FLUID BALANCE – HESI RN EVOLVE QUESTIONS & ANSWERS WITH
RATIONALES | VERIFIED QUESTIONS & ANSWERS | FLUID AND
ELECTROLYTE NURSING CASE STUDY EXAM PREP | LATEST
2026/2027 UPDATE | GRADED A+
An older adult with coronary artery disease and hypertension was
brought to the Emergency Department by her daughter because she
has become increasingly weak and confused. The client was found by
a neighbor wandering her neighborhood unable to locate her home.
The client's daughter tells the nurse that her mother takes a "water
pill" for her blood pressure 2 or 3 times a day. The label on the
medication bottle that she brought to the hospital states,
"hydrochlorothiazide. Take 1 tablet daily." The client is admitted with
fluid volume deficit. - CORRECT ANSWER-
Page 1
Vital Signs: Orthostatic Changes
1. Since the client has a fluid volume deficit, the nurse anticipates a
decrease in which vital sign when she changes position?
A. Respiratory Rate
B. Blood Pressure.
C. Temperature.
D. Pulse Rate - CORRECT ANSWER-B. Blood Pressure
, 2. The nurse plans to assess the client for orthostatic vital sign
changes. Which action will the nurse take first?
A. Assist the client to a standing position.
B. Position the client in a supine position.
C. Elevate the head of the client's bed.
D. Dangle the clients feet at the bedside. - CORRECT ANSWER-B.
Position the client in a supine position.
3. The nurse takes the first blood pressure measurement. After
recording the first blood pressure measurement, what action will the
nurse take?
A. Count the client's radial pulse rate.
B. Remove the blood pressure cuff.
C. Help the client change positions.
D. Assess for an auscultatory gap. - CORRECT ANSWER-A. Count the
client's radial pulse.
Page 2
Age-related Risk Factors
The nurse discusses factors that contributed to the client's fluid
volume deficit with her daughter, and receives orders for labs to be
obtained.
RATIONALES | VERIFIED QUESTIONS & ANSWERS | FLUID AND
ELECTROLYTE NURSING CASE STUDY EXAM PREP | LATEST
2026/2027 UPDATE | GRADED A+
An older adult with coronary artery disease and hypertension was
brought to the Emergency Department by her daughter because she
has become increasingly weak and confused. The client was found by
a neighbor wandering her neighborhood unable to locate her home.
The client's daughter tells the nurse that her mother takes a "water
pill" for her blood pressure 2 or 3 times a day. The label on the
medication bottle that she brought to the hospital states,
"hydrochlorothiazide. Take 1 tablet daily." The client is admitted with
fluid volume deficit. - CORRECT ANSWER-
Page 1
Vital Signs: Orthostatic Changes
1. Since the client has a fluid volume deficit, the nurse anticipates a
decrease in which vital sign when she changes position?
A. Respiratory Rate
B. Blood Pressure.
C. Temperature.
D. Pulse Rate - CORRECT ANSWER-B. Blood Pressure
, 2. The nurse plans to assess the client for orthostatic vital sign
changes. Which action will the nurse take first?
A. Assist the client to a standing position.
B. Position the client in a supine position.
C. Elevate the head of the client's bed.
D. Dangle the clients feet at the bedside. - CORRECT ANSWER-B.
Position the client in a supine position.
3. The nurse takes the first blood pressure measurement. After
recording the first blood pressure measurement, what action will the
nurse take?
A. Count the client's radial pulse rate.
B. Remove the blood pressure cuff.
C. Help the client change positions.
D. Assess for an auscultatory gap. - CORRECT ANSWER-A. Count the
client's radial pulse.
Page 2
Age-related Risk Factors
The nurse discusses factors that contributed to the client's fluid
volume deficit with her daughter, and receives orders for labs to be
obtained.
