BSN 246 HESI (LATEST 2025/ 2026 UPDATE)
QUESTIONS AND VERIFIED ANSWERS |100%
CORRECT| GRADE A- NIGHTINGALE
Hypokalemia mkappearance mkon mkEKG mk- mkCORRECT mkANSWER mk-- mkU mkwaves
- inverted mkT mkwaves
- depressed mkST mksegment
Potassium mkchloride mkintravenously mkis mkprescribed mkfor mka mkclient mkwith mkheartBfailure mkexperiencing
mkhypokalemia. mkWhich mkactions mkshould mkthe mknurse mktake mkto mkplan mkfor mkpreparation mkand mkadministration
mkof mkthe mkpotassium?
Select mkall mkthat mkapply.
1. Obtain mkan mkintravenous mk(IV) mkinfusion mkpump.
2. Monitor mkurine mkoutput mkduring mkadministration.
3. Prepare mkthe mkmedication mkfor mkbolus mkadministration.
4. Monitor mkthe mkIV mksite mkfor mksigns mkof mkinfiltration mkor mkphlebitis.
5. Ensure mkthat mkthe mkmedication mkis mkdiluted mkin mkthe mkappropriate mkvolume mkof mkfluid.
6. Ensure mkthat mkthe mkbag mkis mklabeled mkso mkthat mkit mkreads mkthe mkvolume mkof mkpotassium
mkin mkthe mksolution. mk- mkCORRECT mkANSWER mk-1. mkObtain mkan mkintravenous mk(IV) mkinfusion
mkpump.
2. mkMonitor mkurine mkoutput mkduring mkadministration.
4. Monitor mkthe mkIV mksite mkfor mksigns mkof mkinfiltration mkor mkphlebitis.
5. Ensure mkthat mkthe mkmedication mkis mkdiluted mkin mkthe mkappropriate mkvolume mkof mkfluid.
6. Ensure mkthat mkthe mkbag mkis mklabeled mkso mkthat mkit mkreads mkthe mkvolume mkof mkpotassium mkin mkthe mksolution.
Potassium mkchloride mkadministered mkintravenously mkmust mkalways mkbe mkdiluted mkin mkIV mkfluid mkand
mkinfused mkvia mkan mkinfu mksion mkpump. mkPotassium mkchloride mkis mknever mkgiven mkby mkbolus mk(IV mkpush).
mkGivingBpotassium mkchloride mkby mkIV mkpush mkc mkan mkresult mkin mkcardiac mkarrest. mkThe mknurse mkshould
mkensure mkthat mkthe mkpotassium mkis mkdiluted mkin mkthe mkappropriate mkamo mkunt mkof mkdiluent mkor mkfluid. mkThe
mkIV mkbag mkcontaining mkthe mkpotassium mkchloride mkshould mkalways mkbe mklabeled mkwith mkthe mkv mkolume mkof
mkpotassium mkit mkcontains. mkThe mkIV mksite mkis mkmonitored mkclosely, mkbecause mkpotassium mkchloride mkis
mkirritating mkto mkthe mkveins mkand mkthere mkis mkrisk mkof mkphlebitis. mkIn mkaddition, mkthe mknurse mkshould
mkmonitor mkfor mkinfiltration. mkThe mknurs m k e mkmonitors mkurinary mkoutput mkduring mkadministration mkand
mkcontacts mkthe mkprimary mkhealth mkcare mkprovider mkif mkthe mkuri mknary mkoutput mkis mkless mkthan mk30 mkmL/hr.
,The mknurse mkis mkassessing mka mkclient mkwith mka mklactose mkintolerance mkdisorder mkfor mka mksuspected
mkdiagnosis mkof mkhypocalce mkmia. mkWhich mkclinical mkmanifestation mkwould mkthe mknurse mkexpect mkto mknote
mkin mkthe mkclient?
1. Twitching
2. Hypoactive mkbowel mksounds
3. Negative mkTrousseau's mksign
4. Hypoactive mkdeep mktendon mkreflexes mk- mkCORRECT mkANSWER mk-1. mkTwitching
: mkA mkclient mkwith mklactose mkintolerance mkis mkat mkrisk mkfor mkdeveloping mkhypocalcemia, mkbecause mkfood
mkproducts mkthat mkcon mktain mkcalcium mkalso mkcontain mklactose. mkThe mknormal mkserum mkcalcium mklevel mkis mk9
mkto mk10.5 mkmg/dL mk(2.25 mkto mk2.75 mkmmol
/L). mkA mkserum mkcalcium mklevel mklower mkthan mk9 mkmg/dL mk(2.25 mkmmol/L) mkindicates mkhypocalcemia.
mkSigns mkof mkhypocalce mkmia mkinclude mkparesthesias mkfollowed mkby mknumbness, mkhyperactive mkdeep
mktendon mkreflexes, mkand mka mk267 mkpositive mkTr mkousseau's mkor mkChvostek's mksign. mkAdditional mksigns mkof
mkhypocalcemia mkinclude mkincreased mkneuromuscular mkexcitabi mklity, mkmuscle mkcramps, mktwitching, mktetany,
mkseizures, mkirritability, mkand mkanxiety. mkGastrointestinal mksymptomsBinclud mke mkincreased mkgastric mkmotility,
mkhyperactive mkbowel mksounds, mkabdominal mkcramping, mkand mkdiarrhea.
