PN Fundamentals of Nursing Evolve HESI
PN Fundamentals of Nursing Evolve HESI Real
Exams 2 Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
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Questions (New!)
According to Erikson, which client should the nurse identify as having difficulty completing the
developmental stage of older adults?
A.A 60-year-old man who tells the nurse that he is feeling fine and really does not need any help from
anyone
B.A 78-year-old widower who has come to the mental health clinic for counseling after the recent
death of his wife
C.An 81-year-old woman who states that she enjoys having her grandchildren visit but is usually glad
when they go home
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D.A 75-year-old woman who wishes her friends were still alive so she could change some of the
choices she made over the years –
Correct Answer :D
The older woman who wishes she could change the choices she has made in her lifetime is expressing
despair and is still searching for integrity (D). The nurse uses Erikson stages of development over the
life span to assess an older client's adjustment to aging and plans teaching strategies to assist the
clients attain integrity versus despair. (A, B, and C) are normal developmental tasks of older adults.
The antigout medication allopurinol (Zyloprim) is prescribed for a client newly diagnosed with gout.
Which comment by the client warrants intervention by the nurse?
A."I take aspirin for my pain."
B."I frequently eat fruit and drink fruit juices."
C."I drink a great deal of water, so I have to get up at night to urinate."
D."I observe my skin daily to see if I have an allergic rash to the medication." –
Correct Answer :A
The client should be taught to avoid aspirin (A) because the ingestion of aspirin or diuretics can
precipitate an attack of gout. (B, C, and D) are all appropriate for the treatment of gout. The client's
urinary pH can be increased by the intake of alkaline ash foods, such as citrus fruits and juices, which
will help reduce stone formation (B). Increasing fluids helps prevent urinary calculi (stone) formation
and should be encouraged, even if the client must get up at night to urinate (C). Allopurinol has a rare
but potentially fatal hypersensitivity syndrome, which is characterized by a rash and fever. The
medication should be discontinued immediately if this occurs (D).
A client tells the nurse that he is suffering from insomnia. Which information is most important for the
nurse to obtain?
A.The client's usual sleeping pattern
B.Whether the client smokes
C.How much liquid the client consumes before bedtime
D.The amount of caffeine that the client consumes during the day –
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Correct Answer :A
The first thing to determine is the client's usual sleeping pattern and how it has changed to become
what the client describes as insomnia (A). (B, C, and D) provide additional information after (A) is
ascertained.
A client has been on a mechanical ventilator for several days. What should the nurse use to document
and record this client's respirations?
A.The respiratory settings on the ventilator
B.Only the client's spontaneous respirations
C.The ventilator-assisted respirations minus the client's independent breaths
D.The ventilator setting for respiratory rate and the client-initiated respirations –
Correct Answer :D
The nurse should count the client's respirations, and document both the respiratory rate set by the
ventilator and the client's independent respiratory rate (D). Never rely strictly on (A). Although the
client's spontaneous breaths will be shallow and machine-assisted breaths will be deep, it is important
to record machine-assisted breaths as well as the client's spontaneous breaths to get an overall
respiratory picture of the client (B and C).
A client has been receiving levofloxacin (Levaquin), 500 mg IV piggyback q24h for 7 days. The UAP
reports to the nurse that the client has had three loose foul-smelling stools this morning. Which
intervention is most important for the nurse to implement?
A.Perform a digital evaluation for fecal impaction.
B.Administer a PRN dose of psyllium (Metamucil).
C.Obtain a stool specimen for culture and sensitivity.
D.Instruct the UAP to obtain incontinent pads for the client. –
Correct Answer :C
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Long-term use of levofloxacin (Levaquin) can cause foul-smelling diarrhea because of Clostridium
difficile infection or associated colitis, so it is most important to obtain a stool specimen (C). Impaction
is unlikely, so (A) is of less priority and may not be necessary. (B) is a bulk-forming agent that may be
used for constipation or diarrhea. Treatment of the diarrhea and client comfort (D) are important
interventions but of less priority than determining the cause of the client's diarrhea.
The nurse is preparing to administer dalteparin (Fragmin) subcutaneously to an immobile client who
has been receiving the medication for 5 days. Which finding indicates that the nurse should hold the
prescribed dose?
A.Tachypnea
B.Guaiac-positive stool
C.Multiple small abdominal bruises
D.Dependent pitting edema –
Correct Answer :B
Fragmin is an anticoagulant used to prevent deep vein thrombosis (DVT) in the at-risk client. If the
client develops overt signs of bleeding, such as guaiac-positive stool (B) while receiving an
anticoagulant, the medication should be held and coagulation studies completed. (A) is not an
indication to hold the medication unless accompanied by signs of bleeding. (C) is an expected result.
(D) is related to fluid volume, rather than anticoagulant therapy.
The nurse administers levothyroxine (Synthroid) to a client with hypothyroidism. Which data
indicate(s) that the drug is effective? (Select all that apply.)
A.Increase in T3 and T4
B.Decrease in heart rate
C.Increase in TSH
D.Decrease in urine output
E.Decrease in periorbital edema - Correct Answer :ABE
Levothyroxine is a thyroid replacement drug that increases thyroid hormone levels (T3
[triiodothyronine] and T4 [thyroxine]) and decreases periorbital edema, a symptom of hypothyroidism
(A and E). Decrease in heart rate and an increased level of thyroid-stimulating hormone (TSH) are not
P a g e 4 | 144
PN Fundamentals of Nursing Evolve HESI Real
Exams 2 Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
a Review of 300+ Latest Correctly Answered
Questions (New!)
