Fundamentals of Nursing Evolve HESI Real
Exams
Fundamentals of Nursing Evolve HESI Real
Exams 1 Questions Bank Review Latest |
Evolve Hesi Fundamentals Best Exam Prep
Test Bank- a Review of 340 Latest Correctly
Answered Questions with Rationales (New!)
The nurse notes that a client who is scheduled for surgery the next morning has an elevated
blood urea nitrogen (BUN) level. Which condition is most likely to have contributed to this
finding?
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,Fundamentals of Nursing Evolve HESI Real
Exams
A. Myocardial infarction 2 months ago
B. Anorexia and vomiting for the past 2 days
C. Recently diagnosed type 2 diabetes mellitus
D. Skeletal traction for a right hip fracture –
Correct Answer :Anorexia and vomiting for the past 2 days
Rationale: The blood urea nitrogen (BUN) level indicates the effectiveness of the kidneys in
filtering waste from the blood. Dehydration, which could be caused by vomiting, would cause
an increased BUN level. Option A would affect serum enzyme levels, not the BUN level.
Option C would primarily affect the blood glucose level; renal failure that could increase the
BUN level would be unlikely in a client newly diagnosed with type 2 diabetes. Effects of option
D might affect the complete blood count (CBC) but would not directly increase the BUN level.
The nurse is planning care for a client with diabetes mellitus who has gangrene of the toes to
the midfoot. Which goal should be included in this client's plan of care?
A. Restore skin integrity
B. Prevent infection
C. Promote healing
D. Improve nutrition –
Correct Answer :Prevent infection
Rationale: The prevention of infection is a priority goal for this client. Gangrene is the result of
necrosis (tissue death). If infection develops, there is insufficient circulation to fight the
infection and the infection can result in osteomyelitis or sepsis. Because tissue death has
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,Fundamentals of Nursing Evolve HESI Real
Exams
already occurred, options A and C are unattainable goals. Option D is important but of less
priority than option B.
The nurse assesses a client who has been prescribed furosemide (Lasix) for cardiac disease.
Which electrocardiographic change would be a concern for a client taking a diuretic?
A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave –
Correct Answer :Presence of a U wave
Rationale: A U wave is a positive deflection following the T wave and is often present with
hypokalemia. Options A, B, and C are all signs of hyperkalemia
A client in the emergency department is bleeding profusely from a gunshot wound to the
abdomen. What action should the nurse immediately take to promote maintenance of the
client's blood pressure above a systolic pressure of 90 mm Hg?
A. Place the client in a 45-degree Trendelenburg position to promote cerebral blood flow
B. Turn the client prone to place pressure on the abdominal wound to help staunch the
bleeding
C. Maintain the client in a supine position to reduce diaphragmatic pressure and visualize the
wound
D. Put the client on the right side to apply pressure to the liver and spleen to stop
hemorrhaging –
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, Fundamentals of Nursing Evolve HESI Real
Exams
Correct Answer :Maintain the client in a supine position reduce diaphragmatic pressure and
visualize the wound
Rationale: Placing the client in a supine position reduces diaphragmatic pressure, thereby
enhancing oxygenation, and allows for visualization of the abdominal wound. Option A
compromises diaphragmatic expansion and inhibits pressoreceptor activity. Option B places
the client at risk of evisceration of the abdominal wound and increased bleeding. Option D will
not stop internal bleeding in the liver and spleen caused by the gunshot wound.
The nurse is observing an unlicensed assistive personnel (UAP) performing morning care for a
bedridden client with Huntington disease. Which care measure is most important for the
nurse to supervise?
A. Oral care
B. Bathing
C. Foot care
D. Catheter care –
Correct Answer :Oral care
Rationale: The client with Huntington disease experiences problems with motor skills such as
swallowing and is at high risk for aspiration, so the highest priority for the nurse to observe is
the UAP's ability to perform oral care safely. Options B, C, and D do not necessarily require
registered nurse (RN) supervision because they do not ordinarily pose life-threatening
consequences.
An emaciated homeless client presents to the emergency department complaining of a
productive cough, with blood-tinged sputum and night sweats. Which action is most
important for the emergency department triage nurse to implement for this client?
