Evolve HESI Fundamentals Practice Qs/ Questions
& Expertly Verified Answers, .
Terms in this set (74)
Urinary catheterization is Answer: C
prescribed for a It is likely that the first catheter is in the vagina, rather than
postoperative female client the bladder. Leaving the first catheter in place will help
locate the meatus when attempting the second
who has been unable to void
catheterization (C). The client should have at least 240 mL of
for 8 hours. The nurse inserts urine after 8 hours. (A) does not resolve the problem. (B)
the catheter, but no urine is will not change the location of the catheter unless it is
seen in the tubing. Which completely removed, in which case a new catheter must be
used. There is no evidence of a urinary tract obstruction if
action will the nurse take
the catheter could be easily inserted (D).
next?
A. Clamp the catheter
andrecheck it in 60 minutes.
B. Pull the catheter
back 3inches and redirect
upward.
C. Leave the catheter
inplace and reattempt with
another catheter.
D. Notify the health
careprovider of a possible
obstruction.
,The nurse is teaching an Answer: C
obese client, newly A health promotion brochure about decreasing cholesterol
diagnosed with (C) is most important to provide this client, because the
most significant risk factor contributing to development of
arteriosclerosis, about
arteriosclerosis is excess dietary fat, particularly saturated
reducing the risk of a heart fat and cholesterol. (A) does not address the underlying
attack or stroke. causes of arteriosclerosis. (B and D) are also important
Which health promotion factors for reversing arteriosclerosis but are not as
important as lowering cholesterol (C).
brochure is most important
for the nurse to provide to
this client? A. "Monitoring
Your Blood
Pressure at Home"
B. "Smoking Cessation
as a
Lifelong Commitment"
C. "Decreasing
Cholesterol Levels
Through Diet"
D. "Stress Management
fora Healthier You"
,Ten minutes after signing an Answer: B
operative permit for a This statement may indicate that the client is confused.
fractured hip, an older client Informed consent must be provided by a mentally
competent individual, so the nurse should further assess the
states, "The aliens will be
client's neurologic status (B) to be sure that the client
coming to get me soon!" and understands and can legally provide consent for surgery. (A)
falls asleep. Which action does not provide sufficient follow-up. If the nurse
should the nurse implement determines that the client is confused, the surgeon must be
notified (C) and permission obtained from the next of kin
next? A. Make the client
(D).
comfortable and allow the
client to sleep.
B. Assess the
client'sneurologic status.
C. Notify the
surgeonabout the comment.
D. Ask the client's family
toco-sign the operative
permit.
, The nurse-manager of a Answer: A
skilled nursing (chronic Performing range-of-motion exercises (A) is beneficial in
care) unit is instructing reducing contractures around joints. (B, C, and D) are all
potentially harmful practices that place the immobile client
UAPs on ways to prevent
at risk of complications.
complications of
immobility. Which
intervention should be
included in this instruction?
A. Perform range-of-
motion exercises to prevent
contractures.
B. Decrease the
client'sfluid intake to prevent
diarrhea.
C. Massage the
client'slegs to reduce
embolism occurrence.
D. Turn the client from
sideto back every shift.
& Expertly Verified Answers, .
Terms in this set (74)
Urinary catheterization is Answer: C
prescribed for a It is likely that the first catheter is in the vagina, rather than
postoperative female client the bladder. Leaving the first catheter in place will help
locate the meatus when attempting the second
who has been unable to void
catheterization (C). The client should have at least 240 mL of
for 8 hours. The nurse inserts urine after 8 hours. (A) does not resolve the problem. (B)
the catheter, but no urine is will not change the location of the catheter unless it is
seen in the tubing. Which completely removed, in which case a new catheter must be
used. There is no evidence of a urinary tract obstruction if
action will the nurse take
the catheter could be easily inserted (D).
next?
A. Clamp the catheter
andrecheck it in 60 minutes.
B. Pull the catheter
back 3inches and redirect
upward.
C. Leave the catheter
inplace and reattempt with
another catheter.
D. Notify the health
careprovider of a possible
obstruction.
,The nurse is teaching an Answer: C
obese client, newly A health promotion brochure about decreasing cholesterol
diagnosed with (C) is most important to provide this client, because the
most significant risk factor contributing to development of
arteriosclerosis, about
arteriosclerosis is excess dietary fat, particularly saturated
reducing the risk of a heart fat and cholesterol. (A) does not address the underlying
attack or stroke. causes of arteriosclerosis. (B and D) are also important
Which health promotion factors for reversing arteriosclerosis but are not as
important as lowering cholesterol (C).
brochure is most important
for the nurse to provide to
this client? A. "Monitoring
Your Blood
Pressure at Home"
B. "Smoking Cessation
as a
Lifelong Commitment"
C. "Decreasing
Cholesterol Levels
Through Diet"
D. "Stress Management
fora Healthier You"
,Ten minutes after signing an Answer: B
operative permit for a This statement may indicate that the client is confused.
fractured hip, an older client Informed consent must be provided by a mentally
competent individual, so the nurse should further assess the
states, "The aliens will be
client's neurologic status (B) to be sure that the client
coming to get me soon!" and understands and can legally provide consent for surgery. (A)
falls asleep. Which action does not provide sufficient follow-up. If the nurse
should the nurse implement determines that the client is confused, the surgeon must be
notified (C) and permission obtained from the next of kin
next? A. Make the client
(D).
comfortable and allow the
client to sleep.
B. Assess the
client'sneurologic status.
C. Notify the
surgeonabout the comment.
D. Ask the client's family
toco-sign the operative
permit.
, The nurse-manager of a Answer: A
skilled nursing (chronic Performing range-of-motion exercises (A) is beneficial in
care) unit is instructing reducing contractures around joints. (B, C, and D) are all
potentially harmful practices that place the immobile client
UAPs on ways to prevent
at risk of complications.
complications of
immobility. Which
intervention should be
included in this instruction?
A. Perform range-of-
motion exercises to prevent
contractures.
B. Decrease the
client'sfluid intake to prevent
diarrhea.
C. Massage the
client'slegs to reduce
embolism occurrence.
D. Turn the client from
sideto back every shift.
