EVOLVE HESI FUNDAMENTALS PRACTICE
EXAM QUIZZES WITH COMPLETE SOLUTIONS.
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?,,,ANS,-
,After,clearing,the,tube,with,30,ml,of,air,,check,the,pH,of,fluid,withdrawn,from,the,tube.
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,intervent
ion,for,the,nurse,to,implement?,,,ANS,-
,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,prescri
bes,an,analgesic,every,four,hours,as,needed.,Which,action,should,the,nurse,implement?,,,ANS,-
,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,n
urse,perform,next?,,,ANS,-,determine,the,etiology,of,the,problem
What,is,the,most,important,reason,for,starting,intravenous,infusions,in,the,upper,extremities,rather,th
an,the,lower,extremities,of,adults?,,,ANS,-
,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,nurs
e,take?,,,ANS,-,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?,,,ANS,-,Assess,for,bladder,distention.
A,client,who,is,a,Jehovah's,Witness,is,admitted,to,the,nursing,unit.,Which,concern,should,the,nurse,hav
e,for,planning,care,in,terms,of,the,client's,beliefs?,,,ANS,-,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,b
elow,the,elbow.,What,nursing,action,should,the,nurse,implement?,,,ANS,-
,Acknowledge,that,she,is,supporting,the,arm,correctly.
An,elderly,male,client,who,is,unresponsive,following,a,cerebral,vascular,accident,(CVA),is,receiving,bolu
s,enteral,feedings,though,a,gastrostomy,tube.,What,is,the,best,client,position,for,administration,of,the,
bolus,tube,feedings?,,,ANS,-,Fowler's.
An,adult,male,client,with,a,history,of,hypertension,tells,the,nurse,that,he,is,tired,of,taking,antihyperten
sive,medications,and,is,going,to,try,spiritual,meditation,instead.,What,should,be,the,nurse's,first,respo
nse?,,,ANS,-,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,pharmac
y,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?,,,ANS,-,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?,,,ANS,-,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.,Whi
ch,action,should,the,nurse,take,at,this,time?,,,ANS,-
,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?,,,ANS,-
,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,t
eaching,plan?,,,ANS,-,Place,a,pillow,between,your,knees,while,lying,in,bed,to,prevent,hip,dislocation.
EXAM QUIZZES WITH COMPLETE SOLUTIONS.
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?,,,ANS,-
,After,clearing,the,tube,with,30,ml,of,air,,check,the,pH,of,fluid,withdrawn,from,the,tube.
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,intervent
ion,for,the,nurse,to,implement?,,,ANS,-
,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,prescri
bes,an,analgesic,every,four,hours,as,needed.,Which,action,should,the,nurse,implement?,,,ANS,-
,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,n
urse,perform,next?,,,ANS,-,determine,the,etiology,of,the,problem
What,is,the,most,important,reason,for,starting,intravenous,infusions,in,the,upper,extremities,rather,th
an,the,lower,extremities,of,adults?,,,ANS,-
,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,nurs
e,take?,,,ANS,-,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?,,,ANS,-,Assess,for,bladder,distention.
A,client,who,is,a,Jehovah's,Witness,is,admitted,to,the,nursing,unit.,Which,concern,should,the,nurse,hav
e,for,planning,care,in,terms,of,the,client's,beliefs?,,,ANS,-,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,b
elow,the,elbow.,What,nursing,action,should,the,nurse,implement?,,,ANS,-
,Acknowledge,that,she,is,supporting,the,arm,correctly.
An,elderly,male,client,who,is,unresponsive,following,a,cerebral,vascular,accident,(CVA),is,receiving,bolu
s,enteral,feedings,though,a,gastrostomy,tube.,What,is,the,best,client,position,for,administration,of,the,
bolus,tube,feedings?,,,ANS,-,Fowler's.
An,adult,male,client,with,a,history,of,hypertension,tells,the,nurse,that,he,is,tired,of,taking,antihyperten
sive,medications,and,is,going,to,try,spiritual,meditation,instead.,What,should,be,the,nurse's,first,respo
nse?,,,ANS,-,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,pharmac
y,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?,,,ANS,-,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?,,,ANS,-,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.,Whi
ch,action,should,the,nurse,take,at,this,time?,,,ANS,-
,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?,,,ANS,-
,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,t
eaching,plan?,,,ANS,-,Place,a,pillow,between,your,knees,while,lying,in,bed,to,prevent,hip,dislocation.
