EVOLVE HESI FUNDAMENTALS PRACTICE
COMPREHENSIVE TEST PAPER WITH
COMPLETE SOLUTIONS
◉ The nurse is instructing a client with high cholesterol about diet
and life style modification. What comment from the client indicates
that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower
my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase."
Answer: Limiting saturated fat from animal food sources to no more
than 4 ounces per week (C) is an important diet modification for
lowering cholesterol. To be effective in reducing cholesterol, the
client should exercise 30 minutes per day, or at least 4 to 6 times per
week (A). Red meat and all proteins do not need to be eliminated (B)
to lower cholesterol, but should be restricted to lean cuts of red
meat and smaller portions (2-ounce servings). The low density
lipoproteins (D) need to decrease rather than increase.
Correct
Answer: C
,◉ The UAPs working on a chronic neuro unit ask the nurse to help
them determine the safest way to transfer an elderly client with left-
sided weakness from the bed to the chair. What method describes
the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side
before moving.
B. Assist the client to a standing position, then place the right hand
on the armrest.
C. Have the client place the left foot next to the chair and pivot to the
left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the
client on the right foot.
Answer: (D) uses the client's stronger side, the right side, for weight-
bearing during the transfer, and is the safest approach to take. (A, B,
and C) are unsafe methods of transfer and include the use of poor
body mechanics by the caregiver.
Correct
Answer: D
◉ An unlicensed assistive personnel (UAP) places a client in a left
lateral position prior to administering a soap suds enema. Which
instruction should the nurse provide the UAP?
,A. Position the client on the right side of the bed in reverse
Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C. Reposition in a Sim's position with the client's weight on the
anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to
waist level.
Answer: The left sided Sims' position allows the enema solution to
follow the anatomical course of the intestines and allows the best
overall results, so the UAP should reposition the client in the Sims'
position, which distributes the client's weight to the anterior ilium
(C). (A) is inaccurate. (B and D) should be implemented once the
client is positioned.
Correct
Answer: C
◉ 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?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
, C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Answer: Blood transfusions are forbidden (B) in the Jehovah's
Witness religion. Judaism prohibits (A). Buddhism forbids the use of
(C) and drugs. Many of these sects are vegetarian (D), but the direct
impact on nursing care is (B).
Correct
Answer: B
◉ The nurse observes that a male client has removed the covering
from an ice pack applied to his knee. What action should the nurse
take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
Answer: The first action taken by the nurse should be to assess the
skin for any possible thermal injury (A). If no injury to the skin has
occurred, the nurse can take the other actions (B, C, and D) as
needed.
Correct
COMPREHENSIVE TEST PAPER WITH
COMPLETE SOLUTIONS
◉ The nurse is instructing a client with high cholesterol about diet
and life style modification. What comment from the client indicates
that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower
my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase."
Answer: Limiting saturated fat from animal food sources to no more
than 4 ounces per week (C) is an important diet modification for
lowering cholesterol. To be effective in reducing cholesterol, the
client should exercise 30 minutes per day, or at least 4 to 6 times per
week (A). Red meat and all proteins do not need to be eliminated (B)
to lower cholesterol, but should be restricted to lean cuts of red
meat and smaller portions (2-ounce servings). The low density
lipoproteins (D) need to decrease rather than increase.
Correct
Answer: C
,◉ The UAPs working on a chronic neuro unit ask the nurse to help
them determine the safest way to transfer an elderly client with left-
sided weakness from the bed to the chair. What method describes
the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side
before moving.
B. Assist the client to a standing position, then place the right hand
on the armrest.
C. Have the client place the left foot next to the chair and pivot to the
left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the
client on the right foot.
Answer: (D) uses the client's stronger side, the right side, for weight-
bearing during the transfer, and is the safest approach to take. (A, B,
and C) are unsafe methods of transfer and include the use of poor
body mechanics by the caregiver.
Correct
Answer: D
◉ An unlicensed assistive personnel (UAP) places a client in a left
lateral position prior to administering a soap suds enema. Which
instruction should the nurse provide the UAP?
,A. Position the client on the right side of the bed in reverse
Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C. Reposition in a Sim's position with the client's weight on the
anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to
waist level.
Answer: The left sided Sims' position allows the enema solution to
follow the anatomical course of the intestines and allows the best
overall results, so the UAP should reposition the client in the Sims'
position, which distributes the client's weight to the anterior ilium
(C). (A) is inaccurate. (B and D) should be implemented once the
client is positioned.
Correct
Answer: C
◉ 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?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
, C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Answer: Blood transfusions are forbidden (B) in the Jehovah's
Witness religion. Judaism prohibits (A). Buddhism forbids the use of
(C) and drugs. Many of these sects are vegetarian (D), but the direct
impact on nursing care is (B).
Correct
Answer: B
◉ The nurse observes that a male client has removed the covering
from an ice pack applied to his knee. What action should the nurse
take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
Answer: The first action taken by the nurse should be to assess the
skin for any possible thermal injury (A). If no injury to the skin has
occurred, the nurse can take the other actions (B, C, and D) as
needed.
Correct
