EVOLVE HESI PRACTICE EXAM QUESTIONS AND ANSWERS

EVOLVE HESI PRACTICE EXAM
QUESTIONS AND ANSWERS
Theshealthcaresprovidersprescribessmorphinessulfates4mgsIMsSTAT.sMorphinescomessins8s
mgspersml.sHowsmanysmlsshouldsthesnursesadminister?s-sans--0.5sml.

Ashospitalizedsmalesclientsissreceivingsnasogastricstubesfeedingssviasassmall-
borestubesandsascontinuousspumpsinfusion.sHesreportssthatsheshadsasbadsboutsofsseveresco
ughingsasfewsminutessago,sbutsfeelssfinesnow.sWhatsactionsissbestsforsthesnursestostake?s-
sans--

Aftersclearingsthestubeswiths30smlsofsair,schecksthespHsofsfluidswithdrawnsfromsthestube.

(Coughing,svomiting,sandssuctioningscansprecipitatesdisplacementsofsthessmallsboresupwar
dsintosthesesophagus.sThisswillshelpscheckstubesplacement.)

Asclientsissinsthesradiologysdepartmentsats0900swhensthesprescriptionslevofloxacins(Levaqui
n)s500smgsIVsq24hsissscheduledstosbesadministered.sThesclientsreturnsstosthesunitsats1300.s
Whatsissthesbestsinterventionsforsthesnursestosimplement?s-sans--
Givesthesmissedsdosesats1300sandschangesthesschedulestosadministersdailysats1300.

Asclientswhosissinshospicescarescomplainssofsincreasingsamountssofspain.sTheshealthcarespr
ovidersprescribessansanalgesicseverysfourshourssassneeded.sWhichsactionsshouldsthesnurs
esimplement?s-sans--Givesansaround-the-clocksschedulesforsadministrationsofsanalgesics.

Afterscompletingsansassessmentsandsdeterminingsthatsasclientshassasproblem,swhichsaction
sshouldsthesnursesperformsnext?s-sans--determinesthesetiologysofsthesproblem




Whatsissthesmostsimportantsreasonsforsstartingsintravenoussinfusionssinsthesuppersextremiti
essrathersthanstheslowersextremitiessofsadults?s-sans--
Asdecreasedsflowsratescouldsresultsinsthesformationsofsasthrombosis.

Thesnursesnoticessthatsthesmothersofsas9-year-
oldsVietnameseschildsalwaysslookssatsthesfloorswhensshestalksstosthesnurse.sWhatsactionssh
ouldsthesnursestake?s-sans--Continuesaskingsthesmothersquestionssaboutstheschild.

Whichsinterventionsissmostsimportantsforsthesnursestosimplementsforsasmalesclientswhosissex
periencingsurinarysretention?s-sans--Assesssforsbladdersdistention.

AsclientswhosissasJehovah'ssWitnesssissadmittedstosthesnursingsunit.sWhichsconcernsshouldst
hesnurseshavesforsplanningscaresinstermssofsthesclient'ssbeliefs?s-sans--
Bloodstransfusionssaresforbidden.

, Whilesinstructingsasmalesclient'sswifesinsthesperformancesofspassivesrange-of-
motionsexercisesstoshisscontractedsshoulder,sthesnursesobservessthatsshesissholdingshissar
msabovesandsbelowstheselbow.sWhatsnursingsactionsshouldsthesnursesimplement?s-sans--
Acknowledgesthatsshesisssupportingsthesarmscorrectly.

Anselderlysmalesclientswhosissunresponsivesfollowingsascerebralsvascularsaccidents(CVA)sis
sreceivingsbolussenteralsfeedingssthoughsasgastrostomystube.sWhatsissthesbestsclientspositio

nsforsadministrationsofsthesbolusstubesfeedings?s-sans--Fowler's.

Ansadultsmalesclientswithsashistorysofshypertensionstellssthesnursesthatshesisstiredsofstakingsa
ntihypertensivesmedicationssandsissgoingstostrysspiritualsmeditationsinstead.sWhatsshouldsb
esthesnurse'ssfirstsresponse?s-sans--
Itsissimportantsthatsyouscontinuesyoursmedicationswhileslearningstosmeditate.

Asclientsisstosreceivescimetidines(Tagamet)s300smgsq6hsIVPB.sThespreparationsarrivessfrom
sthespharmacysdilutedsins50smlsofs0.9%sNaCl.sThesnursesplansstosadministersthesIVPBsdoses

overs20sminutes.sForshowsmanysml/hrsshouldsthesinfusionspumpsbessetstosdeliversthessecon
darysinfusion?s-sans--150

Thesnursesisscompletingsasmentalsassessmentsforsasclientswhosissdemonstratingsslowsthou
ghtsprocesses,spersonalityschanges,sandsemotionalslability.sWhichsareasofsthesbrainscontrol
ssthesesneuro-cognitivesfunctions?s-sans--Frontalslobe

AsclientsissreceivingsascephalosporinsantibioticsIVsandscomplainssofspainsandsirritationsatsthe
sinfusionssite.sThesnursesobservesserythema,sswelling,sandsa sredsstreaksalongsthesvesselsa

bovesthesIVsaccessssite.sWhichsactionsshouldsthesnursestakesatsthisstime?s-sans--
InitiatesansalternatessitesforsthesIVsinfusionsofsthesmedication.

Asfemalesclientsaskssthesnursestosfindssomeoneswhoscanstranslatesintoshersnativeslanguages
hersconcernssaboutsastreatment.sWhichsactionsshouldsthesnursestake?s-sans--
Requestsandsdocumentsthesnamesofsthescertifiedstranslator.

As73-year-
oldsfemalesclientshadsashemiarthroplastysofsthesleftshipsyesterdaysduestosasfracturesresulting
sfromsasfall.sInsreviewingshipsprecautionsswith sthesclient,swhichsinstructionsshouldsthesnursesi

ncludesinsthissclient'ssteachingsplan?s-sans--
Placesaspillowsbetweensyourskneesswhileslyingsinsbedstospreventshipsdislocation.

Anselderlysresidentsofsaslong-termscaresfacilitysissnoslongersablestosperformsself-
caresandsissbecomingsprogressivelysweaker.sThesresidentspreviouslysrequestedsthatsnosres
uscitativeseffortssbesperformed,sandsthesfamilysrequestsshospicescare.sWhatsactionsshoulds
thesnursesimplementsfirst?s-sans--Notifystheshealthcaresprovidersofsthesfamily'ssrequest.

Asyoungsmothersofsthreeschildrenscomplainssofsincreasedsanxietysduringshersannualsphysic
alsexam.sWhatsinformationsshouldsthesnursesobtainsfirst?s-sans--Nutritionalshistory.