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+

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2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
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3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QU
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ESTIONS AND CORRECT SOLUTIONS| GUARANTEED VA 1 1 1 1 1




LUE PACK| ACE YOUR GRADES. 1 1 1 1




(WITH RATIONALES) 1




1. An elderly client with a fractured left hip is on strict bedrest. Which nu
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rsing measure is essential to the client's nursing care?
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A. Massage any reddened areas for at least five minutes. 1 1 1 1 1 1 1 1



B. Encourage active range of motion exercises on extremities. 1 1 1 1 1 1 1



C. Position the client laterally, prone, and dorsally in sequence.1 1 1 1 1 1 1 1



D. Gently lift the client when moving into a desired position. -
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correct answer -
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To avoid shearing forces when repositioning, the client should be lifted
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gently across a surface (D). Reddened areas should not be massaged (
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A) since this may increase the damage to already traumatized skin. To c
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ontrol pain and muscle spasms, active range of motion (B) may be limite
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d on the affected leg. The position described in (C) is contraindicated for
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a client with a fractured left hip.
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Correct Answer: D 1 1




2. The nurse is administering medications through a nasogastric tube (
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NGT) which is connected to suction. After ensuring correct tube plac
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ement, what action should the nurse take next?
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A. Clamp the tube for 20 minutes. 1 1 1 1 1



B. Flush the tube with water. 1 1 1 1

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C. Administer the medications as prescribed. 1 1 1 1



D. Crush the tablets and dissolve in sterile water. - correct answer -
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The NGT should be flushed before, after and in between each medicatio
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n administered (B). Once all medications are administered, the NGT sho
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uld be clamped for 20 minutes (A). (C and D) may be implemented only af
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ter the tubing has been flushed.
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Correct Answer: B 1 1




3. A client who is in hospice care complains of increasing amounts of pain. Th
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e healthcare provider prescribes an analgesic every four hours as needed.
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Which action should the nurse implement?
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A. Give an around-the-clock schedule for administration of analgesics.
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B. Administer analgesic medication as needed when the pain is severe. 1 1 1 1 1 1 1 1 1



C. Provide medication to keep the client sedated and unaware of stimuli.
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D. Offer a medication-free period so that the client can do daily activities.
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- correct answer -
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The most effective management of pain is achieved using an around-
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the-
clock schedule that provides analgesic medications on a regular basis (A
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) and in a timely manner. Analgesics are less effective if pain persists until
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it is severe, so an analgesic medication should be administered before th
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e client's pain peaks (B). Providing comfort is a priority for the client who i
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s dying, but sedation that impairs the client's ability to interact and experi
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ence the time before life ends should be minimized (C). Offering a medic
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ation-
free period allows the serum drug level to fall, which is not an effective me
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thod to manage chronic pain (D). 1 1 1 1 1




Correct Answer: A 1 1

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4. When assessing a client with wrist restraints, the nurse observes that th
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e fingers on the right hand are blue. What action should the nurse imple
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ment first? 1




A. Loosen the right wrist restraint. 1 1 1 1



B. Apply a pulse oximeter to the right hand.
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C. Compare hand color bilaterally. 1 1 1



D. Palpate the right radial pulse. - correct answer -
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The priority nursing action is to restore circulation by loosening the restr
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aint (A), because blue fingers (cyanosis) indicates decreased circulatio
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n. (C and D) are also important nursing interventions, but do not have th
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e priority of
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(A). Pulse oximetry (B) measures the saturation of hemoglobin with oxy
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gen and is not indicated in situations where the cyanosis is related to me
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chanical compression (the restraints). 1 1 1




Correct Answer: A 1 1




5. The nurse is assessing the nutritional status of several clients. Which cli
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ent has the greatest nutritional need for additional intake of protein?
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A. A college-age track runner with a sprained ankle.
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B. A lactating woman nursing her 3-day-old infant.
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C. A school-aged child with Type 2 diabetes.
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D. An elderly man being treated for a peptic ulcer. - correct answer -
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A lactating woman (B) has the greatest need for additional protein intak
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e. (A, C, and D) are all conditions that require protein, but do not have th
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e increased metabolic protein demands of lactation.
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Correct Answer: B 1 1

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6. A client is in the radiology department at 0900 when the prescription lev
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ofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered.
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The client returns to the unit at 1300. What is the best intervention for th
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e nurse to implement?
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A. Contact the healthcare provider and complete a medication variance fo
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rm.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the m 1 1 1 1 1 1 1 1 1 1 1 1



orning.
C. Notify the charge nurse and complete an incident report to explain the mi
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ssed dose. 1



D. Give the missed dose at 1300 and change the schedule to administer da
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ily at 1300. - correct answer -
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To ensure that a therapeutic level of medication is maintained, the nurs
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e should administer the missed dose as soon as possible, and revise th
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e administration schedule accordingly to prevent dangerously increasin
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g the level of the medication in the bloodstream (D). The nurse should d
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ocument the reason for the late dose, but (A and C) are not warranted. (
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B) could result in increased blood levels of the drug.
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Correct Answer: D 1 1




7. While instructing a male client's wife in the performance of passive range-
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of-
motion exercises to his contracted shoulder, the nurse observes that she
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is holding his arm above and below the elbow. What nursing action shoul
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d the nurse implement?
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A. Acknowledge that she is supporting the arm correctly. 1 1 1 1 1 1 1



B. Encourage her to keep the joint covered to maintain warmth. 1 1 1 1 1 1 1 1 1



C. Reinforce the need to grip directly under the joint for better support. 1 1 1 1 1 1 1 1 1 1 1