HESI RN FUNDAMENTALS OF NURSING FINAL EXAM LATEST 2023 EXAM CONTAINS 55 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!

HESI RN FUNDAMENTALS OF NURSING FINAL EXAM

LATEST 2023 EXAM CONTAINS 55 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+||BRAND NEW!!

The nurse should plan care knowing that which client is at risk for fluid

volume deficit? - ANSWER- The client with a colostomy

rationale:

Causes of a fluid volume deficit include vomiting, diarrhea,

conditions that cause increased respirations or increased urinary

output, insufficient intravenous fluid replacement, draining fistulas,

ileostomy, and colostomy. A client with cirrhosis, HF, or decreased

kidney function is at risk for fluid volume excess.

The nurse is caring for a client who has been taking diuretics on a longterm basis. Which finding should the nurse expect to note as a result of

this long-term use? - ANSWER- Increased specific gravity of the urine

The nurse reviews electrolyte values and notes a sodium level of 130

mEq/L. The nurse expects that this sodium level would be noted in a

client with which condition? - ANSWER- The client with the syndrome

of inappropriate secretion of antidiuretic hormone (SIADH)

rationale:

Hyponatremia is a serum sodium level less than 135 mEq/L.

Hyponatremia can occur secondary to SIADH. The client with an

inadequate daily water intake, watery diarrhea, or diabetes

insipidus is at risk for hypernatremia.

The nurse is caring for a client with leukemia and notes that the client

has poor skin turgor and flat neck and hand veins. The nurse suspects

hyponatremia. Which additional signs/symptoms should the nurse

expect to note in this client if hyponatremia is present? - ANSWERPostural blood pressure changes

Rationale:

Postural blood pressure changes occur in the client with

hyponatremia. Intense thirst and dry mucous membranes are seen

in clients with hypernatremia. A slow, bounding pulse is not

indicative of hyponatremia. In a client with hyponatremia, a rapid,

thready pulse is noted.

The nurse is caring for a client with a diagnosis of hyperparathyroidism.

Laboratory studies are performed, and the serum calcium level is 12.0

mg/dL. Based on this laboratory value, the nurse should take which

action? - ANSWER- Inform the registered nurse of the laboratory value.

Rationale:

The normal serum calcium level ranges from 8.6 to 10.0 mg/dL. The

client is experiencing hypercalcemia, and the nurse would inform

the registered nurse of the laboratory value. Because the client is

experiencing hypercalcemia, the remaining options are incorrect

actions.

The nurse reviews the client's serum calcium level and notes that the

level is 8.0 mg/dL. The nurse understands which condition causes this

serum calcium level? - ANSWER- Prolonged bed rest

Rationale:

The normal serum calcium level is 8.6 to 10.0 mg/dL. A client with a

serum calcium level of 8.0 mg/dL is experiencing hypocalcemia. The

excessive ingestion of vitamin D, adrenal insufficiency, and

hyperparathyroidism are causative factors associated with

hypercalcemia. Although immobilization can initially cause

hypercalcemia, the long-term effect of prolonged bedrest is

hypocalcemia.

The nurse is caring for a client with a suspected diagnosis of

hypercalcemia. Which sign/symptom is an indication of this electrolyte

imbalance? - ANSWER- Generalized muscle weakness

Rationale:

Generalized muscle weakness is seen in clients with hypercalcemia.

Twitching, positive Trousseau's sign, and hyperactive bowel sounds

are signs of hypocalcemia.