PN Fundamentals of Nursing Evolve HESI
PN Fundamentals of Nursing Evolve HESI Real
Exams 5 Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
a Review of 300+ Latest Correctly Answered
Questions (New!)
A nurse witnesses a person fall. The person becomes unresponsive and pulseless. The nurse plans to
use an automated external defibrillator (AED) that is available on site. What should the nurse do first?
1
Remove all jewelry.
2
Wash the chest area.
3
Use a grounded electrical source.
4
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,PN Fundamentals of Nursing Evolve HESI
Remove medication patches on the chest. –
Correct Answer :4 - Medication patches that interfere with electrode placement must be removed
before application of electrodes because of possible burn caused by electrical conduction in the area
of the patch. Jewelry usually is not a problem with the function of an automated external defibrillator.
Skin preparation is unnecessary. The AED is battery-operated and does not need a grounded electrical
source.
client who sustained serious burns now has a stress ulcer. Which clinical indicators of shock should the
nurse immediately report to the primary healthcare provider? Select all that apply.
1
Weakness
2
Diaphoresis
3
Tachycardia
4
Cold extremities
5
Flushed skin tone –
Correct Answer :1, 2, 3, 4
The stress ulcer can bleed, leading to shock. Weakness is related to the decrease in the oxygen-
carrying capacity of the blood associated with shock. Diaphoresis and tachycardia are sympathetic
nervous system responses associated with shock. Peripheral vasoconstriction is associated with the
sympathetic nervous system response associated with shock and leads to cold extremities. The skin
will be pale, rather than flushed, because of peripheral vasoconstriction.
Two days after a myocardial infarction, a client has a temperature of 100.2° F (37.9° C). What should
the nurse do first?
Incorrect1
Auscultate the chest for diminished breath sounds.
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,PN Fundamentals of Nursing Evolve HESI
2
Encourage coughing and deep breathing every hour.
Correct3
Record the temperature reading and continue to monitor it.
4
Suspect an infection and notify the healthcare provider immediately. –
Correct Answer :Myocardial necrosis causes a rise in body temperature within the first 24 hours after a
myocardial infarction. This increase in temperature gradually returns to the usual range for an adult
after several days. A temperature of 100.2° F (37.9° C) is an expected response to myocardial necrosis,
not a respiratory infection
After an acute episode of upper gastrointestinal (GI) bleeding, a client vomits undigested antacids and
reports having severe epigastric pain. The nursing assessment reveals an absence of bowel sounds, a
pulse rate of 134, and shallow respirations of 32 per minute. In addition to calling the healthcare
provider, what is the priority nursing action?
1
Prepare the client for surgery.
2
Administer oxygen per nasal catheter.
3
Place in the supine position, with legs elevated.
4
Ask the client if there have been any black stools. –
Correct Answer :1 –
These symptoms are classic indicators of a perforated ulcer, for which immediate surgery is indicated;
this should be anticipated. Although oxygen may be helpful, it is not the priority. The symptoms are
more indicative of perforation than of shock, so placing the client in the supine position with legs
elevated is not appropriate at this time.
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, PN Fundamentals of Nursing Evolve HESI
A 5-month-old child undergoes heart surgery to repair the defects associated with tetralogy of Fallot.
Prevention of what behavior is a priority for the nurse after the surgery?
1
Crying
2
Coughing
3
Straining at stool –
Correct Answer :3-
Forceful evacuation involves taking a deep breath, holding it, and straining (Valsalva maneuver). This
increases intrathoracic pressure, which puts excessive strain on the heart sutures.
The nurse is conducting a nutrition class for a group of clients with heart failure (HF). Which
information is most important for the nurse to share with the class?
1
Restricting fluid intake
2
Eating a low caloric diet to reduce weight
3
Recognizing which products are high in cholesterol
4
Choosing fresh or frozen vegetables instead of canned ones –
Correct Answer :4 –
The key principle to teach HF clients is the importance of decreasing sodium in their diet and which
foods contain sodium. If sodium is decreased, water retention will decrease also. Fresh or frozen
vegetables have less sodium than canned ones.
