EVOLVE HESI PRACTICE EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS.
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ml of air, check the pH of fluid withdrawn from the tube.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.
An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings though a gastrostomy
tube. What is the best client position for administration of the bolus tube
feedings? - Correct Answer-Fowler's.
An adult male client with a history of hypertension tells the nurse that he is
tired of taking antihypertensive medications and is going to try spiritual
meditation instead. What should be the nurse's first response? - Correct
Answer-It is important that you continue your medication while learning to
meditate.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to
administer the IVPB dose over 20 minutes. For how many ml/hr. should the
infusion pump be set to deliver the secondary infusion? - Correct Answer-150
QUESTIONS WITH COMPLETE
SOLUTIONS.
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.
An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings though a gastrostomy
tube. What is the best client position for administration of the bolus tube
feedings? - Correct Answer-Fowler's.
An adult male client with a history of hypertension tells the nurse that he is
tired of taking antihypertensive medications and is going to try spiritual
meditation instead. What should be the nurse's first response? - Correct
Answer-It is important that you continue your medication while learning to
meditate.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to
administer the IVPB dose over 20 minutes. For how many ml/hr. should the
infusion pump be set to deliver the secondary infusion? - Correct Answer-150
