NURSING HESI FUNDAMENTALS EXAM NEWEST
2024-2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
Terms in this set (55)
The client receiving nasogastric suction
The nurse should plan
care knowing that which Rationale:
client is at risk for a Potassium-rich gastrointestinal (GI) fluids are lost
potassium deficit? through GI suction, which places the client at risk for
hypokalemia
Traumatic burn
The nurse reviews a
Rationale:
client's electrolyte results
A serum potassium level that exceeds 5.0 mEq/L is
and notes a potassium
indicative of hyperkalemia. Clients who experience
level of 5.5 mEq/L. The
the cellular shifting of potassium, as in the early
nurse understands that a
stages of massive cell destruction (i.e., with trauma,
potassium value at this
burns, sepsis, or metabolic or respiratory acidosis), are
level should be noted with
at risk for hyperkalemia. The client with Cushing's
which condition?
syndrome or diarrhea and the client who has been
overusing laxatives are at risk for hypokalemia.
The nurse reviews a Narrow, peaked T waves
client's electrolyte results
and notes that the Rationale:
potassium level is 5.4 A serum potassium level of 5.4 mEq/L is indicative of
mEq/L. Which should the hyperkalemia. Cardiac changes include a wide, flat P
nurse observe for on the wave; a prolonged PR interval; a widened QRS
cardiac monitor as a result complex; and narrow, peaked T waves.
of this laboratory value?
, Client with a fast respiratory rate
"insensible fluid loss of Rationale:
approximately 800 mL Sensible losses are those that the person is aware of,
daily." Which client is at such as those that occur through wound drainage, GI
risk for this loss? tract losses, and urination. Insensible losses may
occur without the person's awareness. Insensible
losses occur daily through the skin and the lungs.
The client with diabetes mellitus
Rationale:
The nurse is reviewing the
Fluid that shifts into the interstitial spaces and remains
health records of assigned
there is referred to as third-space fluid. Common sites
clients. The nurse should
for third-spacing include the abdomen, pleural cavity,
plan care knowing that
peritoneal cavity, and pericardial sac. Third-space
which client is at the least
fluid is physiologically useless because it does not
likely risk for the
circulate to provide nutrients for the cells. Risk factors
development of third-
include liver or kidney disease, major trauma, burns,
spacing?
sepsis, wound healing, major surgery, malignancy,
malabsorption syndrome, malnutrition, alcoholism,
and older age.
The client with a colostomy
rationale:
The nurse should plan
Causes of a fluid volume deficit include vomiting,
care knowing that which
diarrhea, conditions that cause increased respirations
client is at risk for fluid
or increased urinary output, insufficient intravenous
volume deficit?
fluid replacement, draining fistulas, ileostomy, and
colostomy. A client with cirrhosis, HF, or decreased
kidney function is at risk for fluid volume excess.
, The nurse is caring for a Increased specific gravity of the urine
client who has been taking
diuretics on a long-term
basis. Which finding
should the nurse expect
to note as a result of this
long-term use?
The client with the syndrome of inappropriate
The nurse reviews
secretion of antidiuretic hormone (SIADH)
electrolyte values and
notes a sodium level of
rationale:
130 mEq/L. The nurse
Hyponatremia is a serum sodium level less than 135
expects that this sodium
mEq/L. Hyponatremia can occur secondary to SIADH.
level would be noted in a
The client with an inadequate daily water intake,
client with which
watery diarrhea, or diabetes insipidus is at risk for
condition?
hypernatremia.
The nurse is caring for a Postural blood pressure changes
client with leukemia and
notes that the client has Rationale:
poor skin turgor and flat Postural blood pressure changes occur in the client
neck and hand veins. The with hyponatremia. Intense thirst and dry mucous
nurse suspects membranes are seen in clients with hypernatremia. A
hyponatremia. Which slow, bounding pulse is not indicative of
additional signs/symptoms hyponatremia. In a client with hyponatremia, a rapid,
should the nurse expect thready pulse is noted.
to note in this client if
hyponatremia is present?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller CodedNurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
