EVOLVE HESI FUNDAMENTALS ACTUAL 2024 EXAM EXPERT VERIFIED
WITH DETAILED ANSWERS AND RATIONALES GUARANTEED PASS
A community healthcare nurse is conducting a survey about homeless
children in the community. Which finding helps the nurse distinguish
absolute homelessness from relative homelessness? - answers-The
children do not have a physical shelter and may sleep outdoors or in
vehicles.
A female client asks the nurse to find someone who can translate into her
native language her concerns about a treatment. Which action should the
nurse take?
A. Explain that anyone who speaks her language can answer her
questions.
B. Provide a translator only in an emergency situation.
C. Ask a family member or friend of the client to translate.
D. Request and document the name of the certified translator. - answers-
A certified translator should be requested to ensure the exchanged
information is reliable and unaltered. To adhere to legal requirements in
,some states, the name of the translator should be documented (D). Client
information that is translated is private and protected under HIPAA rules,
so (A) is not the best action. Although an emergency situation may require
extenuating circumstances (B), a translator should be provided in most
situations. Family members may skew information and not translate the
exact information, so (C) is not preferred.
Correct Answer: D
A female client asks the nurse to find someone who can translate into her
native language her concerns about a treatment. Which action should the
nurse take? - answers-Request and document the name of the certified
translator.
A female client with a nasogastric tube attached to low suction states that
she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last two hours. What action should the
nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
,B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. -
answers-The immediate priority is to determine if the tube is functioning
correctly, which would then relieve the client's nausea. The least invasive
intervention, (B), should be attempted first, followed by (A and C), unless
either of these interventions is contraindicated. If these measures are
unsuccessful, the client may require an antiemetic (D).
Correct Answer: B
A female client with a nasogastric tube attached to low suction states that
she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last two hours. What action should the
nurse take first?
A) Irrigate the nasogastric tube with sterile normal saline.
B) Reposition the client on her side.
C) Advance the nasogastric tube an additional five centimeters.
D) Administer an intravenous antiemetic prescribed for PRN use. -
answers-B) Reposition the client on her side.
, A female client with a nasogastric tube attached to low suction states that
she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last two hours. What action should the
nurse take first? - answers-Reposition the client on her side
A 73-year-old female client had a hemiarthroplasty of the left hip
yesterday due to a fracture resulting from a fall. In reviewing hip
precautions with the client, which instruction should the nurse include in
this client's teaching plan?
A. "In 8 weeks you will be able to bend at the waist to reach items on the
floor."
B. "Place a pillow between your knees while lying in bed to prevent hip
dislocation."
C. "It is safe to use a walker to get out of bed, but you need assistance
when walking."
D. "Take pain medication 30 minutes after your physical therapy
sessions." - answers-The client's affected hip joint following a
hemiarthroplasty (partial hip replacement) is at risk of dislocation for 6
WITH DETAILED ANSWERS AND RATIONALES GUARANTEED PASS
A community healthcare nurse is conducting a survey about homeless
children in the community. Which finding helps the nurse distinguish
absolute homelessness from relative homelessness? - answers-The
children do not have a physical shelter and may sleep outdoors or in
vehicles.
A female client asks the nurse to find someone who can translate into her
native language her concerns about a treatment. Which action should the
nurse take?
A. Explain that anyone who speaks her language can answer her
questions.
B. Provide a translator only in an emergency situation.
C. Ask a family member or friend of the client to translate.
D. Request and document the name of the certified translator. - answers-
A certified translator should be requested to ensure the exchanged
information is reliable and unaltered. To adhere to legal requirements in
,some states, the name of the translator should be documented (D). Client
information that is translated is private and protected under HIPAA rules,
so (A) is not the best action. Although an emergency situation may require
extenuating circumstances (B), a translator should be provided in most
situations. Family members may skew information and not translate the
exact information, so (C) is not preferred.
Correct Answer: D
A female client asks the nurse to find someone who can translate into her
native language her concerns about a treatment. Which action should the
nurse take? - answers-Request and document the name of the certified
translator.
A female client with a nasogastric tube attached to low suction states that
she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last two hours. What action should the
nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
,B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. -
answers-The immediate priority is to determine if the tube is functioning
correctly, which would then relieve the client's nausea. The least invasive
intervention, (B), should be attempted first, followed by (A and C), unless
either of these interventions is contraindicated. If these measures are
unsuccessful, the client may require an antiemetic (D).
Correct Answer: B
A female client with a nasogastric tube attached to low suction states that
she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last two hours. What action should the
nurse take first?
A) Irrigate the nasogastric tube with sterile normal saline.
B) Reposition the client on her side.
C) Advance the nasogastric tube an additional five centimeters.
D) Administer an intravenous antiemetic prescribed for PRN use. -
answers-B) Reposition the client on her side.
, A female client with a nasogastric tube attached to low suction states that
she is nauseated. The nurse assesses that there has been no drainage
through the nasogastric tube in the last two hours. What action should the
nurse take first? - answers-Reposition the client on her side
A 73-year-old female client had a hemiarthroplasty of the left hip
yesterday due to a fracture resulting from a fall. In reviewing hip
precautions with the client, which instruction should the nurse include in
this client's teaching plan?
A. "In 8 weeks you will be able to bend at the waist to reach items on the
floor."
B. "Place a pillow between your knees while lying in bed to prevent hip
dislocation."
C. "It is safe to use a walker to get out of bed, but you need assistance
when walking."
D. "Take pain medication 30 minutes after your physical therapy
sessions." - answers-The client's affected hip joint following a
hemiarthroplasty (partial hip replacement) is at risk of dislocation for 6
