Evolve HESI practice Exam with Correct Answers

The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml. How many ml should the nurse administer? - Correct Answer-0.5 ml. A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take? - Correct Answer-After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube. (Coughing, vomiting, and suctioning can precipitate displacement of the small bore upward into the esophagus. This will help check tube placement.) A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the nurse to implement? - Correct Answer-Give the missed dose at 1300 and change the schedule to administer daily at 1300. A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement? - Correct Answer-Give an around-the-clock schedule for administration of analgesics. After completing an assessment and determining that a client has a problem, which action should the nurse perform next? - Correct Answer-determine the etiology of the problem What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults? - Correct Answer-A decreased flow rate could result in the formation of a thrombosis. The nurse notices that the mother of a 9-year-old Vietnamese child always looks at the floor when she talks to the nurse. What action should the nurse take? - Correct Answer-Continue asking the mother questions about the child. Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention? - Correct Answer-Assess for bladder distention. A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse have for planning care in terms of the client's beliefs? - Correct Answer-Blood transfusions are forbidden. While instructing a male client's wife in the performance of passive range-of-motion exercises to his contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What nursing action should the nurse implement? - Correct Answer-Acknowledge that she is supporting the arm correctly.