EVOLVE FUNDAMENTALS HESI QUESTIONS
AND WITH VERIFIED ANSWERS GRADE A+
What is the most important reason for starting intravenous infusions in
the upper extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot
is used.
,D. Veins are located deep in the feet and ankles, resulting in a more
painful procedure. - ANSWER - Venous return is usually better in the
upper extremities. Cannulation of the veins in the lower extremities
increases the risk of thrombus formation (B) which, if dislodged, could
be life-threatening. Superficial veins are often very easy (A) to find in
the feet and legs. Handling a leg or foot with an IV (C) is probably not
any more difficult than handling an arm or hand. Even if the nurse did
believe moving a cannulated leg was more difficult, this is not the most
important reason for using the upper extremities. Pain (D) is not a
consideration.
Correct Answer: B
The nurse observes an unlicensed assistive personnel (UAP) taking a
client's blood pressure with a cuff that is too small, but the blood
pressure reading obtained is within the client's usual range. What
action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure. -
ANSWER - The most important action is to ensure that an accurate BP
reading is obtained. The nurse should reassess the BP with the correct
,size cuff (B). Reassessment should not be postponed (A). Though (C and
D) are likely indicated, these actions do not have the priority of (B).
Correct Answer: B
Twenty minutes after beginning a heat application, the client states that
the heating pad no longer feels warm enough. What is the best
response by the nurse?
A. "That means you have derived the maximum benefit, and the heat
can be removed."
B. "Your blood vessels are becoming dilated and removing the heat
from the site."
C. "We will increase the temperature 5 degrees when the pad no longer
feels warm."
D. "The body's receptors adapt over time as they are exposed to heat." -
ANSWER - (D) describes thermal adaptation, which occurs 20 to 30
minutes after heat application. (A and B) provide false information. (C)
is not based on a knowledge of physiology and is an unsafe action that
may harm the client.
Correct Answer: D
, 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?
AND WITH VERIFIED ANSWERS GRADE A+
What is the most important reason for starting intravenous infusions in
the upper extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot
is used.
,D. Veins are located deep in the feet and ankles, resulting in a more
painful procedure. - ANSWER - Venous return is usually better in the
upper extremities. Cannulation of the veins in the lower extremities
increases the risk of thrombus formation (B) which, if dislodged, could
be life-threatening. Superficial veins are often very easy (A) to find in
the feet and legs. Handling a leg or foot with an IV (C) is probably not
any more difficult than handling an arm or hand. Even if the nurse did
believe moving a cannulated leg was more difficult, this is not the most
important reason for using the upper extremities. Pain (D) is not a
consideration.
Correct Answer: B
The nurse observes an unlicensed assistive personnel (UAP) taking a
client's blood pressure with a cuff that is too small, but the blood
pressure reading obtained is within the client's usual range. What
action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure. -
ANSWER - The most important action is to ensure that an accurate BP
reading is obtained. The nurse should reassess the BP with the correct
,size cuff (B). Reassessment should not be postponed (A). Though (C and
D) are likely indicated, these actions do not have the priority of (B).
Correct Answer: B
Twenty minutes after beginning a heat application, the client states that
the heating pad no longer feels warm enough. What is the best
response by the nurse?
A. "That means you have derived the maximum benefit, and the heat
can be removed."
B. "Your blood vessels are becoming dilated and removing the heat
from the site."
C. "We will increase the temperature 5 degrees when the pad no longer
feels warm."
D. "The body's receptors adapt over time as they are exposed to heat." -
ANSWER - (D) describes thermal adaptation, which occurs 20 to 30
minutes after heat application. (A and B) provide false information. (C)
is not based on a knowledge of physiology and is an unsafe action that
may harm the client.
Correct Answer: D
, 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?
