Fundamentals of Nursing Evolve HESI Real
Exams
Fundamentals of Nursing Evolve HESI Real
Exams 3 Questions Bank Review Latest |
Evolve Hesi Fundamentals Best Exam Prep
Test Bank- a Review of 340 Latest Correctly
Answered Questions with Rationales (New!)
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
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,Fundamentals of Nursing Evolve HESI Real
Exams
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has questions
about the surgery.
D. Reassure the client that the surgeon will answer any questions before the anesthesia is
administered.
Answer: C
The surgeon should be informed immediately that the permit is not signed (C). It is the
surgeon's responsibility to explain the procedure to the cliesxnt and obtain the client's
signature on the permit. Although the nurse can witness an operative permit (A), the
procedure must first be explained by the health care provider or surgeon, including answering
the client's questions (B). The client's questions should be addressed before the permit is
signed (D).
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A. Determine how the client feels about changing the dressing.
B. Ask the client to describe the procedure in writing.
C. Seek a family member's evaluation of the client's ability to change the dressing.
D. Observe the client change the dressing unassisted.
Answer: D
Observing the client directly (D) will allow the nurse to determine if mastery of the skill has
been obtained and provide an opportunity to affirm the skill. (A) may be therapeutic but will
not provide an opportunity to evaluate the client's ability to perform the procedure. (B) may
be threatening to an older client and will not determine his ability. (C) is not as effective as
direct observation by the nurse.
A client in a long-term care facility reports to the nurse that he has not had a bowel
movement in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
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,Fundamentals of Nursing Evolve HESI Real
Exams
B. Notify the health care provider and request a prescription for a large-volume enema.
C. Assess the client's medical record to determine the client's normal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day.
Answer: C
This client may not routinely have a daily bowel movement, so the nurse should first assess
this client's normal bowel habits before attempting any intervention (C). (A, B, or D) may then
be implemented, if warranted.
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best
meets the dietary needs of this client?
A. Steak, baked beans, and a salad
B. Broiled fish, green beans, and an apple
C. Pork chops, macaroni and cheese, and grapes
D. Avocado salad, milk, and angel food cake
Answer: B
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such
as (B). (A) is a high-protein diet and (C and D) contain high-fat foods, which are
contraindicated for this client.
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
A. Remind the child to clean his genital area.
B. Defer perineal care because of the child's age.
C. Retract the foreskin gently to cleanse the penis.
D. Ask the parents why the child is not circumcised.
Answer: C
The foreskin (prepuce) of the penis should be gently retracted to cleanse all areas that could
harbor bacteria (C). The child's cognitive development may not be at the level at which (A)
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, Fundamentals of Nursing Evolve HESI Real
Exams
would be effective. Perineal care needs to be provided daily regardless of the client's age (B).
(D) is not indicated and may be perceived as intrusive.
The nurse who is preparing to give an adolescent client a prescribed antipsychotic medication
notes that parental consent has not been obtained. Which action should the nurse take?
A. Review the chart for a signed consent for hospitalization.
B. Get the health care provider's permission to give the medication.
C. Do not give the medication and document the reason.
D. Complete an incident report and notify the parents.
Answer: C
The nurse should not give the medication and should document the reason (C) because the
client is a minor and needs a guardian's permission to receive medications. Permission to give
medications is not granted by a signed hospital consent (A) or a health care provider's
permission (B), unless conditions are met to justify coerced treatment. (D) is not necessary
unless the medication had previously been administered.
A nurse is working in an occupational health clinic when an employee walks in and states that
he was struck by lightning while working in a truck bed. The client is alert but reports feeling
faint. Which assessment will the nurse perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury
Answer: A
Lightning is a jolt of electrical current and can produce a "natural" defibrillation, so
assessment of the pulse rate and regularity (A) is a priority. Because the client is talking, he
P a g e 4 | 374
Exams
Fundamentals of Nursing Evolve HESI Real
Exams 3 Questions Bank Review Latest |
Evolve Hesi Fundamentals Best Exam Prep
Test Bank- a Review of 340 Latest Correctly
Answered Questions with Rationales (New!)
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
P a g e 1 | 374
,Fundamentals of Nursing Evolve HESI Real
Exams
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has questions
about the surgery.
D. Reassure the client that the surgeon will answer any questions before the anesthesia is
administered.
Answer: C
The surgeon should be informed immediately that the permit is not signed (C). It is the
surgeon's responsibility to explain the procedure to the cliesxnt and obtain the client's
signature on the permit. Although the nurse can witness an operative permit (A), the
procedure must first be explained by the health care provider or surgeon, including answering
the client's questions (B). The client's questions should be addressed before the permit is
signed (D).
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A. Determine how the client feels about changing the dressing.
B. Ask the client to describe the procedure in writing.
C. Seek a family member's evaluation of the client's ability to change the dressing.
D. Observe the client change the dressing unassisted.
Answer: D
Observing the client directly (D) will allow the nurse to determine if mastery of the skill has
been obtained and provide an opportunity to affirm the skill. (A) may be therapeutic but will
not provide an opportunity to evaluate the client's ability to perform the procedure. (B) may
be threatening to an older client and will not determine his ability. (C) is not as effective as
direct observation by the nurse.
A client in a long-term care facility reports to the nurse that he has not had a bowel
movement in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
P a g e 2 | 374
,Fundamentals of Nursing Evolve HESI Real
Exams
B. Notify the health care provider and request a prescription for a large-volume enema.
C. Assess the client's medical record to determine the client's normal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day.
Answer: C
This client may not routinely have a daily bowel movement, so the nurse should first assess
this client's normal bowel habits before attempting any intervention (C). (A, B, or D) may then
be implemented, if warranted.
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best
meets the dietary needs of this client?
A. Steak, baked beans, and a salad
B. Broiled fish, green beans, and an apple
C. Pork chops, macaroni and cheese, and grapes
D. Avocado salad, milk, and angel food cake
Answer: B
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such
as (B). (A) is a high-protein diet and (C and D) contain high-fat foods, which are
contraindicated for this client.
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
A. Remind the child to clean his genital area.
B. Defer perineal care because of the child's age.
C. Retract the foreskin gently to cleanse the penis.
D. Ask the parents why the child is not circumcised.
Answer: C
The foreskin (prepuce) of the penis should be gently retracted to cleanse all areas that could
harbor bacteria (C). The child's cognitive development may not be at the level at which (A)
P a g e 3 | 374
, Fundamentals of Nursing Evolve HESI Real
Exams
would be effective. Perineal care needs to be provided daily regardless of the client's age (B).
(D) is not indicated and may be perceived as intrusive.
The nurse who is preparing to give an adolescent client a prescribed antipsychotic medication
notes that parental consent has not been obtained. Which action should the nurse take?
A. Review the chart for a signed consent for hospitalization.
B. Get the health care provider's permission to give the medication.
C. Do not give the medication and document the reason.
D. Complete an incident report and notify the parents.
Answer: C
The nurse should not give the medication and should document the reason (C) because the
client is a minor and needs a guardian's permission to receive medications. Permission to give
medications is not granted by a signed hospital consent (A) or a health care provider's
permission (B), unless conditions are met to justify coerced treatment. (D) is not necessary
unless the medication had previously been administered.
A nurse is working in an occupational health clinic when an employee walks in and states that
he was struck by lightning while working in a truck bed. The client is alert but reports feeling
faint. Which assessment will the nurse perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury
Answer: A
Lightning is a jolt of electrical current and can produce a "natural" defibrillation, so
assessment of the pulse rate and regularity (A) is a priority. Because the client is talking, he
P a g e 4 | 374