According to Erikson, which client should the nurse identify as having difficulty completing the
developmental stage of older adults?
A.A 60-year-old man who tells the nurse that he is feeling fine and really does not need any help from
anyone
B.A 78-year-old widower who has come to the mental health clinic for counseling after the recent
death of his wife
C.An 81-year-old woman who states that she enjoys having her grandchildren visit but is usually glad
when they go home
P a g e 1 | 144
,PN Fundamentals of Nursing Evolve HESI
D.A 75-year-old woman who wishes her friends were still alive so she could change some of the
choices she made over the years –
Correct Answer :D
The older woman who wishes she could change the choices she has made in her lifetime is expressing
despair and is still searching for integrity (D). The nurse uses Erikson stages of development over the
life span to assess an older client's adjustment to aging and plans teaching strategies to assist the
clients attain integrity versus despair. (A, B, and C) are normal developmental tasks of older adults.
The antigout medication allopurinol (Zyloprim) is prescribed for a client newly diagnosed with gout.
Which comment by the client warrants intervention by the nurse?
A."I take aspirin for my pain."
B."I frequently eat fruit and drink fruit juices."
C."I drink a great deal of water, so I have to get up at night to urinate."
D."I observe my skin daily to see if I have an allergic rash to the medication." –
Correct Answer :A
The client should be taught to avoid aspirin (A) because the ingestion of aspirin or diuretics can
precipitate an attack of gout. (B, C, and D) are all appropriate for the treatment of gout. The client's
urinary pH can be increased by the intake of alkaline ash foods, such as citrus fruits and juices, which
will help reduce stone formation (B). Increasing fluids helps prevent urinary calculi (stone) formation
and should be encouraged, even if the client must get up at night to urinate (C). Allopurinol has a rare
but potentially fatal hypersensitivity syndrome, which is characterized by a rash and fever. The
medication should be discontinued immediately if this occurs (D).
A client tells the nurse that he is suffering from insomnia. Which information is most important for the
nurse to obtain?
A.The client's usual sleeping pattern
B.Whether the client smokes
C.How much liquid the client consumes before bedtime
D.The amount of caffeine that the client consumes during the day –
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,PN Fundamentals of Nursing Evolve HESI
Correct Answer :A
The first thing to determine is the client's usual sleeping pattern and how it has changed to become
what the client describes as insomnia (A). (B, C, and D) provide additional information after (A) is
ascertained.
A client has been on a mechanical ventilator for several days. What should the nurse use to document
and record this client's respirations?
A.The respiratory settings on the ventilator
B.Only the client's spontaneous respirations
C.The ventilator-assisted respirations minus the client's independent breaths
D.The ventilator setting for respiratory rate and the client-initiated respirations –
Correct Answer :D
The nurse should count the client's respirations, and document both the respiratory rate set by the
ventilator and the client's independent respiratory rate (D). Never rely strictly on (A). Although the
client's spontaneous breaths will be shallow and machine-assisted breaths will be deep, it is important
to record machine-assisted breaths as well as the client's spontaneous breaths to get an overall
respiratory picture of the client (B and C).
A client has been receiving levofloxacin (Levaquin), 500 mg IV piggyback q24h for 7 days. The UAP
reports to the nurse that the client has had three loose foul-smelling stools this morning. Which
intervention is most important for the nurse to implement?
A.Perform a digital evaluation for fecal impaction.
B.Administer a PRN dose of psyllium (Metamucil).
C.Obtain a stool specimen for culture and sensitivity.
D.Instruct the UAP to obtain incontinent pads for the client. –
Correct Answer :C
P a g e 3 | 144
, PN Fundamentals of Nursing Evolve HESI
Long-term use of levofloxacin (Levaquin) can cause foul-smelling diarrhea because of Clostridium
difficile infection or associated colitis, so it is most important to obtain a stool specimen (C). Impaction
is unlikely, so (A) is of less priority and may not be necessary. (B) is a bulk-forming agent that may be
used for constipation or diarrhea. Treatment of the diarrhea and client comfort (D) are important
interventions but of less priority than determining the cause of the client's diarrhea.
The nurse is preparing to administer dalteparin (Fragmin) subcutaneously to an immobile client who
has been receiving the medication for 5 days. Which finding indicates that the nurse should hold the
prescribed dose?
A.Tachypnea
B.Guaiac-positive stool
C.Multiple small abdominal bruises
D.Dependent pitting edema –
Correct Answer :B
Fragmin is an anticoagulant used to prevent deep vein thrombosis (DVT) in the at-risk client. If the
client develops overt signs of bleeding, such as guaiac-positive stool (B) while receiving an
anticoagulant, the medication should be held and coagulation studies completed. (A) is not an
indication to hold the medication unless accompanied by signs of bleeding. (C) is an expected result.
(D) is related to fluid volume, rather than anticoagulant therapy.
The nurse administers levothyroxine (Synthroid) to a client with hypothyroidism. Which data
indicate(s) that the drug is effective? (Select all that apply.)
A.Increase in T3 and T4
B.Decrease in heart rate
C.Increase in TSH
D.Decrease in urine output
E.Decrease in periorbital edema - Correct Answer :ABE
Levothyroxine is a thyroid replacement drug that increases thyroid hormone levels (T3
[triiodothyronine] and T4 [thyroxine]) and decreases periorbital edema, a symptom of hypothyroidism
(A and E). Decrease in heart rate and an increased level of thyroid-stimulating hormone (TSH) are not
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