Fundamentals Hesi Finals NCLEX EAQ
(EVOLVE) questions and verified
answers ,100% guaranteed pass
A nurse teaches a client who has a history of heart failure. Which statement should the
nurse include in this client's discharge teaching?
a. "Avoid drinking more than 3 quarts of liquids each day."
b. "Eat six small meals daily instead of three larger meals."
c. "When you feel short of breath, take an additional diuretic."
d. "Weigh yourself daily while wearing the same amount of clothing."
D - CORRECT ANSWES -- A nurse teaches a client who has a history of heart failure.
Which statement should the nurse include in this client's discharge teaching?
a. "Avoid drinking more than 3 quarts of liquids each day."
b. "Eat six small meals daily instead of three larger meals."
c. "When you feel short of breath, take an additional diuretic."
d. "Weigh yourself daily while wearing the same amount of clothing."
D
A nurse assesses a client who had a myocardial infarction and is hypotensive. Which
additional assessment finding should the nurse expect?
a. Heart rate of 120 beats/min
b. Cool, clammy skin
c. Oxygen saturation of 90%
d. Respiratory rate of 8 breaths/min" - CORRECT ANSWES -- ANS: A
A nurse assesses a client after administering a prescribed beta blocker. Which
assessment should the nurse expect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
d. Pulse decreased from 100 beats/min to 80 beats/min - CORRECT ANSWES --
ANS: D
An emergency department nurse triages clients who present with chest discomfort.
Which client should the nurse plan to assess first?
a. A 42-year-old female who describes her pain as a dull ache with numbness in her
fingers
b. A 49-year-old male who reports moderate pain that is worse on inspiration
c. A 53-year-old female who reports substernal pain that radiates to her abdomen
d. A 58-year-old male who describes his pain as intense stabbing that spreads across
his chest
,ANS: D - CORRECT ANSWES -- An emergency department nurse triages clients who
present with chest discomfort. Which client should the nurse plan to assess first?
a. A 42-year-old female who describes her pain as a dull ache with numbness in her
fingers
b. A 49-year-old male who reports moderate pain that is worse on inspiration
c. A 53-year-old female who reports substernal pain that radiates to her abdomen
d. A 58-year-old male who describes his pain as intense stabbing that spreads across
his chest
ANS: D
17. A nurse prepares a client for coronary artery bypass graft surgery. The client states,
I am afraid I might die. How should the nurse respond?
a. This is a routine surgery and the risk of death is very low.
b. Would you like to speak with a chaplain prior to surgery?
c. Tell me more about your concerns about the surgery.
d. What support systems do you have to assist you?
ANS: C - CORRECT ANSWES -- 17. A nurse prepares a client for coronary artery
bypass graft surgery. The client states, I am afraid I might die. How should the nurse
respond?
a. This is a routine surgery and the risk of death is very low.
b. Would you like to speak with a chaplain prior to surgery?
c. Tell me more about your concerns about the surgery.
d. What support systems do you have to assist you?
ANS: C
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at
high risk for coronary artery disease. Which statement related to nutrition should the
nurse include in this client's teaching?
a. "The best way to lose weight is a high-protein, low-carbohydrate diet."
b. "You should balance weight loss with consuming necessary nutrients."
c. "A nutritionist will provide you with information about your new diet."
d. "If you exercise more frequently, you won't need to change your diet." - CORRECT
ANSWES -- ANS: B
Clients at risk for cardiovascular diseases should follow the American Heart Association
guidelines to combat obesity and improve cardiac health. The nurse should encourage
the client to eat vegetables, fruits, unrefined whole-grain products, and fat-free dairy
products while losing weight. High-protein food items are often high in fat and calories.
Although the nutritionist can assist with client education, the nurse should include
nutrition education and assist the client to make healthy decisions. Exercising and
eating nutrient-rich foods are both important components in reducing cardiovascular
risk.
