HESI RN CAPSTONE EXAM 2

HESI RN CAPSTONE EXAM 2
1. A patient with a history of diabetes is admitted to the hospital with hyperglycemia. What should the
nurse prioritize in the patient's care plan?
 Answer: The nurse should prioritize monitoring the patient's blood glucose levels and administering
insulin as prescribed to lower the blood sugar levels.
2. During a routine physical examination, a patient expresses fear about finding a lump in their breast.
How should the nurse respond to the patient's concern?
 Answer: The nurse should provide reassurance to the patient and explain the importance of regular
breast self-examinations and screenings for early detection of any abnormalities.
3. A client who recently underwent surgery complains of severe pain at the incision site. What should
the nurse do first?
 Answer: The nurse should assess the incision site for any signs of infection or complications and
administer pain medication as prescribed by the healthcare provider.
4. A postpartum client expresses concerns about breastfeeding difficulties. How should the nurse
address the client's concerns?
 Answer: The nurse should provide education and support to the client on proper breastfeeding
techniques, positioning, and latching, and may involve a lactation consultant if needed.
5. A client with hypertension is prescribed antihypertensive medication. What instructions should the
nurse provide to the client regarding medication administration?
 Answer: The nurse should instruct the client to take the medication as prescribed, regularly monitor
blood pressure at home, and report any side effects or concerns to the healthcare provider.
6. A patient with a history of asthma presents to the emergency department with difficulty breathing
and wheezing. What interventions should the nurse initiate?
 Answer: The nurse should assess the patient's respiratory status, administer bronchodilators and
corticosteroids as prescribed, and monitor oxygen saturation and respiratory rate closely.
7. A client is scheduled for a colonoscopy and expresses anxiety about the procedure. How should the
nurse assist the client in managing their anxiety?

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