Evolve HESI practice Exam
Questions and Answers Updated
2026
The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml.
How many ml should the nurse administer? - Answer0.5 ml.
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago,
but feels fine now. What action is best for the nurse to take? - AnswerAfter clearing the tube with 30
ml of air, check the pH of fluid withdrawn from the tube.
(Coughing, vomiting, and suctioning can precipitate displacement of the small bore upward into the
esophagus. This will help check tube placement.)
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? - AnswerGive the missed dose at 1300 and change the
schedule to administer daily at 1300.
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement? -
AnswerGive an around-the-clock schedule for administration of analgesics.
After completing an assessment and determining that a client has a problem, which action should
the nurse perform next? - Answerdetermine the etiology of the problem
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults? - AnswerA decreased flow rate could result in the formation of
a thrombosis.
The nurse notices that the mother of a 9-year-old Vietnamese child always looks at the floor when
she talks to the nurse. What action should the nurse take? - AnswerContinue asking the mother
questions about the child.
Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention? - AnswerAssess for bladder distention.
, A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse
have for planning care in terms of the client's beliefs? - AnswerBlood transfusions are forbidden.
While instructing a male client's wife in the performance of passive range-of-motion 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 implement? - AnswerAcknowledge that she is supporting the
arm correctly.
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving
bolus enteral feedings though a gastrostomy tube. What is the best client position for administration
of the bolus tube feedings? - AnswerFowler's.
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? - AnswerIt is important that you continue your medication while learning to
meditate.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion? -
Answer150
The nurse is completing a mental assessment for a client who is demonstrating slow thought
processes, personality changes, and emotional lability. Which area of the brain controls these neuro-
cognitive functions? - AnswerFrontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion
site. The nurse observes erythema, swelling, and a red streak along the vessel above the IV access
site. Which action should the nurse take at this time? - AnswerInitiate an alternate site for the IV
infusion of the medication.
A female client asks the nurse to find someone who can translate into her native language her
concerns about a treatment. Which action should the nurse take? - AnswerRequest and document
the name of the certified translator.
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture
resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse
Questions and Answers Updated
2026
The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml.
How many ml should the nurse administer? - Answer0.5 ml.
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago,
but feels fine now. What action is best for the nurse to take? - AnswerAfter clearing the tube with 30
ml of air, check the pH of fluid withdrawn from the tube.
(Coughing, vomiting, and suctioning can precipitate displacement of the small bore upward into the
esophagus. This will help check tube placement.)
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? - AnswerGive the missed dose at 1300 and change the
schedule to administer daily at 1300.
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement? -
AnswerGive an around-the-clock schedule for administration of analgesics.
After completing an assessment and determining that a client has a problem, which action should
the nurse perform next? - Answerdetermine the etiology of the problem
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults? - AnswerA decreased flow rate could result in the formation of
a thrombosis.
The nurse notices that the mother of a 9-year-old Vietnamese child always looks at the floor when
she talks to the nurse. What action should the nurse take? - AnswerContinue asking the mother
questions about the child.
Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention? - AnswerAssess for bladder distention.
, A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse
have for planning care in terms of the client's beliefs? - AnswerBlood transfusions are forbidden.
While instructing a male client's wife in the performance of passive range-of-motion 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 implement? - AnswerAcknowledge that she is supporting the
arm correctly.
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving
bolus enteral feedings though a gastrostomy tube. What is the best client position for administration
of the bolus tube feedings? - AnswerFowler's.
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? - AnswerIt is important that you continue your medication while learning to
meditate.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion? -
Answer150
The nurse is completing a mental assessment for a client who is demonstrating slow thought
processes, personality changes, and emotional lability. Which area of the brain controls these neuro-
cognitive functions? - AnswerFrontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion
site. The nurse observes erythema, swelling, and a red streak along the vessel above the IV access
site. Which action should the nurse take at this time? - AnswerInitiate an alternate site for the IV
infusion of the medication.
A female client asks the nurse to find someone who can translate into her native language her
concerns about a treatment. Which action should the nurse take? - AnswerRequest and document
the name of the certified translator.
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture
resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse
