EVOLVE HESI MULTIDISCIPLINARY 350 QUESTIONS
& CORRRECT ANSWERS LATEST 2026/2027
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. The nurse knows that which medication would be
contraindicated for this client? - ANSWER-Pentobarbital sodium (Nembutal
Sodium) for sleep.
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a
client in labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is
infusing. The nurse should program the infusion pump at how many ml/hour? -
ANSWER-3
The nurse is preparing to give an enema to a laboring client. Which client would
require the most caution when carrying out this procedure? - ANSWER-A 40-week
primigravida who is at 6 cm cervical dilatation and the presenting part is not
engaged
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments.
The nurse knows that the most likely presenting symptom for a pediatric client
with AIDS is - ANSWER-A persistent cold
A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those useless
tests." Which narrative documentation should the nurse enter in the client's medical
record? - ANSWER-Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
,A loading dose of acetylcysteine (Mucomyst) 8 grams, which is available as a 20%
solution (200 mg acetylcysteine per ml) is prescribed by nasogastric tube for a
client with acetaminophen toxicity. How many ml of diluent should be added to
the medication to obtain a 1:4 concentration? - ANSWER-120
The RN reviews the new prescription, phenelzine, a monoamine oxidase inhibitor
(MAOI), for a client on the psychiatric unit with depression. Which information is
most important for the RN to assess? - ANSWER-Consumption of any alcohol or
tyramine-rich foods
Which symptoms are serious adverse effects of beta-adrenergic blockers such as
propranolol (Inderal)? - ANSWER-Wheezing, hypotension, and AV block
The RN is assessing a male client who arrives at the clinic with severe abdominal
cramping, pain, tenesmus, and dehydration. The RN discovers that the client has
had 14 to 20 loose stools with rectal bleeding. Which condition should the RN ask
the client about his medical history? - ANSWER-Ulcerative colitis
The nurse is caring for a woman with a previously diagnosed heart disease who is
in the second stage of labor. Which assessment findings are of greatest concern? -
ANSWER-Edema, basilar rales and an irregular pulse
The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the
psychiatric unit. Which complaint related to administration of this drug would the
nurse expect this client to make - ANSWER-"My mouth feels like cotton"
The nurse is planning the case for a 32-year-old male client with acute depression.
Which nursing intervention would be best in helping this client deal with his
depression - ANSWER-Assist the client in exploring feelings of shame, anger and
guilt
,During an initial clinic visit, the nurse is taking the history for a client who wants
to confirm her pregnancy. The client's last child has a history of low-birth-weight
(LBW). Which additional finding is most important for the nurse to consider -
ANSWER-African-american ethnicity
A 35-year-old primigravida client with severe preeclampsia is receiving
magnesium sulfate via continuous IV infusion. Which assessment data would
indicate to the nurse that the client is experiencing magnesium sulfate toxicity -
ANSWER-Blood pressure 140/90
A 64-year-old client is admitted to the hospital with a fractured right hip. One of
the concerns following surgical repair is to promote dorsiflexion. Which
intervention would a nurse implement - ANSWER-Provide a foot board
The nurse is planning care for a client with newly diagnosed diabetes mellitus that
requires insulin. Which assessment should the nurse identify before beginning the
teaching session - ANSWER-willingness of the client to learn the injection sites.
in evaluating the effects of lactulose (Cephulac), which outcome would indicate
that the drug is performing as intended - ANSWER-watery, diarrhea stools
the healthcare provider prescribes continuous intravenous infusion of dextrose 5%
and 0.45% sodium chloride with KCl 20mEq/1000 ml to be delivered over 8 hours.
The nurse should program the infusion pump to deliver how many ml/hour -
ANSWER-125
Which instructions should the nurse give to a female client who just received a
prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis
- ANSWER--Inc fluid intake, especially cranberry juice
-Avoid drinking alcohol while taking the medication
, -Use condoms until treatment is completed
-Ensure that all sexual partners are treated at the same time
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing
the client's history, the registered nurse (RN) discovers that the client's spouse died
2 weeks ago. Which nursing interventions should the RN implement to help the
client begin the process of dealing with loss - ANSWER--establish trust by
creating a safe atmosphere for sharing
-help the client identify ways to adapt lifestyle to accommodate loss
-explore ways to assist the client to make new emotional investments
An older woman asks the registered nurse how she can decrease her chances of
getting cystitis. What information should the RN provide - ANSWER-void and
empty the bladder completely every 2 to 3 hours
The nurse reviews the latest laboratory results for a child who received
chemotherapy last week and identifies a reduced neutrophil count. Which nursing
diagnosis has the highest priority for this child - ANSWER-Risk for infection
preoperative nursing care for a child with Wilms' tumor should include which
intervention - ANSWER-put a sign on the bed reading, "DO NOT PALPATE
ABDOMEN"
A male adolescent is admitted with bipolar disorder after being released from jail
for assault with a deadly weapon. When the nurse asks the teen to identify his
reason for the assault, he replies, "Because he made me mad!" which goal is best
for the nurse to include in the client's plan of care? The client will - ANSWER-
Control impulsive actions toward self and others
& CORRRECT ANSWERS LATEST 2026/2027
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. The nurse knows that which medication would be
contraindicated for this client? - ANSWER-Pentobarbital sodium (Nembutal
Sodium) for sleep.
