HESI Case Study: Mobility Exam
Questions and Answers 100% Pass
Client was prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as
needed for moderate to severe pain. Morphine is available in parenteral dose of
2mg/mL. How much medication should the nurse draw up for administration?
(Patient weighs 140 lbs on admission). - ANSWER-140 lb /2.2 lb = 63 kg
63 kg x 0.05 mg = 3.15 mg
3.15 mg / 2 ml = 1.575 ml
1.575 ml (Round) = 1.6 ml
Before giving the initial dose of pain medication or antibiotic, which action should
the nurse take first? - ANSWER-C) Ask the client if he is aware of any allergies to
medications.
Rationale:
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, This action should be taken first since this is the initial dose of a new medication.
It is important to verify any allergies. Clients sometimes recall additional allergies
after the initial admission history has been taken.
When the client's foot pain is controlled, which nursing diagnosis should take
priority? - ANSWER-C) Impaired physical mobility.
Rationale:
The client's limited activities support this nursing diagnosis. Improving mobility is
a nursing priority to prevent the many potential complications of immobility.
Which goal is correct for the client's diagnosis of impaired physical mobility? -
ANSWER-C) The client will sit in the chair for each meal beginning on the day of
admission.
Rationale:
This is a correctly stated goal. The client is always the subject of the goal, and the
action is always measurable. This goal includes what the client is to achieve and
sets a realistic deadline.
Which instructions should the nurse convey to help prevent venous
thromboembolism (VTE) in the client's legs? (Select all that apply. One, some, or
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
Client was prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as
needed for moderate to severe pain. Morphine is available in parenteral dose of
2mg/mL. How much medication should the nurse draw up for administration?
(Patient weighs 140 lbs on admission). - ANSWER-140 lb /2.2 lb = 63 kg
63 kg x 0.05 mg = 3.15 mg
3.15 mg / 2 ml = 1.575 ml
1.575 ml (Round) = 1.6 ml
Before giving the initial dose of pain medication or antibiotic, which action should
the nurse take first? - ANSWER-C) Ask the client if he is aware of any allergies to
medications.
Rationale:
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, This action should be taken first since this is the initial dose of a new medication.
It is important to verify any allergies. Clients sometimes recall additional allergies
after the initial admission history has been taken.
When the client's foot pain is controlled, which nursing diagnosis should take
priority? - ANSWER-C) Impaired physical mobility.
Rationale:
The client's limited activities support this nursing diagnosis. Improving mobility is
a nursing priority to prevent the many potential complications of immobility.
Which goal is correct for the client's diagnosis of impaired physical mobility? -
ANSWER-C) The client will sit in the chair for each meal beginning on the day of
admission.
Rationale:
This is a correctly stated goal. The client is always the subject of the goal, and the
action is always measurable. This goal includes what the client is to achieve and
sets a realistic deadline.
Which instructions should the nurse convey to help prevent venous
thromboembolism (VTE) in the client's legs? (Select all that apply. One, some, or
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