P a g e 4 | 251
PN Fundamentals of Nursing Evolve HESI Real
Exams 5 Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
a Review of 300+ Latest Correctly Answered
Questions (New!)
A nurse witnesses a person fall. The person becomes unresponsive and pulseless. The nurse plans to
use an automated external defibrillator (AED) that is available on site. What should the nurse do first?
1
Remove all jewelry.
2
Wash the chest area.
3
Use a grounded electrical source.
4
P a g e 1 | 251
,PN Fundamentals of Nursing Evolve HESI
Remove medication patches on the chest. –
Correct Answer :4 - Medication patches that interfere with electrode placement must be removed
before application of electrodes because of possible burn caused by electrical conduction in the area
of the patch. Jewelry usually is not a problem with the function of an automated external defibrillator.
Skin preparation is unnecessary. The AED is battery-operated and does not need a grounded electrical
source.
client who sustained serious burns now has a stress ulcer. Which clinical indicators of shock should the
nurse immediately report to the primary healthcare provider? Select all that apply.
1
Weakness
2
Diaphoresis
3
Tachycardia
4
Cold extremities
5
Flushed skin tone –
Correct Answer :1, 2, 3, 4
The stress ulcer can bleed, leading to shock. Weakness is related to the decrease in the oxygen-
carrying capacity of the blood associated with shock. Diaphoresis and tachycardia are sympathetic
nervous system responses associated with shock. Peripheral vasoconstriction is associated with the
sympathetic nervous system response associated with shock and leads to cold extremities. The skin
will be pale, rather than flushed, because of peripheral vasoconstriction.
Two days after a myocardial infarction, a client has a temperature of 100.2° F (37.9° C). What should
the nurse do first?
Incorrect1
Auscultate the chest for diminished breath sounds.
P a g e 2 | 251
,PN Fundamentals of Nursing Evolve HESI
2
Encourage coughing and deep breathing every hour.
Correct3
Record the temperature reading and continue to monitor it.
4
Suspect an infection and notify the healthcare provider immediately. –
Correct Answer :Myocardial necrosis causes a rise in body temperature within the first 24 hours after a
myocardial infarction. This increase in temperature gradually returns to the usual range for an adult
after several days. A temperature of 100.2° F (37.9° C) is an expected response to myocardial necrosis,
not a respiratory infection
After an acute episode of upper gastrointestinal (GI) bleeding, a client vomits undigested antacids and
reports having severe epigastric pain. The nursing assessment reveals an absence of bowel sounds, a
pulse rate of 134, and shallow respirations of 32 per minute. In addition to calling the healthcare
provider, what is the priority nursing action?
1
Prepare the client for surgery.
2
Administer oxygen per nasal catheter.
3
Place in the supine position, with legs elevated.
4
Ask the client if there have been any black stools. –
Correct Answer :1 –
These symptoms are classic indicators of a perforated ulcer, for which immediate surgery is indicated;
this should be anticipated. Although oxygen may be helpful, it is not the priority. The symptoms are
more indicative of perforation than of shock, so placing the client in the supine position with legs
elevated is not appropriate at this time.
P a g e 3 | 251
, PN Fundamentals of Nursing Evolve HESI
A 5-month-old child undergoes heart surgery to repair the defects associated with tetralogy of Fallot.
Prevention of what behavior is a priority for the nurse after the surgery?
1
Crying
2
Coughing
3
Straining at stool –
Correct Answer :3-
Forceful evacuation involves taking a deep breath, holding it, and straining (Valsalva maneuver). This
increases intrathoracic pressure, which puts excessive strain on the heart sutures.
The nurse is conducting a nutrition class for a group of clients with heart failure (HF). Which
information is most important for the nurse to share with the class?
1
Restricting fluid intake
2
Eating a low caloric diet to reduce weight
3
Recognizing which products are high in cholesterol
4
Choosing fresh or frozen vegetables instead of canned ones –
Correct Answer :4 –
The key principle to teach HF clients is the importance of decreasing sodium in their diet and which
foods contain sodium. If sodium is decreased, water retention will decrease also. Fresh or frozen
vegetables have less sodium than canned ones.
P a g e 4 | 251
