Evolve Fundamentals HESI High-Quality Questions
with Expert Answers With Detailed Explanations
and Answers Expert-Reviewed Questions and
Answers Graded questions with 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ANSWER- -After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from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.
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? - CORRECT
ANSWER- -Request and document the name of the certified translator.
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? - CORRECT ANSWER- -Place a
pillow between your knees while lying in bed to prevent hip dislocation.
An elderly resident of a long-term care facility is no longer able to perform self-care and is
becoming progressively weaker. The resident previously requested that no resuscitative
efforts be performed, and the family requests hospice care. What action should the nurse
implement first? - CORRECT ANSWER- -Notify the healthcare provider of the family's
request.
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first? - CORRECT ANSWER- -
Nutritional history.
with Expert Answers With Detailed Explanations
and Answers Expert-Reviewed Questions and
Answers Graded questions with 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.
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? - CORRECT
ANSWER- -Request and document the name of the certified translator.
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? - CORRECT ANSWER- -Place a
pillow between your knees while lying in bed to prevent hip dislocation.
An elderly resident of a long-term care facility is no longer able to perform self-care and is
becoming progressively weaker. The resident previously requested that no resuscitative
efforts be performed, and the family requests hospice care. What action should the nurse
implement first? - CORRECT ANSWER- -Notify the healthcare provider of the family's
request.
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first? - CORRECT ANSWER- -
Nutritional history.
