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NUR 3345 Capstone HESI Exam Review – Questions With Accurate Solutions
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NUR 3345 Capstone HESI Exam Review – Questions With Accurate Solutions
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NUR 3345 Capstone HESI Exam Review – QuestionsWith Accurate Solutions
The nurse is preparing a client for discharge to home who had a below-the-
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 Right Ans - a) inspect skin for redness
b) use a residual limb shrinker
d) wash with soap and water
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
Right Ans - c) a female client with severe lower right abdominal pain who is
febrile and vomiting
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 Right Ans - 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
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" Right Ans - c)
"swimming is an excellent exercise for you"
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? Right Ans - 12
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 Right Ans - 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.
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. Right Ans - 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.
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 Right Ans - b) 3 ml syringe
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 Right Ans - d)
assist the client in developing an emergency safety pain
think SAFETY first
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 Right Ans - 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.
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 Right
Ans - a) Affirm the benefits of increasing her weight-bearing activity
increasing weight-bearing 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.
Which substance produced by the liver assists in maintaining the colloid
osmotic pressure within the vasculature?
a) Ammonia
b) Bilirubin
c) Glycogen
d) Albumin Right Ans - d) Albumin
proteins, such as albumin maintain the colloid osmotic pressure within the
vasculature by holding on to fluid.
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 Right Ans - c) Improved level of
consciousness
d) Increased bowel movements
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