9. A nurse assesses a client who is recovering after a left-sided cardiac catheterization.
Which assessment finding requires immediate intervention?
a. Urinary output less than intake
b. Bruising at the insertion site
, c. Slurred speech and confusion
d. Discomfort in the left leg
ANS: C - CORRECT ANSWES -- 9. A nurse assesses a client who is recovering after
a left-sided cardiac catheterization. Which assessment finding requires immediate
intervention?
a. Urinary output less than intake
b. Bruising at the insertion site
c. Slurred speech and confusion
d. Discomfort in the left leg
ANS: C
7. A nurse assesses an older adult client who is experiencing a myocardial infarction.
Which clinical manifestation should the nurse expect?
a. Excruciating pain on inspiration
b. Left lateral chest wall pain
c. Disorientation and confusion
d. Numbness and tingling of the arm
ANS: C - CORRECT ANSWES -- 7. A nurse assesses an older adult client who is
experiencing a myocardial infarction. Which clinical manifestation should the nurse
expect?
a. Excruciating pain on inspiration
b. Left lateral chest wall pain
c. Disorientation and confusion
d. Numbness and tingling of the arm
ANS: C
An emergency room nurse obtains the health history of a client. Which statement by the
client should alert the nurse to the occurrence of heart failure?
a. "I get short of breath when I climb stairs."
b. "I see halos floating around my head."
c. "I have trouble remembering things."
d. "I have lost weight over the past month." - CORRECT ANSWES -- ANS: A
Dyspnea on exertion is an early manifestation of heart failure and is associated with an
activity such as stair climbing. The other findings are not specific to early occurrence of
heart failure.
A nurse assesses an older adult client who has multiple chronic diseases. The client's
heart rate is 48 beats/min. Which action should the nurse take first?
a. Document the finding in the chart.
b. Initiate external pacing.
c. Assess the client's medications.
d. Administer 1 mg of atropine. - CORRECT ANSWES -- ANS: C
Pacemaker cells in the conduction system decrease in number as a person ages,
resulting in bradycardia. The nurse should check the medication reconciliation for
medications that might cause such a drop in heart rate, then should inform the health
(EVOLVE) questions and verified
answers ,100% guaranteed pass
A nurse teaches a client who has a history of heart failure. Which statement should the
nurse include in this client's discharge teaching?
a. "Avoid drinking more than 3 quarts of liquids each day."
b. "Eat six small meals daily instead of three larger meals."
c. "When you feel short of breath, take an additional diuretic."
d. "Weigh yourself daily while wearing the same amount of clothing."
D - CORRECT ANSWES -- A nurse teaches a client who has a history of heart failure.
Which statement should the nurse include in this client's discharge teaching?
a. "Avoid drinking more than 3 quarts of liquids each day."
b. "Eat six small meals daily instead of three larger meals."
c. "When you feel short of breath, take an additional diuretic."
d. "Weigh yourself daily while wearing the same amount of clothing."
D
A nurse assesses a client who had a myocardial infarction and is hypotensive. Which
additional assessment finding should the nurse expect?
a. Heart rate of 120 beats/min
b. Cool, clammy skin
c. Oxygen saturation of 90%
d. Respiratory rate of 8 breaths/min" - CORRECT ANSWES -- ANS: A
A nurse assesses a client after administering a prescribed beta blocker. Which
assessment should the nurse expect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
d. Pulse decreased from 100 beats/min to 80 beats/min - CORRECT ANSWES --
ANS: D
An emergency department nurse triages clients who present with chest discomfort.
