EVOLVE HESI FUNDAMENTALS EXAM 1
QUESTIONS WITH DETAILED
CORRECT ANSWERS (100% ACCURATE
) – JUST RELEASED.
1. The nurse is administering medications through a
nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should
the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. -
ANSWER ✓ The NGT should be flushed before, after
and in between each medication administered (B). Once
all medications are administered, the NGT should be
clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
,Correct Answer: B
2. The Chief Operational Officer (COO) interviews a
nurse and asks, "Tell me about your practical experiences
in clinical decision making". Which example should the
nurse give?
A. I palpated the right hip of the client, which appeared
red and noted the warm feeling
B. I identified impaired skin integrity in a pressure ulcer
form upon finding redness in the client's hip
C. I quickly offered a salt recipe to a client with a history
of hypotension who suffered from light-headedness and
dizziness
D. I assessed weakness and hunger in a patient with a
history of diabetes who suffers with light-headedness and
blurred vision - ANSWER ✓ B.
Clinical decision making is a problem-solving activity
that focuses on defining a problem and selecting an
appropriate action. So as a part of clinical decision
making, the nurse identified impaired skin integrity in a
,pressure ulcer form upon finding redness in the client's
hip. Diagnostic reasoning and inference is an analytical
process that involves determining the client's health
problems. An example is the nurse palpating and
observing a warm sensation in the client's right hip that
has turned red. Another example is a nurse who finds that
a client who has hypotension history now feels light-
headedness and dizziness. A further example is a nurse
who assesses symptoms of diabetes in a client who has a
history of the disease and now suffers blurred vision.
3. A nurse is caring for a client who is experiencing the
second (acute) phase of burn recovery. The common
client response the nurse expects to identify during this
phase of burn recovery is an increase in what?
A. Serum Sodium
B. Urinary output
C. Hematocrit Level
D. Serum Potassium - ANSWER ✓ B.
, As fluid returns to the vascular system, increased renal
flow and diuresis occur. An increase in the serum sodium
level (hypernatremia) is not a common response identified
during the second (acute) phase of burn recovery. An
increase in the hematocrit level indicates
hemoconcentration and hypovolemia; in the second phase
of burn recovery, hemodilution and hypervolemia occur.
During the second phase of burn recovery, potassium
moves back into the cells, decreasing serum potassium.
4. While caring for a family, the nurse finds that the
family has accepted the shifts of generational roles.
Which change in the family status for proceeding
developmentally would the nurse observe?
A. Dealing with retirement
B. Taking on parental roles
C. Adjusting to a reduction in family size
D. Refocusing on midlife material and career issues -
ANSWER ✓ A.
A family with members in the later life stage may involve
the acceptance of the shifting of generational roles.
Therefore, dealing with retirement would be an
QUESTIONS WITH DETAILED
CORRECT ANSWERS (100% ACCURATE
) – JUST RELEASED.
1. The nurse is administering medications through a
nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should
the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. -
ANSWER ✓ The NGT should be flushed before, after
and in between each medication administered (B). Once
all medications are administered, the NGT should be
clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
,Correct Answer: B
2. The Chief Operational Officer (COO) interviews a
nurse and asks, "Tell me about your practical experiences
in clinical decision making". Which example should the
nurse give?
A. I palpated the right hip of the client, which appeared
red and noted the warm feeling
B. I identified impaired skin integrity in a pressure ulcer
form upon finding redness in the client's hip
C. I quickly offered a salt recipe to a client with a history
of hypotension who suffered from light-headedness and
dizziness
D. I assessed weakness and hunger in a patient with a
history of diabetes who suffers with light-headedness and
blurred vision - ANSWER ✓ B.
Clinical decision making is a problem-solving activity
that focuses on defining a problem and selecting an
appropriate action. So as a part of clinical decision
making, the nurse identified impaired skin integrity in a
,pressure ulcer form upon finding redness in the client's
hip. Diagnostic reasoning and inference is an analytical
process that involves determining the client's health
problems. An example is the nurse palpating and
observing a warm sensation in the client's right hip that
has turned red. Another example is a nurse who finds that
a client who has hypotension history now feels light-
headedness and dizziness. A further example is a nurse
who assesses symptoms of diabetes in a client who has a
history of the disease and now suffers blurred vision.
3. A nurse is caring for a client who is experiencing the
second (acute) phase of burn recovery. The common
client response the nurse expects to identify during this
phase of burn recovery is an increase in what?
A. Serum Sodium
B. Urinary output
C. Hematocrit Level
D. Serum Potassium - ANSWER ✓ B.
, As fluid returns to the vascular system, increased renal
flow and diuresis occur. An increase in the serum sodium
level (hypernatremia) is not a common response identified
during the second (acute) phase of burn recovery. An
increase in the hematocrit level indicates
hemoconcentration and hypovolemia; in the second phase
of burn recovery, hemodilution and hypervolemia occur.
During the second phase of burn recovery, potassium
moves back into the cells, decreasing serum potassium.
4. While caring for a family, the nurse finds that the
family has accepted the shifts of generational roles.
Which change in the family status for proceeding
developmentally would the nurse observe?
A. Dealing with retirement
B. Taking on parental roles
C. Adjusting to a reduction in family size
D. Refocusing on midlife material and career issues -
ANSWER ✓ A.
A family with members in the later life stage may involve
the acceptance of the shifting of generational roles.
Therefore, dealing with retirement would be an
