EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM BANK ACCURATE REAL EXAM
CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
Fractured left hip nursing care - (answer)The client should be lifted gently across a surface to avoid
shearing forces when repositioning.
NGT medication administration - (answer)The NGT should be flushed before, after and in between each
medication administered.
Pain management in hospice care - (answer)The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a regular basis.
Wrist restraints assessment - (answer)If the fingers on the right hand are blue, the nurse should
implement an immediate action to assess circulation and relieve the restraint.
Loosen the right wrist restraint - (answer)The priority nursing action is to restore circulation by
loosening the restraint because blue fingers (cyanosis) indicates decreased circulation.
Apply a pulse oximeter to the right hand - (answer)Pulse oximetry measures the saturation of
hemoglobin with oxygen and is not indicated in situations where the cyanosis is related to mechanical
compression (the restraints).
Compare hand color bilaterally - (answer)This is an important nursing intervention, but does not have
the priority of loosening the restraint.
Palpate the right radial pulse - (answer)This is also an important nursing intervention, but does not have
the priority of loosening the restraint.
A lactating woman nursing her 3-day-old infant - (answer)This client has the greatest nutritional need for
additional protein intake.
,EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM BANK ACCURATE REAL EXAM
CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
A college-age track runner with a sprained ankle - (answer)This condition requires protein, but does not
have the increased metabolic protein demands of lactation.
A school-aged child with Type 2 diabetes - (answer)This condition requires protein, but does not have
the increased metabolic protein demands of lactation.
An elderly man being treated for a peptic ulcer - (answer)This condition requires protein, but does not
have the increased metabolic protein demands of lactation.
Levofloxacin (Levaquin) 500 mg IV q24h - (answer)The best intervention for the nurse is to administer
the missed dose as soon as possible and revise the administration schedule accordingly.
Contact the healthcare provider and complete a medication variance form - (answer)This action is not
warranted in this situation.
Notify the charge nurse and complete an incident report to explain the missed dose - (answer)This
action is not warranted in this situation.
Give the missed dose at 1300 and change the schedule to administer daily at 1300 - (answer)This
ensures that a therapeutic level of medication is maintained.
Acknowledge that she is supporting the arm correctly - (answer)The wife is performing the passive ROM
correctly.
,EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM BANK ACCURATE REAL EXAM
CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
Encourage her to keep the joint covered to maintain warmth - (answer)The joint that is being exercised
should be uncovered while the rest of the body should remain covered for warmth and privacy.
Reinforce the need to grip directly under the joint for better support - (answer)This does not provide
adequate support to the joint while still allowing for joint movement.
Instruct her to grip directly over the joint for better motion - (answer)This does not provide adequate
support to the joint while still allowing for joint movement.
It is more difficult to find a superficial vein in the feet and ankles - (answer)This is one important reason
for starting intravenous infusions in the upper extremities rather than the lower extremities of adults.
A decreased flow rate could result in the formation of a thrombosis - (answer)This is another important
reason for starting intravenous infusions in the upper extremities rather than the lower extremities of
adults.
A cannulated extremity is more difficult to move when the leg or foot is used - (answer)This is another
important reason for starting intravenous infusions in the upper extremities rather than the lower
extremities of adults.
Venous return - (answer)Venous return is usually better in the upper extremities.
Thrombus formation - (answer)Cannulation of the veins in the lower extremities increases the risk of
thrombus formation, which, if dislodged, could be life-threatening.
Superficial veins - (answer)Superficial veins are often very easy to find in the feet and legs.
, EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM BANK ACCURATE REAL EXAM
CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
IV handling difficulty - (answer)Handling a leg or foot with an IV is probably not any more difficult than
handling an arm or hand.
Pain consideration - (answer)Pain is not a consideration when choosing the site for cannulation.
Blood pressure assessment - (answer)The most important action is to ensure that an accurate BP
reading is obtained.
Correct cuff size - (answer)The nurse should reassess the BP with the correct size cuff.
Thermal adaptation - (answer)Thermal adaptation occurs 20 to 30 minutes after heat application.
Client response to heat application - (answer)The body's receptors adapt over time as they are exposed
to heat.
Cholesterol diet modification - (answer)Limiting saturated fat from animal food sources to no more than
4 ounces per week is an important diet modification for lowering cholesterol.
Exercise recommendation - (answer)To be effective in reducing cholesterol, the client should exercise 30
minutes per day, or at least 4 to 6 times per week.
Red meat consumption - (answer)Red meat and all proteins do not need to be eliminated to lower
cholesterol, but should be restricted to lean cuts of red meat and smaller portions (2-ounce servings).
CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
Fractured left hip nursing care - (answer)The client should be lifted gently across a surface to avoid
shearing forces when repositioning.
NGT medication administration - (answer)The NGT should be flushed before, after and in between each
medication administered.
Pain management in hospice care - (answer)The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a regular basis.
Wrist restraints assessment - (answer)If the fingers on the right hand are blue, the nurse should
implement an immediate action to assess circulation and relieve the restraint.
Loosen the right wrist restraint - (answer)The priority nursing action is to restore circulation by
loosening the restraint because blue fingers (cyanosis) indicates decreased circulation.
Apply a pulse oximeter to the right hand - (answer)Pulse oximetry measures the saturation of
hemoglobin with oxygen and is not indicated in situations where the cyanosis is related to mechanical
compression (the restraints).
Compare hand color bilaterally - (answer)This is an important nursing intervention, but does not have
the priority of loosening the restraint.
Palpate the right radial pulse - (answer)This is also an important nursing intervention, but does not have
the priority of loosening the restraint.
A lactating woman nursing her 3-day-old infant - (answer)This client has the greatest nutritional need for
additional protein intake.
,EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM BANK ACCURATE REAL EXAM
CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
A college-age track runner with a sprained ankle - (answer)This condition requires protein, but does not
have the increased metabolic protein demands of lactation.
A school-aged child with Type 2 diabetes - (answer)This condition requires protein, but does not have
the increased metabolic protein demands of lactation.
An elderly man being treated for a peptic ulcer - (answer)This condition requires protein, but does not
have the increased metabolic protein demands of lactation.
Levofloxacin (Levaquin) 500 mg IV q24h - (answer)The best intervention for the nurse is to administer
the missed dose as soon as possible and revise the administration schedule accordingly.
Contact the healthcare provider and complete a medication variance form - (answer)This action is not
warranted in this situation.
Notify the charge nurse and complete an incident report to explain the missed dose - (answer)This
action is not warranted in this situation.
Give the missed dose at 1300 and change the schedule to administer daily at 1300 - (answer)This
ensures that a therapeutic level of medication is maintained.
Acknowledge that she is supporting the arm correctly - (answer)The wife is performing the passive ROM
correctly.
,EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM BANK ACCURATE REAL EXAM
CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
Encourage her to keep the joint covered to maintain warmth - (answer)The joint that is being exercised
should be uncovered while the rest of the body should remain covered for warmth and privacy.
Reinforce the need to grip directly under the joint for better support - (answer)This does not provide
adequate support to the joint while still allowing for joint movement.
Instruct her to grip directly over the joint for better motion - (answer)This does not provide adequate
support to the joint while still allowing for joint movement.
It is more difficult to find a superficial vein in the feet and ankles - (answer)This is one important reason
for starting intravenous infusions in the upper extremities rather than the lower extremities of adults.
A decreased flow rate could result in the formation of a thrombosis - (answer)This is another important
reason for starting intravenous infusions in the upper extremities rather than the lower extremities of
adults.
A cannulated extremity is more difficult to move when the leg or foot is used - (answer)This is another
important reason for starting intravenous infusions in the upper extremities rather than the lower
extremities of adults.
Venous return - (answer)Venous return is usually better in the upper extremities.
Thrombus formation - (answer)Cannulation of the veins in the lower extremities increases the risk of
thrombus formation, which, if dislodged, could be life-threatening.
Superficial veins - (answer)Superficial veins are often very easy to find in the feet and legs.
, EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM BANK ACCURATE REAL EXAM
CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
IV handling difficulty - (answer)Handling a leg or foot with an IV is probably not any more difficult than
handling an arm or hand.
Pain consideration - (answer)Pain is not a consideration when choosing the site for cannulation.
Blood pressure assessment - (answer)The most important action is to ensure that an accurate BP
reading is obtained.
Correct cuff size - (answer)The nurse should reassess the BP with the correct size cuff.
Thermal adaptation - (answer)Thermal adaptation occurs 20 to 30 minutes after heat application.
Client response to heat application - (answer)The body's receptors adapt over time as they are exposed
to heat.
Cholesterol diet modification - (answer)Limiting saturated fat from animal food sources to no more than
4 ounces per week is an important diet modification for lowering cholesterol.
Exercise recommendation - (answer)To be effective in reducing cholesterol, the client should exercise 30
minutes per day, or at least 4 to 6 times per week.
Red meat consumption - (answer)Red meat and all proteins do not need to be eliminated to lower
cholesterol, but should be restricted to lean cuts of red meat and smaller portions (2-ounce servings).
