WGU D455 ROLE TRANSITION HESI EXAM 244
QUESTIONS WITH VERIFIED ANSWERS 2026
275-295 mom/kg - CORRECT ANSWER What is the normal plasma osmolality?
HIGHER - CORRECT ANSWER at the arterial end, is hydrostatic pressure higher or
lower than osmotic?
LOWER - CORRECT ANSWER At the venous end, is hydrostatic pressure higher or
lower than osmotic?
sodium, potassium, calcium, iron, hydrogen - CORRECT ANSWER Which
substances are active transport?
skin, lung - CORRECT ANSWER example of insensible loss
GI, urine output, wound drainage - CORRECT ANSWER ex of sensible loss
water loss exceeds E loss - CORRECT ANSWER Hypertonic dehydration and water
and E loss
E loss exceeds water loss - CORRECT ANSWER Hypotonic dehydration and water
and E loss
thready, ink pulse
,decreased BP and OH
flat neck
decreased CVP
dyspnea and ink RR (rate and depth)
muscle weakness
dec UO
poor turgor and dry skin
constipation, thirst - CORRECT ANSWER FVD symptoms
increased serum Osmo
increased HCT
ink BUN
ink serum sodium
ink SG - CORRECT ANSWER FVD lab values
bounding, increased pulse
elevated BP
distended neck veins
elevated CVP
ink RR (Shallow)
altered LOC
increased UO
pitting edema
,increased motility - CORRECT ANSWER FVE symptoms
decreased serum Osmo
decreased HCT
decreased BUN
decreased serum sodium
decreased SG - CORRECT ANSWER FVE labs
diuretics, vomiting, diarrhea, cushion syndrome, gastric suction - CORRECT
ANSWER Hypokalemia causes
CARDIAC:
rapid, thready pulse
FLAT T waves, U waves, ST depression
fatigue, muscle cramps, anorexia - CORRECT ANSWER hypokalemia symptoms
give K IV (Slow and diluted no more than 20)
hook up to telemetry
diet high in K( orange, apricots, cantaloupe, legumes, leafy veg, potatoes and
meat) - CORRECT ANSWER Hypokalemia NI
oliguria, acidosis, renal failure, Addison disease - CORRECT ANSWER Hyperkalemia
causes
, M.U.R.D.E.R.
M - Muscle weakness
U - Urine, oliguria, anuria
R- Respiratory distress
D - Decreased cardiac contractility- bradycardia
E - ECG changes (tall T waves, wide QRS, ST prolongation) !!!
R - Reflexes, hyperreflexia, or areflexia (flaccid) - CORRECT ANSWER Hyperkalemia
S/S
10 to 20% glucose with regular insulin
sodium polystyrene sulfonate (kayexalate)
IV loop diuretics (furosemide)- K excreting
renal dialysis - CORRECT ANSWER Hyperkalemia NI
renal failure, hypoparathyroidism, malabsorption, pancreatitis, alkalosis -
CORRECT ANSWER Hypocalcemia causes
C.A.T.S.
C - Convulsions
A- Arrhythmias (prolonged ST and prolonged QT)
T - Tetany (involuntary contraction of muscles)
S - Spasms and stridor
QUESTIONS WITH VERIFIED ANSWERS 2026
275-295 mom/kg - CORRECT ANSWER What is the normal plasma osmolality?
HIGHER - CORRECT ANSWER at the arterial end, is hydrostatic pressure higher or
lower than osmotic?
LOWER - CORRECT ANSWER At the venous end, is hydrostatic pressure higher or
lower than osmotic?
sodium, potassium, calcium, iron, hydrogen - CORRECT ANSWER Which
substances are active transport?
skin, lung - CORRECT ANSWER example of insensible loss
GI, urine output, wound drainage - CORRECT ANSWER ex of sensible loss
water loss exceeds E loss - CORRECT ANSWER Hypertonic dehydration and water
and E loss
E loss exceeds water loss - CORRECT ANSWER Hypotonic dehydration and water
and E loss
thready, ink pulse
,decreased BP and OH
flat neck
decreased CVP
dyspnea and ink RR (rate and depth)
muscle weakness
dec UO
poor turgor and dry skin
constipation, thirst - CORRECT ANSWER FVD symptoms
increased serum Osmo
increased HCT
ink BUN
ink serum sodium
ink SG - CORRECT ANSWER FVD lab values
bounding, increased pulse
elevated BP
distended neck veins
elevated CVP
ink RR (Shallow)
altered LOC
increased UO
pitting edema
,increased motility - CORRECT ANSWER FVE symptoms
decreased serum Osmo
decreased HCT
decreased BUN
decreased serum sodium
decreased SG - CORRECT ANSWER FVE labs
diuretics, vomiting, diarrhea, cushion syndrome, gastric suction - CORRECT
ANSWER Hypokalemia causes
CARDIAC:
rapid, thready pulse
FLAT T waves, U waves, ST depression
fatigue, muscle cramps, anorexia - CORRECT ANSWER hypokalemia symptoms
give K IV (Slow and diluted no more than 20)
hook up to telemetry
diet high in K( orange, apricots, cantaloupe, legumes, leafy veg, potatoes and
meat) - CORRECT ANSWER Hypokalemia NI
oliguria, acidosis, renal failure, Addison disease - CORRECT ANSWER Hyperkalemia
causes
, M.U.R.D.E.R.
M - Muscle weakness
U - Urine, oliguria, anuria
R- Respiratory distress
D - Decreased cardiac contractility- bradycardia
E - ECG changes (tall T waves, wide QRS, ST prolongation) !!!
R - Reflexes, hyperreflexia, or areflexia (flaccid) - CORRECT ANSWER Hyperkalemia
S/S
10 to 20% glucose with regular insulin
sodium polystyrene sulfonate (kayexalate)
IV loop diuretics (furosemide)- K excreting
renal dialysis - CORRECT ANSWER Hyperkalemia NI
renal failure, hypoparathyroidism, malabsorption, pancreatitis, alkalosis -
CORRECT ANSWER Hypocalcemia causes
C.A.T.S.
C - Convulsions
A- Arrhythmias (prolonged ST and prolonged QT)
T - Tetany (involuntary contraction of muscles)
S - Spasms and stridor