Which client should the nurse plan to assess first?
a. A 42-year-old female who describes her pain as a dull ache with numbness in her
fingers
b. A 49-year-old male who reports moderate pain that is worse on inspiration
c. A 53-year-old female who reports substernal pain that radiates to her abdomen
d. A 58-year-old male who describes his pain as intense stabbing that spreads across
his chest
,ANS: D - CORRECT ANSWES -- An emergency department nurse triages clients who
present with chest discomfort. Which client should the nurse plan to assess first?
a. A 42-year-old female who describes her pain as a dull ache with numbness in her
fingers
b. A 49-year-old male who reports moderate pain that is worse on inspiration
c. A 53-year-old female who reports substernal pain that radiates to her abdomen
d. A 58-year-old male who describes his pain as intense stabbing that spreads across
his chest
ANS: D
17. A nurse prepares a client for coronary artery bypass graft surgery. The client states,
I am afraid I might die. How should the nurse respond?
a. This is a routine surgery and the risk of death is very low.
b. Would you like to speak with a chaplain prior to surgery?
c. Tell me more about your concerns about the surgery.
d. What support systems do you have to assist you?
ANS: C - CORRECT ANSWES -- 17. A nurse prepares a client for coronary artery
bypass graft surgery. The client states, I am afraid I might die. How should the nurse
respond?
a. This is a routine surgery and the risk of death is very low.
b. Would you like to speak with a chaplain prior to surgery?
c. Tell me more about your concerns about the surgery.
d. What support systems do you have to assist you?
ANS: C
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at
high risk for coronary artery disease. Which statement related to nutrition should the
nurse include in this client's teaching?
a. "The best way to lose weight is a high-protein, low-carbohydrate diet."
b. "You should balance weight loss with consuming necessary nutrients."
c. "A nutritionist will provide you with information about your new diet."
d. "If you exercise more frequently, you won't need to change your diet." - CORRECT
ANSWES -- ANS: B
Clients at risk for cardiovascular diseases should follow the American Heart Association
guidelines to combat obesity and improve cardiac health. The nurse should encourage
the client to eat vegetables, fruits, unrefined whole-grain products, and fat-free dairy
products while losing weight. High-protein food items are often high in fat and calories.
Although the nutritionist can assist with client education, the nurse should include
nutrition education and assist the client to make healthy decisions. Exercising and
eating nutrient-rich foods are both important components in reducing cardiovascular
risk.
9. A nurse assesses a client who is recovering after a left-sided cardiac catheterization.
Which assessment finding requires immediate intervention?
a. Urinary output less than intake
b. Bruising at the insertion site
, c. Slurred speech and confusion
d. Discomfort in the left leg
ANS: C - CORRECT ANSWES -- 9. A nurse assesses a client who is recovering after
a left-sided cardiac catheterization. Which assessment finding requires immediate
intervention?
a. Urinary output less than intake
b. Bruising at the insertion site
c. Slurred speech and confusion
d. Discomfort in the left leg
ANS: C
7. A nurse assesses an older adult client who is experiencing a myocardial infarction.
Which clinical manifestation should the nurse expect?
a. Excruciating pain on inspiration
b. Left lateral chest wall pain
c. Disorientation and confusion
d. Numbness and tingling of the arm
ANS: C - CORRECT ANSWES -- 7. A nurse assesses an older adult client who is
experiencing a myocardial infarction. Which clinical manifestation should the nurse
expect?
a. Excruciating pain on inspiration
b. Left lateral chest wall pain
c. Disorientation and confusion
d. Numbness and tingling of the arm
ANS: C
An emergency room nurse obtains the health history of a client. Which statement by the
client should alert the nurse to the occurrence of heart failure?
a. "I get short of breath when I climb stairs."
b. "I see halos floating around my head."
c. "I have trouble remembering things."
d. "I have lost weight over the past month." - CORRECT ANSWES -- ANS: A
Dyspnea on exertion is an early manifestation of heart failure and is associated with an
activity such as stair climbing. The other findings are not specific to early occurrence of
heart failure.
A nurse assesses an older adult client who has multiple chronic diseases. The client's
heart rate is 48 beats/min. Which action should the nurse take first?
a. Document the finding in the chart.
b. Initiate external pacing.
c. Assess the client's medications.
d. Administer 1 mg of atropine. - CORRECT ANSWES -- ANS: C
Pacemaker cells in the conduction system decrease in number as a person ages,
resulting in bradycardia. The nurse should check the medication reconciliation for
medications that might cause such a drop in heart rate, then should inform the health