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a
client in labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is
infusing. The nurse should program the infusion pump at how many ml/hour? -
ANSWER-3
The nurse is preparing to give an enema to a laboring client. Which client would
require the most caution when carrying out this procedure? - ANSWER-A 40-week
primigravida who is at 6 cm cervical dilatation and the presenting part is not
engaged
A newborn, whose mother is HIV positive, is scheduled for follow-up assessments.
The nurse knows that the most likely presenting symptom for a pediatric client
with AIDS is - ANSWER-A persistent cold
A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those useless
tests." Which narrative documentation should the nurse enter in the client's medical
record? - ANSWER-Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
,A loading dose of acetylcysteine (Mucomyst) 8 grams, which is available as a 20%
solution (200 mg acetylcysteine per ml) is prescribed by nasogastric tube for a
client with acetaminophen toxicity. How many ml of diluent should be added to
the medication to obtain a 1:4 concentration? - ANSWER-120
The RN reviews the new prescription, phenelzine, a monoamine oxidase inhibitor
(MAOI), for a client on the psychiatric unit with depression. Which information is
most important for the RN to assess? - ANSWER-Consumption of any alcohol or
tyramine-rich foods
Which symptoms are serious adverse effects of beta-adrenergic blockers such as
propranolol (Inderal)? - ANSWER-Wheezing, hypotension, and AV block
The RN is assessing a male client who arrives at the clinic with severe abdominal
cramping, pain, tenesmus, and dehydration. The RN discovers that the client has
had 14 to 20 loose stools with rectal bleeding. Which condition should the RN ask
the client about his medical history? - ANSWER-Ulcerative colitis
The nurse is caring for a woman with a previously diagnosed heart disease who is
in the second stage of labor. Which assessment findings are of greatest concern? -
ANSWER-Edema, basilar rales and an irregular pulse
The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the
psychiatric unit. Which complaint related to administration of this drug would the
nurse expect this client to make - ANSWER-"My mouth feels like cotton"
The nurse is planning the case for a 32-year-old male client with acute depression.
Which nursing intervention would be best in helping this client deal with his
depression - ANSWER-Assist the client in exploring feelings of shame, anger and
guilt
,During an initial clinic visit, the nurse is taking the history for a client who wants
to confirm her pregnancy. The client's last child has a history of low-birth-weight
(LBW). Which additional finding is most important for the nurse to consider -
ANSWER-African-american ethnicity
A 35-year-old primigravida client with severe preeclampsia is receiving
magnesium sulfate via continuous IV infusion. Which assessment data would
indicate to the nurse that the client is experiencing magnesium sulfate toxicity -
ANSWER-Blood pressure 140/90
A 64-year-old client is admitted to the hospital with a fractured right hip. One of
the concerns following surgical repair is to promote dorsiflexion. Which
intervention would a nurse implement - ANSWER-Provide a foot board
The nurse is planning care for a client with newly diagnosed diabetes mellitus that
requires insulin. Which assessment should the nurse identify before beginning the
teaching session - ANSWER-willingness of the client to learn the injection sites.
in evaluating the effects of lactulose (Cephulac), which outcome would indicate
that the drug is performing as intended - ANSWER-watery, diarrhea stools
the healthcare provider prescribes continuous intravenous infusion of dextrose 5%
and 0.45% sodium chloride with KCl 20mEq/1000 ml to be delivered over 8 hours.
The nurse should program the infusion pump to deliver how many ml/hour -
ANSWER-125
Which instructions should the nurse give to a female client who just received a
prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis
- ANSWER--Inc fluid intake, especially cranberry juice
-Avoid drinking alcohol while taking the medication
, -Use condoms until treatment is completed
-Ensure that all sexual partners are treated at the same time
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing
the client's history, the registered nurse (RN) discovers that the client's spouse died
2 weeks ago. Which nursing interventions should the RN implement to help the
client begin the process of dealing with loss - ANSWER--establish trust by
creating a safe atmosphere for sharing
-help the client identify ways to adapt lifestyle to accommodate loss
-explore ways to assist the client to make new emotional investments
An older woman asks the registered nurse how she can decrease her chances of
getting cystitis. What information should the RN provide - ANSWER-void and
empty the bladder completely every 2 to 3 hours
The nurse reviews the latest laboratory results for a child who received
chemotherapy last week and identifies a reduced neutrophil count. Which nursing
diagnosis has the highest priority for this child - ANSWER-Risk for infection
preoperative nursing care for a child with Wilms' tumor should include which
intervention - ANSWER-put a sign on the bed reading, "DO NOT PALPATE
ABDOMEN"
A male adolescent is admitted with bipolar disorder after being released from jail
for assault with a deadly weapon. When the nurse asks the teen to identify his
reason for the assault, he replies, "Because he made me mad!" which goal is best
for the nurse to include in the client's plan of care? The client will - ANSWER-
Control impulsive actions toward self and others
