Answers, Complete 100%
- 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 - 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*
- Good Samaritan Act:
Answer:
protects a nurse when they are performing emergency Care - 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. - Between a RN or LPN, who should do the sterile dressing change?:
Answer:
LPN - Restraints:
Answer:
Must be documented indicating specific reasons to prevent harm to the client or
others. - What type of procedures should be assigned to professional nurses?: –
Answer:
Sterile or invasive procedures - 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? - 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. - 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 - 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.
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2024 Capstone HESI Exit Version 1 (V1)
Guaranteed A+ Actual Questions and Answers, Complete 100%
- 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. 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. 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. 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. 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. 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. 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. 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. 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- 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
- After placing a stethoscope as seen in the picture, the nurse auscultates
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- At 0600 while admitting a woman for a schedule repeat cesarean