2025 EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK/RN HESI EVOLVE FUNDAMENTALS COMPLETE ALL 400 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

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2025 EVOLVE HESI FUNDAMENTALS REAL EXAM TEST
BANK/RN HESI EVOLVE FUNDAMENTALS COMPLETE
ALL 400 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+




An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is e
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ssential to the client's nursing care?
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A. Massage any reddened areas for at least five minutes.
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B. Encourage active range of motion exercises on extremities.
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C. Position the client laterally, prone, and dorsally in sequence.
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D. Gently lift the client when moving into a desired position. -
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answerTo avoid shearing forces when repositioning, the client should be lifted gently ac
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ross a surface (D). Reddened areas should not be massaged (A) since this may increase t
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he damage to already traumatized skin. To control pain and muscle spasms, active range
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of motion (B) may be limited on the affected leg. The position described in (C) is contrai
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ndicated for a client with a fractured left hip.
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Correct Answer: D
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The nurse is administering medications through a nasogastric tube (NGT) which is conn
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ected to suction. After ensuring correct tube placement, what action should the nurse ta
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ke next?
b




A. Clamp the tube for 20 minutes.
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B. Flush the tube with water.
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C. Administer the medications as prescribed.
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D. Crush the tablets and dissolve in sterile water. -
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answerThe NGT should be flushed before, after and in between each medication admi
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nistered (B). Once all medications are administered, the NGT should be clamped for 20
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minutes (A). (C and D) may be implemented only after the tubing has been flushed.
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Correct Answer: B b b




A client who is in hospice care complains of increasing amounts of pain. The healthcare
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provider prescribes an analgesic every four hours as needed. Which action should the nu
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rse implement?
b




A. Give an around-the-clock schedule for administration of analgesics.
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B. Administer analgesic medication as needed when the pain is severe.
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C. Provide medication to keep the client sedated and unaware of stimuli.
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D. Offer a medication-free period so that the client can do daily activities. -
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answerThe most effective management of pain is achieved using an around-the-
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clock schedule that provides analgesic medications on a regular basis (A) and in a timely
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manner. Analgesics are less effective if pain persists until it is severe, so an analgesic med
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ication should be administered before the client's pain peaks (B). Providing comfort is a
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priority for the client who is dying, but sedation that impairs the client's ability to interact
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and experience the time before life ends should be minimized (C). Offering a medicatio
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n-

free period allows the serum drug level to fall, which is not an effective method to mana
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ge chronic pain (D).
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Correct Answer: A b b




When assessing a client with wrist restraints, the nurse observes that the fingers on the ri
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ght hand are blue. What action should the nurse implement first?
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A. Loosen the right wrist restraint.
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B. Apply a pulse oximeter to the right hand.
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C. Compare hand color bilaterally.
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D. Palpate the right radial pulse. -
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answerThe priority nursing action is to restore circulation by loosening the restraint (A),
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because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also impor
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tant nursing interventions, but do not have the priority of (A). Pulse oximetry (B) measu
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res the saturation of hemoglobin with oxygen and is not indicated in situations where th
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e cyanosis is related to mechanical compression (the restraints).
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Correct Answer: A b b