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2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
TEST BANK/RN HESI EVOLVE FUNDAMENTALS
COMPLETE ALL 400 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
EVOLVE HESI FUNDAMENTALS NEW VERSION
The nurse observes that a male client has removed the covering
from an ice pack applied to his knee. What action should the
nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. -
CORRECT ANSWER-The first action taken by the nurse should
be to assess the skin for any possible thermal injury (A). If no
injury to the skin has occurred, the nurse can take the other
actions (B, C, and D) as needed.
Correct Answer: A
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The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans
to administer the solution at a rate of 5 mcg/kg/min to a client
weighing 182 pounds. Using a drip factor of 60 gtt/ml, how
many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - CORRECT ANSWER-(D) is the correct
calculation: Convert lbs to kg: 182/2.2 = 82.73 kg. Determine
the dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min.
Determine how many mcg are contained in 1 ml: 250/50,000
mcg = 200 mcg per ml. The client is to receive 413.65 mcg/min,
and there are 200 mcg/ml; so the client is to receive 2.07ml per
minute. With a drip factor of 60 gtt/ml, then 60 × 2.07 = 124.28
gtt/min (D) OR, using dimensional analysis: gtt/min = 60 gtt/ml
X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2
lbs X 182 lbs.
Correct Answer: D
A hospitalized male client is receiving nasogastric tube feedings
via a small-bore tube and a continuous pump infusion. He
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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?
A. Record the coughing incident. No further action is required at
this time.
B. Stop the feeding, explain to the family why it is being
stopped, and notify the healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of
fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the
epigastrium for gurgling. - CORRECT ANSWER-Coughing,
vomiting, and suctioning can precipitate displacement of the tip
of the small bore feeding tube upward into the esophagus,
placing the client at increased risk for aspiration. Checking the
sample of fluid withdrawn from the tube (after clearing the tube
with 30 ml of air) for acidic (stomach) or alkaline (intestine)
values is a more sensitive method for these tubes, and the nurse
should assess tube placement in this way prior to taking any
other action (C). (A and B) are not indicated. The auscultating
method (D) has been found to be unreliable for small-bore
feeding tubes.
Correct Answer: C
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A male client being discharged with a prescription for the
bronchodilator theophylline tells the nurse that he understands
he is to take three doses of the medication each day. Since, at the
time of discharge, timed-release capsules are not available,
which dosing schedule should the nurse advise the client to
follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
C. Before breakfast, before lunch and before dinner.
D. With breakfast, with lunch, and with dinner. - CORRECT
ANSWER-Theophylline should be administered on a regular
around-the-clock schedule (B) to provide the best
bronchodilating effect and reduce the potential for adverse
effects. (A, C, and D) do not provide around-the-clock dosing.
Food may alter absorption of the medication (D).
Correct Answer: B
An obese male client discusses with the nurse his plans to begin
a long-term weight loss regimen. In addition to dietary changes,
he plans to begin an intensive aerobic exercise program 3 to 4
times a week and to take stress management classes. After
2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
TEST BANK/RN HESI EVOLVE FUNDAMENTALS
COMPLETE ALL 400 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
EVOLVE HESI FUNDAMENTALS NEW VERSION
The nurse observes that a male client has removed the covering
from an ice pack applied to his knee. What action should the
nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. -
CORRECT ANSWER-The first action taken by the nurse should
be to assess the skin for any possible thermal injury (A). If no
injury to the skin has occurred, the nurse can take the other
actions (B, C, and D) as needed.
Correct Answer: A
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The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans
to administer the solution at a rate of 5 mcg/kg/min to a client
weighing 182 pounds. Using a drip factor of 60 gtt/ml, how
many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - CORRECT ANSWER-(D) is the correct
calculation: Convert lbs to kg: 182/2.2 = 82.73 kg. Determine
the dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min.
Determine how many mcg are contained in 1 ml: 250/50,000
mcg = 200 mcg per ml. The client is to receive 413.65 mcg/min,
and there are 200 mcg/ml; so the client is to receive 2.07ml per
minute. With a drip factor of 60 gtt/ml, then 60 × 2.07 = 124.28
gtt/min (D) OR, using dimensional analysis: gtt/min = 60 gtt/ml
X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2
lbs X 182 lbs.
Correct Answer: D
A hospitalized male client is receiving nasogastric tube feedings
via a small-bore tube and a continuous pump infusion. He
,3|Page
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?
A. Record the coughing incident. No further action is required at
this time.
B. Stop the feeding, explain to the family why it is being
stopped, and notify the healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of
fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the
epigastrium for gurgling. - CORRECT ANSWER-Coughing,
vomiting, and suctioning can precipitate displacement of the tip
of the small bore feeding tube upward into the esophagus,
placing the client at increased risk for aspiration. Checking the
sample of fluid withdrawn from the tube (after clearing the tube
with 30 ml of air) for acidic (stomach) or alkaline (intestine)
values is a more sensitive method for these tubes, and the nurse
should assess tube placement in this way prior to taking any
other action (C). (A and B) are not indicated. The auscultating
method (D) has been found to be unreliable for small-bore
feeding tubes.
Correct Answer: C
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A male client being discharged with a prescription for the
bronchodilator theophylline tells the nurse that he understands
he is to take three doses of the medication each day. Since, at the
time of discharge, timed-release capsules are not available,
which dosing schedule should the nurse advise the client to
follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
C. Before breakfast, before lunch and before dinner.
D. With breakfast, with lunch, and with dinner. - CORRECT
ANSWER-Theophylline should be administered on a regular
around-the-clock schedule (B) to provide the best
bronchodilating effect and reduce the potential for adverse
effects. (A, C, and D) do not provide around-the-clock dosing.
Food may alter absorption of the medication (D).
Correct Answer: B
An obese male client discusses with the nurse his plans to begin
a long-term weight loss regimen. In addition to dietary changes,
he plans to begin an intensive aerobic exercise program 3 to 4
times a week and to take stress management classes. After
