BSN 246 HESI EXAM WITH
CORRECT ANSWERS
2025
Hypokalemia appearance on ( correct answers ) -U
EKG waves
- inverted T waves
- depressed ST segment
Potassium chloride intravenously is prescribed for a client with heart failure
experiencing hypokalemia. Which actions should the nurse take to plan for
preparation and administration of the potassium?
Select all that apply.
1. Obtain an intravenous (IV) infusion pump.
2. Monitor urine output during administration.
3. Prepare the medication for bolus administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of fluid.
6.Ensure that the bag is labeled so that it reads the volume of
potassium in the solution. ( correct answers ) 1. Obtain an
intravenous (IV) infusion pump.
2. Monitor urine output during administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of
fluid.
6.Ensure that the bag is labeled so that it reads the volume of
potassium in the solution.
Potassium chloride administered intravenously must always be diluted in IV
fluid and infused via an infusion pump. Potassium chloride is never given by
bolus (IV push). Giving potassium chloride by IV push can result in cardiac
arrest. The nurse should ensure that the potassium is diluted in the
appropriate amount of diluent or fluid. The IV bag containing the potassium
chloride should always be labeled with the volume of potassium it contains.
The IV site is monitored closely, because potassium chloride is irritating to
the veins and there is risk of phlebitis. In addition, the nurse should monitor
for infiltration. The nurse monitors urinary output during administration and
contacts the primary health care provider if the urinary output is less than
30 mL/hr.
The nurse is assessing a client with a lactose intolerance disorder for a
suspected diagnosis of hypocalcemia. Which clinical manifestation would
the nurse expect to note in the client?
7. Twitching
8. Hypoactive bowel sounds
9. Negative Trousseau's sign
10.Hypoactive deep tendon reflexes ( correct answers ) 1. Twitching
GRADED
A+
, : A client with lactose intolerance is at risk for developing hypocalcemia,
because food products that contain calcium also contain lactose. The normal
serum calcium level is 9 to 10.5 mg/dL (2.25 to 2.75 mmol/L). A serum
calcium level lower than 9 mg/dL (2.25 mmol/L) indicates hypocalcemia.
Signs of hypocalcemia include paresthesias followed by numbness,
hyperactive deep tendon reflexes, and a 267 positive Trousseau's or
Chvostek's sign. Additional signs of hypocalcemia include increased
neuromuscular excitability, muscle cramps, twitching, tetany, seizures,
irritability, and anxiety.
Gastrointestinal symptoms include increased gastric motility, hyperactive
bowel sounds, abdominal cramping, and diarrhea.
. The nurse is caring for a client with Crohn's disease who has a calcium
level of 8 mg/dL (2 mmol/L). Which patterns would the nurse watch for on
the electrocardiogram? Select all that apply.
1. U waves
2. Widened T wave
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment ( correct answers ) 4. Prolonged QT interval
5. Prolonged ST segment
A client with Crohn's disease is at risk for hypocalcemia. The normal serum
calcium level is 9 to 10.5 mg/dL (2.25 to 2.75 mmol/L). A serum calcium
level lower than 9 mg/dL (2.25 mmol/L) indicates hypocalcemia.
Electrocardiographic changes that occur in a client with hypocalcemia
include a prolonged QT interval and prolonged ST segment. A shortened ST
segment and a widened T wave occur with hypercalcemia. ST depression
and prominent U waves occur with hypokalemia.
The nurse reviews the electrolyte results of a client with chronic kidney
disease and notes that the potassium level is 5.7 mEq/L (5.7 mmol/L). Which
patterns would the nurse watch for on the cardiac monitor as a result of the
laboratory value? Select all that apply.
6. ST depression
7. Prominent U wave
8. Tall peaked T waves
9. Prolonged ST segment
10.Widened QRS complexes ( correct answers ) 3. Tall peaked T waves
5. Widened QRS complexes
The client with chronic kidney disease is at risk for hyperkalemia. The normal
potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A serum potassium
level greater than 5.0 mEq/L (5.0 mmol/L) indicates hyperkalemia.
Electrocardiographic changes associated with hyperkalemia include flat P
waves, prolonged PR intervals, widened QRS complexes, and tall peaked T
waves. ST depression and a prominent U wave occurs in hypokalemia. A
prolonged ST segment occurs in hypocalcemia.
