TEST BANK FOR EVOLVE HESI
FUNDAMENTALS EXAM QUESTION
BANK WITH
CORRECT ANSWERS GRADED A+
The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
D
A. A college-age track runner with a sprained ankle.
O
B. A lactating woman nursing her 3-day-old infant.
N
C. A school-aged child with Type 2 diabetes.
O
D. An elderly man being treated for a peptic ulcer. - ✔✔✔ Correct Answer > A
T
lactating woman (B) has the greatest need for additional protein intake. (A, C, and
C
D) are all conditions that require protein, but do not have the increased metabolic
protein demands of lactation.
O
PY
Correct Answer: B
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
,C. Notify the charge nurse and complete an incident report to explain the
missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300. - ✔✔✔ Correct Answer > To ensure that a therapeutic level of medication is
maintained, the nurse should administer the missed dose as soon as possible, and
revise the administration schedule accordingly to prevent dangerously increasing
the level of the medication in the bloodstream (D). The nurse should document the
reason for the late dose, but (A and C) are not warranted. (B) could result in
increased blood levels of the drug.
Correct Answer: D
D
While instructing a male client's wife in the performance of passive range-
O
ofmotion exercises to his contracted shoulder, the nurse observes that she is
holding his arm above and below the elbow. What nursing action should the nurse
N
implement?
O
T
Acknowledge that she is supporting the arm correctly.
C
A.
O
B. Encourage her to keep the joint covered to maintain warmth.
PY
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion. - ✔✔✔ Correct
Answer > The wife is performing the passive ROM correctly, therefore the nurse
should acknowledge this fact (A). The joint that is being exercised should be
uncovered (B) while the rest of the body should remain covered for warmth and
privacy. (C and D) do not provide adequate support to the joint while still allowing
for joint movement.
Correct Answer: A
,What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is
used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure. - ✔✔✔ Correct Answer > Venous return is usually better in the upper
extremities. Cannulation of the veins in the lower extremities increases the risk of
thrombus formation (B) which, if dislodged, could be life-threatening. Superficial
D
veins are often very easy (A) to find in the feet and legs. Handling a leg or foot
O
with an IV (C) is probably not any more difficult than handling an arm or hand.
Even if the nurse did believe moving a cannulated leg was more difficult, this is
N
not the most important reason for using the upper extremities. Pain (D) is not a
O
consideration.
T
C
Correct Answer: B
O
PY
A client with chronic renal failure selects a scrambled egg for his breakfast. What
action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CRF. - ✔✔✔
Correct Answer > Foods such as eggs and milk (A) are high biologic proteins which
are allowed because they are complete proteins and supply the essential amino
acids that are necessary for growth and cell repair. Although a low-protein diet is
, followed (B), some protein is essential. Orange juice is rich in potassium, and
should not be encouraged (C). The client has made a good diet choice, so (D) is not
necessary.
Correct Answer: A
A postoperative client will need to perform daily dressing changes after discharge.
Which outcome statement best demonstrates the client's readiness to manage his
wound care after discharge? The client
A. asks relevant questions regarding the dressing change.
D
B. states he will be able to complete the wound care regimen.
O
C. demonstrates the wound care procedure correctly.
N
has all the necessary supplies for wound care. - ✔✔✔ Correct Answer > A return
O
D.
demonstration of a procedure (C) provides an objective assessment of the client's
T
ability to perform a task, while (A and B) are subjective measures. (D) is important,
C
but is less of a priority prior to discharge than the nurse's assessment of the client's
O
ability to complete the wound care.
PY
Correct Answer: C
An adult male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation instead.
What should be the nurse's first response?
A. "It is important that you continue your medication while learning to meditate."
B. "Spiritual meditation requires a time commitment of 15 to 20 minutes daily."
C. "Obtain your healthcare provider's permission before starting meditation."
FUNDAMENTALS EXAM QUESTION
BANK WITH
CORRECT ANSWERS GRADED A+
The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
D
A. A college-age track runner with a sprained ankle.
O
B. A lactating woman nursing her 3-day-old infant.
N
C. A school-aged child with Type 2 diabetes.
O
D. An elderly man being treated for a peptic ulcer. - ✔✔✔ Correct Answer > A
T
lactating woman (B) has the greatest need for additional protein intake. (A, C, and
C
D) are all conditions that require protein, but do not have the increased metabolic
protein demands of lactation.
O
PY
Correct Answer: B
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
,C. Notify the charge nurse and complete an incident report to explain the
missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300. - ✔✔✔ Correct Answer > To ensure that a therapeutic level of medication is
maintained, the nurse should administer the missed dose as soon as possible, and
revise the administration schedule accordingly to prevent dangerously increasing
the level of the medication in the bloodstream (D). The nurse should document the
reason for the late dose, but (A and C) are not warranted. (B) could result in
increased blood levels of the drug.
Correct Answer: D
D
While instructing a male client's wife in the performance of passive range-
O
ofmotion exercises to his contracted shoulder, the nurse observes that she is
holding his arm above and below the elbow. What nursing action should the nurse
N
implement?
O
T
Acknowledge that she is supporting the arm correctly.
C
A.
O
B. Encourage her to keep the joint covered to maintain warmth.
PY
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion. - ✔✔✔ Correct
Answer > The wife is performing the passive ROM correctly, therefore the nurse
should acknowledge this fact (A). The joint that is being exercised should be
uncovered (B) while the rest of the body should remain covered for warmth and
privacy. (C and D) do not provide adequate support to the joint while still allowing
for joint movement.
Correct Answer: A
,What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is
used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure. - ✔✔✔ Correct Answer > Venous return is usually better in the upper
extremities. Cannulation of the veins in the lower extremities increases the risk of
thrombus formation (B) which, if dislodged, could be life-threatening. Superficial
D
veins are often very easy (A) to find in the feet and legs. Handling a leg or foot
O
with an IV (C) is probably not any more difficult than handling an arm or hand.
Even if the nurse did believe moving a cannulated leg was more difficult, this is
N
not the most important reason for using the upper extremities. Pain (D) is not a
O
consideration.
T
C
Correct Answer: B
O
PY
A client with chronic renal failure selects a scrambled egg for his breakfast. What
action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CRF. - ✔✔✔
Correct Answer > Foods such as eggs and milk (A) are high biologic proteins which
are allowed because they are complete proteins and supply the essential amino
acids that are necessary for growth and cell repair. Although a low-protein diet is
, followed (B), some protein is essential. Orange juice is rich in potassium, and
should not be encouraged (C). The client has made a good diet choice, so (D) is not
necessary.
Correct Answer: A
A postoperative client will need to perform daily dressing changes after discharge.
Which outcome statement best demonstrates the client's readiness to manage his
wound care after discharge? The client
A. asks relevant questions regarding the dressing change.
D
B. states he will be able to complete the wound care regimen.
O
C. demonstrates the wound care procedure correctly.
N
has all the necessary supplies for wound care. - ✔✔✔ Correct Answer > A return
O
D.
demonstration of a procedure (C) provides an objective assessment of the client's
T
ability to perform a task, while (A and B) are subjective measures. (D) is important,
C
but is less of a priority prior to discharge than the nurse's assessment of the client's
O
ability to complete the wound care.
PY
Correct Answer: C
An adult male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation instead.
What should be the nurse's first response?
A. "It is important that you continue your medication while learning to meditate."
B. "Spiritual meditation requires a time commitment of 15 to 20 minutes daily."
C. "Obtain your healthcare provider's permission before starting meditation."