P a g e 4 | 217
Exams
Fundamentals of Nursing Evolve HESI Real
Exams 1 Questions Bank Review Latest |
Evolve Hesi Fundamentals Best Exam Prep
Test Bank- a Review of 340 Latest Correctly
Answered Questions with Rationales (New!)
The nurse notes that a client who is scheduled for surgery the next morning has an elevated
blood urea nitrogen (BUN) level. Which condition is most likely to have contributed to this
finding?
P a g e 1 | 217
,Fundamentals of Nursing Evolve HESI Real
Exams
A. Myocardial infarction 2 months ago
B. Anorexia and vomiting for the past 2 days
C. Recently diagnosed type 2 diabetes mellitus
D. Skeletal traction for a right hip fracture –
Correct Answer :Anorexia and vomiting for the past 2 days
Rationale: The blood urea nitrogen (BUN) level indicates the effectiveness of the kidneys in
filtering waste from the blood. Dehydration, which could be caused by vomiting, would cause
an increased BUN level. Option A would affect serum enzyme levels, not the BUN level.
Option C would primarily affect the blood glucose level; renal failure that could increase the
BUN level would be unlikely in a client newly diagnosed with type 2 diabetes. Effects of option
D might affect the complete blood count (CBC) but would not directly increase the BUN level.
The nurse is planning care for a client with diabetes mellitus who has gangrene of the toes to
the midfoot. Which goal should be included in this client's plan of care?
A. Restore skin integrity
B. Prevent infection
C. Promote healing
D. Improve nutrition –
Correct Answer :Prevent infection
Rationale: The prevention of infection is a priority goal for this client. Gangrene is the result of
necrosis (tissue death). If infection develops, there is insufficient circulation to fight the
infection and the infection can result in osteomyelitis or sepsis. Because tissue death has
P a g e 2 | 217
,Fundamentals of Nursing Evolve HESI Real
Exams
already occurred, options A and C are unattainable goals. Option D is important but of less
priority than option B.
The nurse assesses a client who has been prescribed furosemide (Lasix) for cardiac disease.
Which electrocardiographic change would be a concern for a client taking a diuretic?
A. Tall, spiked T waves
B. A prolonged QT interval
C. A widening QRS complex
D. Presence of a U wave –
Correct Answer :Presence of a U wave
Rationale: A U wave is a positive deflection following the T wave and is often present with
hypokalemia. Options A, B, and C are all signs of hyperkalemia
A client in the emergency department is bleeding profusely from a gunshot wound to the
abdomen. What action should the nurse immediately take to promote maintenance of the
client's blood pressure above a systolic pressure of 90 mm Hg?
A. Place the client in a 45-degree Trendelenburg position to promote cerebral blood flow
B. Turn the client prone to place pressure on the abdominal wound to help staunch the
bleeding
C. Maintain the client in a supine position to reduce diaphragmatic pressure and visualize the
wound
D. Put the client on the right side to apply pressure to the liver and spleen to stop
hemorrhaging –
P a g e 3 | 217
, Fundamentals of Nursing Evolve HESI Real
Exams
Correct Answer :Maintain the client in a supine position reduce diaphragmatic pressure and
visualize the wound
Rationale: Placing the client in a supine position reduces diaphragmatic pressure, thereby
enhancing oxygenation, and allows for visualization of the abdominal wound. Option A
compromises diaphragmatic expansion and inhibits pressoreceptor activity. Option B places
the client at risk of evisceration of the abdominal wound and increased bleeding. Option D will
not stop internal bleeding in the liver and spleen caused by the gunshot wound.
The nurse is observing an unlicensed assistive personnel (UAP) performing morning care for a
bedridden client with Huntington disease. Which care measure is most important for the
nurse to supervise?
A. Oral care
B. Bathing
C. Foot care
D. Catheter care –
Correct Answer :Oral care
Rationale: The client with Huntington disease experiences problems with motor skills such as
swallowing and is at high risk for aspiration, so the highest priority for the nurse to observe is
the UAP's ability to perform oral care safely. Options B, C, and D do not necessarily require
registered nurse (RN) supervision because they do not ordinarily pose life-threatening
consequences.
An emaciated homeless client presents to the emergency department complaining of a
productive cough, with blood-tinged sputum and night sweats. Which action is most
important for the emergency department triage nurse to implement for this client?
P a g e 4 | 217
