HESI Module 10 EXAM WITH
QUESTIONS AND 100% CORRECT
ANSWERS| APPROVED BY EXPERT AND
GRADED A+| NEWLY UPDATED 2025.
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
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
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
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.
Paresthesias
Muscle weakness
Increased urine output
Chvostek sign
Hyperactive deep tendon reflexes - ANSWER ✔✔ Muscle weakness
Increased urine output
The nurse is caring for a client with Crohn's disease whose magnesium level is 1.0 mEq/L (0.5
mmol/L). Which assessment findings does the nurse expect to note? Select all that apply.
, Hypotension
Abdominal distention
Trousseau sign
Skeletal muscle weakness
Decreased deep tendon reflexes - ANSWER ✔✔ Abdominal distention
Trousseau sign
The nurse enters a client's room and finds the client unconscious. The nurse quickly performs an
assessment and determines that the client is not breathing. Which action does the nurse take first?
Beginning chest compressions
Checking the client's pulse oximetry reading
Placing an oxygen mask on the client
Counting the client's carotid pulse for 15 seconds - ANSWER ✔✔ Beginning chest
compressions
The nurse arrives at the scene of a code and begins to assist with cardiopulmonary resuscitation
(CPR) of an adult. The nurse delivers compressions by pushing down on the chest by what
depth?
½ inches (1.27 cm)
1½ inches (3.8 cm)
2 inches (5 cm)
4 inches (10 cm) - ANSWER ✔✔ 2
The nurse is administering cardiopulmonary resuscitation (CPR) to an adult client. Which
compression-ventilation ratio is correct?
15:1
15:2
20:2
30:2 - ANSWER ✔✔ 30:2
The pediatric nurse finds a hospitalized child unresponsive. A quick assessment reveals that the
child is not breathing and does not have a pulse. The nurse initiates cardiopulmonary
resuscitation (CPR). How many chest compressions per minute does the nurse deliver?
15
30
50
100 - ANSWER ✔✔ 100
The nurse attending a recertification course in basic life support (BLS) for health care
professionals is practicing BLS on an infant mannequin. Where does the nurse place the fingers
to assess the infant's pulse?
Neck
Wrist
Behind the knee
Antecubital fossa of the arm - ANSWER ✔✔ Antecubital fossa of the arm
QUESTIONS AND 100% CORRECT
ANSWERS| APPROVED BY EXPERT AND
GRADED A+| NEWLY UPDATED 2025.
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
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
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
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.
Paresthesias
Muscle weakness
Increased urine output
Chvostek sign
Hyperactive deep tendon reflexes - ANSWER ✔✔ Muscle weakness
Increased urine output
The nurse is caring for a client with Crohn's disease whose magnesium level is 1.0 mEq/L (0.5
mmol/L). Which assessment findings does the nurse expect to note? Select all that apply.
, Hypotension
Abdominal distention
Trousseau sign
Skeletal muscle weakness
Decreased deep tendon reflexes - ANSWER ✔✔ Abdominal distention
Trousseau sign
The nurse enters a client's room and finds the client unconscious. The nurse quickly performs an
assessment and determines that the client is not breathing. Which action does the nurse take first?
Beginning chest compressions
Checking the client's pulse oximetry reading
Placing an oxygen mask on the client
Counting the client's carotid pulse for 15 seconds - ANSWER ✔✔ Beginning chest
compressions
The nurse arrives at the scene of a code and begins to assist with cardiopulmonary resuscitation
(CPR) of an adult. The nurse delivers compressions by pushing down on the chest by what
depth?
½ inches (1.27 cm)
1½ inches (3.8 cm)
2 inches (5 cm)
4 inches (10 cm) - ANSWER ✔✔ 2
The nurse is administering cardiopulmonary resuscitation (CPR) to an adult client. Which
compression-ventilation ratio is correct?
15:1
15:2
20:2
30:2 - ANSWER ✔✔ 30:2
The pediatric nurse finds a hospitalized child unresponsive. A quick assessment reveals that the
child is not breathing and does not have a pulse. The nurse initiates cardiopulmonary
resuscitation (CPR). How many chest compressions per minute does the nurse deliver?
15
30
50
100 - ANSWER ✔✔ 100
The nurse attending a recertification course in basic life support (BLS) for health care
professionals is practicing BLS on an infant mannequin. Where does the nurse place the fingers
to assess the infant's pulse?
Neck
Wrist
Behind the knee
Antecubital fossa of the arm - ANSWER ✔✔ Antecubital fossa of the arm
