HESI Module 10 Exam Questions and
Answers 100% Pass
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 undergoing long-term corticosteroid therapy with mild bruising on the
anterior surfaces of the arms - ANSWER-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
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,Decreased urine output
Increased blood pressure
Increased respiratory rate
Decreased respiratory depth - ANSWER-Decreased urine output
Increased respiratory rate
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 - ANSWER-An 85-year-old client receiving intravenous (IV)
therapy at a rate of 100 mL/hr
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
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,Moist crackles in the lower lobes of the lungs
Weight loss of 4 lb (1.8 kg) in 24 hours - ANSWER-Weight loss of 4 lb (1.8 kg) in
24 hours
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) - ANSWER-3.1
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 - ANSWER-Ensure that the medication is diluted in an appropriate
amount of normal saline solution
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, 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 - 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
Hyperactive deep tendon reflexes - ANSWER-Skeletal muscle weakness
Hyperactive bowel sounds
The nurse is monitoring a client with hyperparathyroidism for signs/symptoms of
hypercalcemia. For which clinical manifestations, associated with this electrolyte
imbalance, does the nurse assess the client? Select all that apply.
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Answers 100% Pass
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 undergoing long-term corticosteroid therapy with mild bruising on the
anterior surfaces of the arms - ANSWER-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
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,Decreased urine output
Increased blood pressure
Increased respiratory rate
Decreased respiratory depth - ANSWER-Decreased urine output
Increased respiratory rate
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 - ANSWER-An 85-year-old client receiving intravenous (IV)
therapy at a rate of 100 mL/hr
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
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,Moist crackles in the lower lobes of the lungs
Weight loss of 4 lb (1.8 kg) in 24 hours - ANSWER-Weight loss of 4 lb (1.8 kg) in
24 hours
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) - ANSWER-3.1
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 - ANSWER-Ensure that the medication is diluted in an appropriate
amount of normal saline solution
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, 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 - 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
Hyperactive deep tendon reflexes - ANSWER-Skeletal muscle weakness
Hyperactive bowel sounds
The nurse is monitoring a client with hyperparathyroidism for signs/symptoms of
hypercalcemia. For which clinical manifestations, associated with this electrolyte
imbalance, does the nurse assess the client? Select all that apply.
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