EVOLVE HESI 2026 EXAMS QUESTION
AND ANSWERS
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answerAfter clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the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 include in this client's teaching plan? - answerPlace a pillow
between your knees while lying in bed to prevent hip dislocation.
An elderly resident of a long-term care facility is no longer able to perform self-care and
is becoming progressively weaker. The resident previously requested that no
resuscitative efforts be performed, and the family requests hospice care. What action
should the nurse implement first? - answerNotify the healthcare provider of the family's
request.
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first? - answerNutritional
history.
AND ANSWERS
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 include in this client's teaching plan? - answerPlace a pillow
between your knees while lying in bed to prevent hip dislocation.
An elderly resident of a long-term care facility is no longer able to perform self-care and
is becoming progressively weaker. The resident previously requested that no
resuscitative efforts be performed, and the family requests hospice care. What action
should the nurse implement first? - answerNotify the healthcare provider of the family's
request.
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first? - answerNutritional
history.