. mkThe mknurse mkisBcaring mkfor mka mkclient mkwith mkCrohn's mkdisease mkwho mkhas mka mkcalcium mklevel mkof mk8
mkmg/dLB(2 mkmmol/L). mkW mkhich mkpatterns mkwould mkthe mknurse mkwatch mkfor mkon mkthe
mkelectrocardiogram? mkSelect mkall mkthat mkapply.
1. U mkwaves
2. Widened mkT mkwave
3. Prominent mkU mkwave
4. Prolonged mkQT mkinterval
5. Prolonged mkST mksegment mk- mkCORRECT mkANSWER mk-4. mkProlonged mkQT mkinterval
5. mkProlonged mkST mksegment
A mkclient mkwith mkCrohn's mkdisease mkis mkat mkrisk mkfor mkhypocalcemia. mkThe mknormal mkserum mkcalcium mklevel mkis
mk9 mkto mk10.5 mkmg
/dL mk(2.25 mkto mk2.75 mkmmol/L). mkA mkserum mkcalcium mklevel mklower mkthan mk9 mkmg/dL mk(2.25 mkmmol/L)
mkindicates mkhypocalce mkmia. mkElectrocardiographic mkchanges mkthat mkoccur mkin mka mkclient mkwith
mkhypocalcemia mkinclude mka mkprolonged mkQT mkinter mkval mkand mkprolonged mkST mksegment. mkA mkshortened
mkST mksegment mkand mka mkwidened mkT mkwave mkoccur mkwith mkhypercalcemi
a. mkST mkdepression mkand mkprominent mkU mkwaves mkoccur mkwith mkhypokalemia.
The mknurse mkreviews mkthe mkelectrolyte mkresults mkof mka mkclient mkwith mkchronic mkkidney mkdisease mkand
, mknotes mkthat mkthe mkpota mkssium mklevel mkis mk5.7 mkmEq/L mk(5.7 mkmmol/L). mkWhich mkpatterns mkwould mkthe
mknurse mkwatch mkfor mkon mkthe mkcardiac mkmonitor mkas mka mkresult mkof mkthe mklaboratory mkvalue? mkSelect mkall
mkthat mkapply.
QUESTIONS AND VERIFIED ANSWERS |100%
CORRECT| GRADE A- NIGHTINGALE
Hypokalemia mkappearance mkon mkEKG mk- mkCORRECT mkANSWER mk-- mkU mkwaves
- inverted mkT mkwaves
- depressed mkST mksegment
Potassium mkchloride mkintravenously mkis mkprescribed mkfor mka mkclient mkwith mkheartBfailure mkexperiencing
mkhypokalemia. mkWhich mkactions mkshould mkthe mknurse mktake mkto mkplan mkfor mkpreparation mkand mkadministration
mkof mkthe mkpotassium?
Select mkall mkthat mkapply.
1. Obtain mkan mkintravenous mk(IV) mkinfusion mkpump.
2. Monitor mkurine mkoutput mkduring mkadministration.
3. Prepare mkthe mkmedication mkfor mkbolus mkadministration.
4. Monitor mkthe mkIV mksite mkfor mksigns mkof mkinfiltration mkor mkphlebitis.
5. Ensure mkthat mkthe mkmedication mkis mkdiluted mkin mkthe mkappropriate mkvolume mkof mkfluid.
6. Ensure mkthat mkthe mkbag mkis mklabeled mkso mkthat mkit mkreads mkthe mkvolume mkof mkpotassium
mkin mkthe mksolution. mk- mkCORRECT mkANSWER mk-1. mkObtain mkan mkintravenous mk(IV) mkinfusion
mkpump.
2. mkMonitor mkurine mkoutput mkduring mkadministration.
4. Monitor mkthe mkIV mksite mkfor mksigns mkof mkinfiltration mkor mkphlebitis.
5. Ensure mkthat mkthe mkmedication mkis mkdiluted mkin mkthe mkappropriate mkvolume mkof mkfluid.
6. Ensure mkthat mkthe mkbag mkis mklabeled mkso mkthat mkit mkreads mkthe mkvolume mkof mkpotassium mkin mkthe mksolution.
Potassium mkchloride mkadministered mkintravenously mkmust mkalways mkbe mkdiluted mkin mkIV mkfluid mkand
mkinfused mkvia mkan mkinfu mksion mkpump. mkPotassium mkchloride mkis mknever mkgiven mkby mkbolus mk(IV mkpush).
mkGivingBpotassium mkchloride mkby mkIV mkpush mkc mkan mkresult mkin mkcardiac mkarrest. mkThe mknurse mkshould
mkensure mkthat mkthe mkpotassium mkis mkdiluted mkin mkthe mkappropriate mkamo mkunt mkof mkdiluent mkor mkfluid. mkThe
mkIV mkbag mkcontaining mkthe mkpotassium mkchloride mkshould mkalways mkbe mklabeled mkwith mkthe mkv mkolume mkof
mkpotassium mkit mkcontains. mkThe mkIV mksite mkis mkmonitored mkclosely, mkbecause mkpotassium mkchloride mkis
mkirritating mkto mkthe mkveins mkand mkthere mkis mkrisk mkof mkphlebitis. mkIn mkaddition, mkthe mknurse mkshould
mkmonitor mkfor mkinfiltration. mkThe mknurs m k e mkmonitors mkurinary mkoutput mkduring mkadministration mkand
mkcontacts mkthe mkprimary mkhealth mkcare mkprovider mkif mkthe mkuri mknary mkoutput mkis mkless mkthan mk30 mkmL/hr.
,The mknurse mkis mkassessing mka mkclient mkwith mka mklactose mkintolerance mkdisorder mkfor mka mksuspected
mkdiagnosis mkof mkhypocalce mkmia. mkWhich mkclinical mkmanifestation mkwould mkthe mknurse mkexpect mkto mknote
mkin mkthe mkclient?
1. Twitching
2. Hypoactive mkbowel mksounds
3. Negative mkTrousseau's mksign
4. Hypoactive mkdeep mktendon mkreflexes mk- mkCORRECT mkANSWER mk-1. mkTwitching
: mkA mkclient mkwith mklactose mkintolerance mkis mkat mkrisk mkfor mkdeveloping mkhypocalcemia, mkbecause mkfood
mkproducts mkthat mkcon mktain mkcalcium mkalso mkcontain mklactose. mkThe mknormal mkserum mkcalcium mklevel mkis mk9
mkto mk10.5 mkmg/dL mk(2.25 mkto mk2.75 mkmmol
/L). mkA mkserum mkcalcium mklevel mklower mkthan mk9 mkmg/dL mk(2.25 mkmmol/L) mkindicates mkhypocalcemia.
mkSigns mkof mkhypocalce mkmia mkinclude mkparesthesias mkfollowed mkby mknumbness, mkhyperactive mkdeep
mktendon mkreflexes, mkand mka mk267 mkpositive mkTr mkousseau's mkor mkChvostek's mksign. mkAdditional mksigns mkof
mkhypocalcemia mkinclude mkincreased mkneuromuscular mkexcitabi mklity, mkmuscle mkcramps, mktwitching, mktetany,
mkseizures, mkirritability, mkand mkanxiety. mkGastrointestinal mksymptomsBinclud mke mkincreased mkgastric mkmotility,
mkhyperactive mkbowel mksounds, mkabdominal mkcramping, mkand mkdiarrhea.
. mkThe mknurse mkisBcaring mkfor mka mkclient mkwith mkCrohn's mkdisease mkwho mkhas mka mkcalcium mklevel mkof mk8
mkmg/dLB(2 mkmmol/L). mkW mkhich mkpatterns mkwould mkthe mknurse mkwatch mkfor mkon mkthe
mkelectrocardiogram? mkSelect mkall mkthat mkapply.
1. U mkwaves
2. Widened mkT mkwave
3. Prominent mkU mkwave
4. Prolonged mkQT mkinterval
5. Prolonged mkST mksegment mk- mkCORRECT mkANSWER mk-4. mkProlonged mkQT mkinterval
5. mkProlonged mkST mksegment
A mkclient mkwith mkCrohn's mkdisease mkis mkat mkrisk mkfor mkhypocalcemia. mkThe mknormal mkserum mkcalcium mklevel mkis
mk9 mkto mk10.5 mkmg
/dL mk(2.25 mkto mk2.75 mkmmol/L). mkA mkserum mkcalcium mklevel mklower mkthan mk9 mkmg/dL mk(2.25 mkmmol/L)
mkindicates mkhypocalce mkmia. mkElectrocardiographic mkchanges mkthat mkoccur mkin mka mkclient mkwith
mkhypocalcemia mkinclude mka mkprolonged mkQT mkinter mkval mkand mkprolonged mkST mksegment. mkA mkshortened
mkST mksegment mkand mka mkwidened mkT mkwave mkoccur mkwith mkhypercalcemi
a. mkST mkdepression mkand mkprominent mkU mkwaves mkoccur mkwith mkhypokalemia.
The mknurse mkreviews mkthe mkelectrolyte mkresults mkof mka mkclient mkwith mkchronic mkkidney mkdisease mkand
, mknotes mkthat mkthe mkpota mkssium mklevel mkis mk5.7 mkmEq/L mk(5.7 mkmmol/L). mkWhich mkpatterns mkwould mkthe
mknurse mkwatch mkfor mkon mkthe mkcardiac mkmonitor mkas mka mkresult mkof mkthe mklaboratory mkvalue? mkSelect mkall
mkthat mkapply.
