HESI CAPSTONE PN Reviewed Exam Questions With
Correct Answers Graded A+
Which action should the nurse implement in caring for a client following an
electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp☑️Correct Ans-D. Wash any paste from the
client's hair and scalp
The nurse is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at
the coccyx. Which intervention will be most helpfull in preventing further development of the
decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed☑️Correct Ans-A. Encourage the client to
eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
,A. Filtration
B. Diffusion
C. Osmosis
D. Active transport☑️Correct Ans-C. Osmosis
The nurse is taking blood presure of a client admitted with a possible myocardial infarction.
When taking the client's BP at the brachial artery, the nurse should place the client's arm in
which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart☑️Correct Ans-B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone☑️Correct Ans-A. Heart rate
B. Stroke volume
C. Peripheral resistance
,A client begins an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the nurse to include in this client's plan of care while the client
is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawl
D. Energy level☑️Correct Ans-B. Mood
Based on the documentation in the medical record, which action should the nurse implement
next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blodd type result
D. Administer Vicodin one tablet for pain☑️Correct Ans-A. Give the rubella vaccine
subcutaneously
A client is adminitted to the hosptial with a diagnosis of Pneumonia. Which intervetion should
the nurse implement to prevent complications associated with Pneumonia?
A. Enourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
, C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids☑️Correct Ans-A. Enourage mobilization and ambulation
The practical nurse is preparing to administer a prescription for cefazolin (kefzol) 600 mg IM
every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for
reconsittution, "For IM use add 2ml sterile water for injection. Total volume after reconstruction
= 2.5 ml. "when reconstituded, how many milligrams are in each mil of solutions (Enter numeric
value only)☑️Correct Ans-15
Which nursing activity is within the scope of practice for the practical nurse?
A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continous narcotic epidural for a postoperative client☑️Correct Ans-C. Observe a
client rotate the subcutaneous site for an insulin pump
After morning dressing changes are completed, a male client who has paraplegia contaminates
his ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to
the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
Correct Answers Graded A+
Which action should the nurse implement in caring for a client following an
electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp☑️Correct Ans-D. Wash any paste from the
client's hair and scalp
The nurse is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at
the coccyx. Which intervention will be most helpfull in preventing further development of the
decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed☑️Correct Ans-A. Encourage the client to
eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
,A. Filtration
B. Diffusion
C. Osmosis
D. Active transport☑️Correct Ans-C. Osmosis
The nurse is taking blood presure of a client admitted with a possible myocardial infarction.
When taking the client's BP at the brachial artery, the nurse should place the client's arm in
which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart☑️Correct Ans-B. At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone☑️Correct Ans-A. Heart rate
B. Stroke volume
C. Peripheral resistance
,A client begins an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the nurse to include in this client's plan of care while the client
is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawl
D. Energy level☑️Correct Ans-B. Mood
Based on the documentation in the medical record, which action should the nurse implement
next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blodd type result
D. Administer Vicodin one tablet for pain☑️Correct Ans-A. Give the rubella vaccine
subcutaneously
A client is adminitted to the hosptial with a diagnosis of Pneumonia. Which intervetion should
the nurse implement to prevent complications associated with Pneumonia?
A. Enourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
, C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids☑️Correct Ans-A. Enourage mobilization and ambulation
The practical nurse is preparing to administer a prescription for cefazolin (kefzol) 600 mg IM
every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for
reconsittution, "For IM use add 2ml sterile water for injection. Total volume after reconstruction
= 2.5 ml. "when reconstituded, how many milligrams are in each mil of solutions (Enter numeric
value only)☑️Correct Ans-15
Which nursing activity is within the scope of practice for the practical nurse?
A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continous narcotic epidural for a postoperative client☑️Correct Ans-C. Observe a
client rotate the subcutaneous site for an insulin pump
After morning dressing changes are completed, a male client who has paraplegia contaminates
his ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign to
the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