GRADED
A+
CORRECT ANSWERS
2025
Hypokalemia appearance on ( correct answers ) -U
EKG waves
- inverted T waves
- depressed ST segment
Potassium chloride intravenously is prescribed for a client with heart failure
experiencing hypokalemia. Which actions should the nurse take to plan for
preparation and administration of the potassium?
Select all that apply.
1. Obtain an intravenous (IV) infusion pump.
2. Monitor urine output during administration.
3. Prepare the medication for bolus administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of fluid.
6.Ensure that the bag is labeled so that it reads the volume of
potassium in the solution. ( correct answers ) 1. Obtain an
intravenous (IV) infusion pump.
2. Monitor urine output during administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of
fluid.
6.Ensure that the bag is labeled so that it reads the volume of
potassium in the solution.
Potassium chloride administered intravenously must always be diluted in IV
fluid and infused via an infusion pump. Potassium chloride is never given by
bolus (IV push). Giving potassium chloride by IV push can result in cardiac
arrest. The nurse should ensure that the potassium is diluted in the
appropriate amount of diluent or fluid. The IV bag containing the potassium
chloride should always be labeled with the volume of potassium it contains.
The IV site is monitored closely, because potassium chloride is irritating to
the veins and there is risk of phlebitis. In addition, the nurse should monitor
for infiltration. The nurse monitors urinary output during administration and
contacts the primary health care provider if the urinary output is less than
30 mL/hr.
The nurse is assessing a client with a lactose intolerance disorder for a
suspected diagnosis of hypocalcemia. Which clinical manifestation would
the nurse expect to note in the client?
7. Twitching
8. Hypoactive bowel sounds
9. Negative Trousseau's sign
10.Hypoactive deep tendon reflexes ( correct answers ) 1. Twitching
GRADED
A+
, : A client with lactose intolerance is at risk for developing hypocalcemia,
because food products that contain calcium also contain lactose. The normal
serum calcium level is 9 to 10.5 mg/dL (2.25 to 2.75 mmol/L). A serum
calcium level lower than 9 mg/dL (2.25 mmol/L) indicates hypocalcemia.
Signs of hypocalcemia include paresthesias followed by numbness,
hyperactive deep tendon reflexes, and a 267 positive Trousseau's or
Chvostek's sign. Additional signs of hypocalcemia include increased
neuromuscular excitability, muscle cramps, twitching, tetany, seizures,
irritability, and anxiety.
Gastrointestinal symptoms include increased gastric motility, hyperactive
bowel sounds, abdominal cramping, and diarrhea.
. The nurse is caring for a client with Crohn's disease who has a calcium
level of 8 mg/dL (2 mmol/L). Which patterns would the nurse watch for on
the electrocardiogram? Select all that apply.
1. U waves
2. Widened T wave
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment ( correct answers ) 4. Prolonged QT interval
5. Prolonged ST segment
A client with Crohn's disease is at risk for hypocalcemia. The normal serum
calcium level is 9 to 10.5 mg/dL (2.25 to 2.75 mmol/L). A serum calcium
level lower than 9 mg/dL (2.25 mmol/L) indicates hypocalcemia.
Electrocardiographic changes that occur in a client with hypocalcemia
include a prolonged QT interval and prolonged ST segment. A shortened ST
segment and a widened T wave occur with hypercalcemia. ST depression
and prominent U waves occur with hypokalemia.
The nurse reviews the electrolyte results of a client with chronic kidney
disease and notes that the potassium level is 5.7 mEq/L (5.7 mmol/L). Which
patterns would the nurse watch for on the cardiac monitor as a result of the
laboratory value? Select all that apply.
6. ST depression
7. Prominent U wave
8. Tall peaked T waves
9. Prolonged ST segment
10.Widened QRS complexes ( correct answers ) 3. Tall peaked T waves
5. Widened QRS complexes
The client with chronic kidney disease is at risk for hyperkalemia. The normal
potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A serum potassium
level greater than 5.0 mEq/L (5.0 mmol/L) indicates hyperkalemia.
Electrocardiographic changes associated with hyperkalemia include flat P
waves, prolonged PR intervals, widened QRS complexes, and tall peaked T
waves. ST depression and a prominent U wave occurs in hypokalemia. A
prolonged ST segment occurs in hypocalcemia.
GRADED
A+
