ACTUAL QUESTIONS AND ANSWERS FROM HESI FUNDAMENTALS
ON EVOLVE
1. A male client arrives at with a stage four pressure
the outpatient surgery injury that has a black,
center for a scheduled hardened
needle aspira- tion of the
knee. He tells the nurse
that he has already given
verbal consent for the
procedure to the
healthcare provider.
Which action should the
nurse pursue next?
A) Witness the client's
signa- ture on the
consent form.
B) Verify the client's
consent with the
healthcare provider.
C)Notify the
healthcare provider
that the client is
ready for the
procedure.
D) Document that the
client has given consent
for the nee- dle
aspiration.
2. A client is admitted
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, ACTUAL QUESTIONS AND ANSWERS FROM HESI FUNDAMENTALS
ON EVOLVE
B) Verify the client's consent with the
healthcare provider.
Rationale
Written informed consent is required prior to
any invasive pro- cedure. The healthcare
provider must explain the procedure to the
client, but the nurse can witness the client's
signature on a consent form. If the nurse
was not present when the HCP explained
the procedure/surgery, then the first action
before witnessing the client's signature on
the consent should be to verify that the HCP
C) No dressing.
indeed, received verbal consent from the
client.
Rationale
surface (eschar) that is stable. If eschar is dry and intact and debridement is not
part of the
Which dressing is best for the plan of care, no dressing is used, allowing eschar to
act as
nurse to use physiological cover.
first?
A) Hydrogel.
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143
, ACTUAL QUESTIONS AND ANSWERS FROM HESI FUNDAMENTALS
ON EVOLVE
B) Exudate absorber.
C)No dressing.
D) Transparent adhesive
film
D) Inettective coping related to an inadequate level
3. Which statement is an of percep-
exam-
ple of a correctly written nurs- tion of control.
ing problem statement?
Rationale
A)Altered tissue perfusion re- The first part of the nursing problem statement is
the diagnos-
lated to heart failure. the nursing process?
B) Altered urinary A) Ask a client to evaluate the
elimination related to nursing care provided.
urinary tract infec- tion.
C)Risk for impaired tissue
in- tegrity related to the
client's refusal to turn.
D) Ineffective coping
related to an inadequate
level of per- ception of
control.
4. Which activity should
the nurse use in the
evalua- tion phase of
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143
, ACTUAL QUESTIONS AND ANSWERS FROM HESI FUNDAMENTALS
ON EVOLVE
tic label. This is followed by the cause of the
problem which was identified. The etiology is
the "related to" which directs the nurse to the
appropriate interventions.
D) Examine the ettectiveness of nursing
interventions toward meeting client
outcomes.
Rationale
In the nursing process, the evaluation
component examines the ettectiveness of
nursing interventions in achieving client
outcomes.
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143
ON EVOLVE
1. A male client arrives at with a stage four pressure
the outpatient surgery injury that has a black,
center for a scheduled hardened
needle aspira- tion of the
knee. He tells the nurse
that he has already given
verbal consent for the
procedure to the
healthcare provider.
Which action should the
nurse pursue next?
A) Witness the client's
signa- ture on the
consent form.
B) Verify the client's
consent with the
healthcare provider.
C)Notify the
healthcare provider
that the client is
ready for the
procedure.
D) Document that the
client has given consent
for the nee- dle
aspiration.
2. A client is admitted
1/
143
, ACTUAL QUESTIONS AND ANSWERS FROM HESI FUNDAMENTALS
ON EVOLVE
B) Verify the client's consent with the
healthcare provider.
Rationale
Written informed consent is required prior to
any invasive pro- cedure. The healthcare
provider must explain the procedure to the
client, but the nurse can witness the client's
signature on a consent form. If the nurse
was not present when the HCP explained
the procedure/surgery, then the first action
before witnessing the client's signature on
the consent should be to verify that the HCP
C) No dressing.
indeed, received verbal consent from the
client.
Rationale
surface (eschar) that is stable. If eschar is dry and intact and debridement is not
part of the
Which dressing is best for the plan of care, no dressing is used, allowing eschar to
act as
nurse to use physiological cover.
first?
A) Hydrogel.
2/
143
, ACTUAL QUESTIONS AND ANSWERS FROM HESI FUNDAMENTALS
ON EVOLVE
B) Exudate absorber.
C)No dressing.
D) Transparent adhesive
film
D) Inettective coping related to an inadequate level
3. Which statement is an of percep-
exam-
ple of a correctly written nurs- tion of control.
ing problem statement?
Rationale
A)Altered tissue perfusion re- The first part of the nursing problem statement is
the diagnos-
lated to heart failure. the nursing process?
B) Altered urinary A) Ask a client to evaluate the
elimination related to nursing care provided.
urinary tract infec- tion.
C)Risk for impaired tissue
in- tegrity related to the
client's refusal to turn.
D) Ineffective coping
related to an inadequate
level of per- ception of
control.
4. Which activity should
the nurse use in the
evalua- tion phase of
3/
143
, ACTUAL QUESTIONS AND ANSWERS FROM HESI FUNDAMENTALS
ON EVOLVE
tic label. This is followed by the cause of the
problem which was identified. The etiology is
the "related to" which directs the nurse to the
appropriate interventions.
D) Examine the ettectiveness of nursing
interventions toward meeting client
outcomes.
Rationale
In the nursing process, the evaluation
component examines the ettectiveness of
nursing interventions in achieving client
outcomes.
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143
