HESI MODULE 10 with NUR ACTUAL
EXAM WITH QUESTIONS AND WELL
DETAILED ANSWERS [GRADED A+
The nurse is assigned to care for four clients on the medical-
surgical unit. Which client should the nurse see first on the shift
assessment?
A client admitted with pneumonia with a fever of 100° F (37.8°C)
and some diaphoresis
A client with congestive heart failure with clear lung sounds on the
previous shift
A client with new-onset of shortness of breath (SOB) and a history
of pulmonary edema (PE)
,A client with gastroenteritis who has been vomiting and has
diarrhea is admitted to the hospital with a diagnosis of
dehydration. For which clinical manifestations that correlate with
this fluid imbalance would the nurse assess the client? Select all
that apply.
Decreased pulse
Decreased urine output
Increased blood pressure
Increased respiratory rate
Decreased respiratory depth - CORRECT ANSWER-Decreased
urine output
Increased respiratory rate
A client undergoing long-term corticosteroid therapy with mild
bruising on the anterior surfaces of the arms - CORRECT
ANSWER-A client with new-onset of shortness of breath (SOB)
and a history of pulmonary edema (PE)
The nurse is reviewing medical records to assigned clients on the
7 am to 7 pm shift. Which client will the nurse monitor most
closely for excessive fluid volume?
A 48-year-old client receiving diuretics to treat hypertension
A 35-year old client who is vomiting undigested food after eating
An 85-year-old client receiving intravenous (IV) therapy at a rate
of 100 mL/hr
A 65-year-old client with a nasogastric tube attached to low
suction following partial gastrectomy - CORRECT ANSWER-An
,85-year-old client receiving intravenous (IV) therapy at a rate of
100 mL/hr
The nurse notes that a client has ST-segment depression on the
electrocardiogram (ECG) monitor. With which serum potassium
reading does the nurse associate this finding?
3.1 mEq/L (3.1 mmol/L)
4.2 mEq/L (4.2 mmol/L)
4.5 mEq/L (4.5 mmol/L)
5.4 mEq/L (5.4 mmol/L) - CORRECT ANSWER-3.1
The nurse is caring for a client who is being treated for congestive
heart failure related to excessive fluid volume. Which assessment
finding causes the nurse to determine that the client's condition
has improved?
Dyspnea
1+ edema in the legs
Moist crackles in the lower lobes of the lungs
Weight loss of 4 lb (1.8 kg) in 24 hours - CORRECT ANSWER-
Weight loss of 4 lb (1.8 kg) in 24 hours
The primary health care provider writes a prescription for the
administration of intravenous (IV) potassium chloride to a client
with hypokalemia. What does the nurse plan to do when
preparing and administering this medication?
Insert a Foley catheter in the client
, Prepare the client for insertion of a central IV line
Administer the medication with the use of a macrodrip IV tubing
set
Ensure that the medication is diluted in an appropriate amount of
normal saline solution - CORRECT ANSWER-Ensure that the
medication is diluted in an appropriate amount of normal saline
solution
The nurse notes that a client's serum potassium level is 5.8
mEq/L(5.8 mmol/L). What does the nurse interpret this expected
finding to be related to?
Diarrhea
Wound drainage
Addison disease
Heart failure being treated with loop diuretics - CORRECT
ANSWER-Addison disease
The nurse is caring for a client experiencing hyponatremia who
was admitted to the medical-surgical unit with fluid-volume
overload. For which clinical manifestations of this electrolyte
imbalance does the nurse monitor this client? Select all that
apply.
Slow pulse
Decreased urine output
Skeletal muscle weakness
Hyperactive bowel sounds
EXAM WITH QUESTIONS AND WELL
DETAILED ANSWERS [GRADED A+
The nurse is assigned to care for four clients on the medical-
surgical unit. Which client should the nurse see first on the shift
assessment?
A client admitted with pneumonia with a fever of 100° F (37.8°C)
and some diaphoresis
A client with congestive heart failure with clear lung sounds on the
previous shift
A client with new-onset of shortness of breath (SOB) and a history
of pulmonary edema (PE)
,A client with gastroenteritis who has been vomiting and has
diarrhea is admitted to the hospital with a diagnosis of
dehydration. For which clinical manifestations that correlate with
this fluid imbalance would the nurse assess the client? Select all
that apply.
Decreased pulse
Decreased urine output
Increased blood pressure
Increased respiratory rate
Decreased respiratory depth - CORRECT ANSWER-Decreased
urine output
Increased respiratory rate
A client undergoing long-term corticosteroid therapy with mild
bruising on the anterior surfaces of the arms - CORRECT
ANSWER-A client with new-onset of shortness of breath (SOB)
and a history of pulmonary edema (PE)
The nurse is reviewing medical records to assigned clients on the
7 am to 7 pm shift. Which client will the nurse monitor most
closely for excessive fluid volume?
A 48-year-old client receiving diuretics to treat hypertension
A 35-year old client who is vomiting undigested food after eating
An 85-year-old client receiving intravenous (IV) therapy at a rate
of 100 mL/hr
A 65-year-old client with a nasogastric tube attached to low
suction following partial gastrectomy - CORRECT ANSWER-An
,85-year-old client receiving intravenous (IV) therapy at a rate of
100 mL/hr
The nurse notes that a client has ST-segment depression on the
electrocardiogram (ECG) monitor. With which serum potassium
reading does the nurse associate this finding?
3.1 mEq/L (3.1 mmol/L)
4.2 mEq/L (4.2 mmol/L)
4.5 mEq/L (4.5 mmol/L)
5.4 mEq/L (5.4 mmol/L) - CORRECT ANSWER-3.1
The nurse is caring for a client who is being treated for congestive
heart failure related to excessive fluid volume. Which assessment
finding causes the nurse to determine that the client's condition
has improved?
Dyspnea
1+ edema in the legs
Moist crackles in the lower lobes of the lungs
Weight loss of 4 lb (1.8 kg) in 24 hours - CORRECT ANSWER-
Weight loss of 4 lb (1.8 kg) in 24 hours
The primary health care provider writes a prescription for the
administration of intravenous (IV) potassium chloride to a client
with hypokalemia. What does the nurse plan to do when
preparing and administering this medication?
Insert a Foley catheter in the client
, Prepare the client for insertion of a central IV line
Administer the medication with the use of a macrodrip IV tubing
set
Ensure that the medication is diluted in an appropriate amount of
normal saline solution - CORRECT ANSWER-Ensure that the
medication is diluted in an appropriate amount of normal saline
solution
The nurse notes that a client's serum potassium level is 5.8
mEq/L(5.8 mmol/L). What does the nurse interpret this expected
finding to be related to?
Diarrhea
Wound drainage
Addison disease
Heart failure being treated with loop diuretics - CORRECT
ANSWER-Addison disease
The nurse is caring for a client experiencing hyponatremia who
was admitted to the medical-surgical unit with fluid-volume
overload. For which clinical manifestations of this electrolyte
imbalance does the nurse monitor this client? Select all that
apply.
Slow pulse
Decreased urine output
Skeletal muscle weakness
Hyperactive bowel sounds
