FUNDAMENTALS HESI EVOLVE EXAM 2025 |
COMPLETE QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS | GRADED A+ |
PROFESSOR VERIFIED | LATEST EXAM
Save
Terms in this set (265)
An elderly client with a To avoid shearing forces when repositioning, the
fractured left hip is on client should be lifted gently across a surface (D).
strict bedrest. Which Reddened areas should not be massaged (A) since
nursing measure is this may increase the damage to already traumatized
essential to the client's skin. To control pain and muscle spasms, active range
nursing care? of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client
A. Massage any reddened with a fractured left hip.
areas for at least five
minutes. Correct Answer: D
B. Encourage active range
of motion exercises on
extremities.
C. Position the client
laterally, prone, and
dorsally in sequence.
D. Gently lift the client
when moving into a
desired position.
,The nurse is administering The NGT should be flushed before, after and in
medications through a between each medication administered (B). Once all
nasogastric tube (NGT) medications are administered, the NGT should be
which is connected to clamped for 20 minutes (A). (C and D) may be
suction. After ensuring implemented only after the tubing has been flushed.
correct tube placement,
what action should the Correct Answer: B
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.
,A client who is in hospice The most effective management of pain is achieved
care complains of using an around-the-clock schedule that provides
increasing amounts of analgesic medications on a regular basis (A) and in a
pain. The healthcare timely manner. Analgesics are less effective if pain
provider prescribes an persists until it is severe, so an analgesic medication
analgesic every four hours should be administered before the client's pain peaks
as needed. Which action (B). Providing comfort is a priority for the client who is
should the nurse dying, but sedation that impairs the client's ability to
implement? interact and experience the time before life ends
should be minimized (C). Offering a medication-free
A. Give an around-the- period allows the serum drug level to fall, which is not
clock schedule for an effective method to manage chronic pain (D).
administration of
analgesics. Correct Answer: A
B. Administer analgesic
medication as needed
when the pain is severe.
C. Provide medication to
keep the client sedated
and unaware of stimuli.
D. Offer a medication-free
period so that the client
can do daily activities.
, When assessing a client The priority nursing action is to restore circulation by
with wrist restraints, the loosening the restraint (A), because blue fingers
nurse observes that the (cyanosis) indicates decreased circulation. (C and D)
fingers on the right hand are also important nursing interventions, but do not
are blue. What action have the priority of (A). Pulse oximetry (B) measures
should the nurse the saturation of hemoglobin with oxygen and is not
implement first? indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
A. Loosen the right wrist
restraint. Correct Answer: A
B. Apply a pulse oximeter
to the right hand.
C. Compare hand color
bilaterally.
D. Palpate the right radial
pulse.
The nurse is assessing the A lactating woman (B) has the greatest need for
nutritional status of several additional protein intake. (A, C, and D) are all
clients. Which client has conditions that require protein, but do not have the
the greatest nutritional increased metabolic protein demands of lactation.
need for additional intake
of protein? Correct Answer: B
A. A college-age track
runner with a sprained
ankle.
B. A lactating woman
nursing her 3-day-old
infant.
C. A school-aged child
with Type 2 diabetes.
D. An elderly man being
treated for a peptic ulcer.
COMPLETE QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS | GRADED A+ |
PROFESSOR VERIFIED | LATEST EXAM
Save
Terms in this set (265)
An elderly client with a To avoid shearing forces when repositioning, the
fractured left hip is on client should be lifted gently across a surface (D).
strict bedrest. Which Reddened areas should not be massaged (A) since
nursing measure is this may increase the damage to already traumatized
essential to the client's skin. To control pain and muscle spasms, active range
nursing care? of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client
A. Massage any reddened with a fractured left hip.
areas for at least five
minutes. Correct Answer: D
B. Encourage active range
of motion exercises on
extremities.
C. Position the client
laterally, prone, and
dorsally in sequence.
D. Gently lift the client
when moving into a
desired position.
,The nurse is administering The NGT should be flushed before, after and in
medications through a between each medication administered (B). Once all
nasogastric tube (NGT) medications are administered, the NGT should be
which is connected to clamped for 20 minutes (A). (C and D) may be
suction. After ensuring implemented only after the tubing has been flushed.
correct tube placement,
what action should the Correct Answer: B
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.
,A client who is in hospice The most effective management of pain is achieved
care complains of using an around-the-clock schedule that provides
increasing amounts of analgesic medications on a regular basis (A) and in a
pain. The healthcare timely manner. Analgesics are less effective if pain
provider prescribes an persists until it is severe, so an analgesic medication
analgesic every four hours should be administered before the client's pain peaks
as needed. Which action (B). Providing comfort is a priority for the client who is
should the nurse dying, but sedation that impairs the client's ability to
implement? interact and experience the time before life ends
should be minimized (C). Offering a medication-free
A. Give an around-the- period allows the serum drug level to fall, which is not
clock schedule for an effective method to manage chronic pain (D).
administration of
analgesics. Correct Answer: A
B. Administer analgesic
medication as needed
when the pain is severe.
C. Provide medication to
keep the client sedated
and unaware of stimuli.
D. Offer a medication-free
period so that the client
can do daily activities.
, When assessing a client The priority nursing action is to restore circulation by
with wrist restraints, the loosening the restraint (A), because blue fingers
nurse observes that the (cyanosis) indicates decreased circulation. (C and D)
fingers on the right hand are also important nursing interventions, but do not
are blue. What action have the priority of (A). Pulse oximetry (B) measures
should the nurse the saturation of hemoglobin with oxygen and is not
implement first? indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
A. Loosen the right wrist
restraint. Correct Answer: A
B. Apply a pulse oximeter
to the right hand.
C. Compare hand color
bilaterally.
D. Palpate the right radial
pulse.
The nurse is assessing the A lactating woman (B) has the greatest need for
nutritional status of several additional protein intake. (A, C, and D) are all
clients. Which client has conditions that require protein, but do not have the
the greatest nutritional increased metabolic protein demands of lactation.
need for additional intake
of protein? Correct Answer: B
A. A college-age track
runner with a sprained
ankle.
B. A lactating woman
nursing her 3-day-old
infant.
C. A school-aged child
with Type 2 diabetes.
D. An elderly man being
treated for a peptic ulcer.
