Evolve HESI practice Exam questions 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the tube with 30 ml of air, check the pH of fluid withdrawn from the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.
, 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
The nurse is completing a mental assessment for a client who is
demonstrating slow thought processes, personality changes, and
emotional lability. Which area of the brain controls these neuro-
cognitive functions? Correct Answer-Frontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of pain
and irritation at the infusion site. The nurse observes erythema, swelling,
and a red streak along the vessel above the IV access site. Which action
should the nurse take at this time? Correct Answer-Initiate an alternate
site for the IV infusion of the medication.
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.
, 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
The nurse is completing a mental assessment for a client who is
demonstrating slow thought processes, personality changes, and
emotional lability. Which area of the brain controls these neuro-
cognitive functions? Correct Answer-Frontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of pain
and irritation at the infusion site. The nurse observes erythema, swelling,
and a red streak along the vessel above the IV access site. Which action
should the nurse take at this time? Correct Answer-Initiate an alternate
site for the IV infusion of the medication.
