Evolve Fundamentals UPDATED Questions
and CORRECT Answers
Which age-related change should the nurse consider when formulating a plan of care for an older
adult? - CORRECT ANSWER -Increased sensitivity to glare & diminished sensation of
pain
A nurse is caring for a client on bed rest. How can the nurse help prevent a pulmonary embolus?
- CORRECT ANSWER -Teach the client how to exercise the legs.
What are the clinical indicators that a nurse expects when an intravenous (IV) line has
infiltrated? - CORRECT ANSWER -Pallor, edema, decreased flow rate
A client with hemiplegia is staring blankly at the wall and reports feeling like half a person.
What is the most appropriate initial nursing action? - CORRECT ANSWER -Offer to
spend more time with the client.
A nurse is preparing to administer an ophthalmic medication to a client. What techniques should
the nurse use for this procedure? - CORRECT ANSWER -Clean the eyelid and eyelashes,
apply clean gloves before beginning of procedure, Press on the nasolacrimal duct after instilling
the solution
A nurse must establish and maintain an airway in a client who has experienced a near-drowning
in the ocean. For which potential danger should the nurse assess the client? - CORRECT
ANSWER -Pulmonary edema
What are the best ways for a nurse to be protected legally? - CORRECT ANSWER -
Provide care within the parameters of the state's nurse practice act, document consistently and
objectively, Clearly document a client's non-adherence to the medical regimen
A nurse is explaining the nursing process to a nursing assistant. Which step of the nursing
process should include interpretation of data collected about the client? - CORRECT
ANSWER -Evaluation
, What should the nurse do initially when obtaining consent for surgery? - CORRECT
ANSWER -Determine whether the client's knowledge level is sufficient to give consent
A client has received instructions to take 650 mg aspirin (ASA) every 6 hours as needed for
arthritic pain. What should the nurse include in the client's medication teaching? - CORRECT
ANSWER -Take the aspirin with meals or a snack, Do not chew enteric-coated tablets,
Report persistent abdominal pain
When reviewing a drug to be administered, the nurse identifies that the package insert indicates
that the Z-track injection technique should be used. Under what circumstance does the nurse
expect that this technique will be necessary? - CORRECT ANSWER -Medication is
irritating to subcutaneous tissue and skin.
Which drug requires the nurse to monitor the client for signs of hyperkalemia? - CORRECT
ANSWER -Spironolactone (Aldactone)
A nurse is caring for a client admitted with cardiovascular disease. During the assessment of the
client's lower extremities, the nurse notes that the client has thin, shiny skin, decreased hair
growth, and thickened toenails. The nurse understands that this may indicate: - CORRECT
ANSWER -Arterial Insufficiency
What should the nurse include in dietary teaching for a client with a colostomy? - CORRECT
ANSWER -The diet should be adjusted to include foods that result in manageable stools
A nurse is reviewing a plan of care for a client who was admitted with dehydration as a result of
prolonged watery diarrhea. Which prescription should the nurse question? - CORRECT
ANSWER -Parenteral albumin (Albuminar)
A hospitalized client experiences a fall after climbing over the bed's side rails. Upon reviewing
the client's medical record, the nurse discovers that restraints had been prescribed but were not in
place at the time of the fall. What information should the nurse include in the follow-up incident
report? - CORRECT ANSWER -A listing of facts related to the incident as witnessed by
the nurse
and CORRECT Answers
Which age-related change should the nurse consider when formulating a plan of care for an older
adult? - CORRECT ANSWER -Increased sensitivity to glare & diminished sensation of
pain
A nurse is caring for a client on bed rest. How can the nurse help prevent a pulmonary embolus?
- CORRECT ANSWER -Teach the client how to exercise the legs.
What are the clinical indicators that a nurse expects when an intravenous (IV) line has
infiltrated? - CORRECT ANSWER -Pallor, edema, decreased flow rate
A client with hemiplegia is staring blankly at the wall and reports feeling like half a person.
What is the most appropriate initial nursing action? - CORRECT ANSWER -Offer to
spend more time with the client.
A nurse is preparing to administer an ophthalmic medication to a client. What techniques should
the nurse use for this procedure? - CORRECT ANSWER -Clean the eyelid and eyelashes,
apply clean gloves before beginning of procedure, Press on the nasolacrimal duct after instilling
the solution
A nurse must establish and maintain an airway in a client who has experienced a near-drowning
in the ocean. For which potential danger should the nurse assess the client? - CORRECT
ANSWER -Pulmonary edema
What are the best ways for a nurse to be protected legally? - CORRECT ANSWER -
Provide care within the parameters of the state's nurse practice act, document consistently and
objectively, Clearly document a client's non-adherence to the medical regimen
A nurse is explaining the nursing process to a nursing assistant. Which step of the nursing
process should include interpretation of data collected about the client? - CORRECT
ANSWER -Evaluation
, What should the nurse do initially when obtaining consent for surgery? - CORRECT
ANSWER -Determine whether the client's knowledge level is sufficient to give consent
A client has received instructions to take 650 mg aspirin (ASA) every 6 hours as needed for
arthritic pain. What should the nurse include in the client's medication teaching? - CORRECT
ANSWER -Take the aspirin with meals or a snack, Do not chew enteric-coated tablets,
Report persistent abdominal pain
When reviewing a drug to be administered, the nurse identifies that the package insert indicates
that the Z-track injection technique should be used. Under what circumstance does the nurse
expect that this technique will be necessary? - CORRECT ANSWER -Medication is
irritating to subcutaneous tissue and skin.
Which drug requires the nurse to monitor the client for signs of hyperkalemia? - CORRECT
ANSWER -Spironolactone (Aldactone)
A nurse is caring for a client admitted with cardiovascular disease. During the assessment of the
client's lower extremities, the nurse notes that the client has thin, shiny skin, decreased hair
growth, and thickened toenails. The nurse understands that this may indicate: - CORRECT
ANSWER -Arterial Insufficiency
What should the nurse include in dietary teaching for a client with a colostomy? - CORRECT
ANSWER -The diet should be adjusted to include foods that result in manageable stools
A nurse is reviewing a plan of care for a client who was admitted with dehydration as a result of
prolonged watery diarrhea. Which prescription should the nurse question? - CORRECT
ANSWER -Parenteral albumin (Albuminar)
A hospitalized client experiences a fall after climbing over the bed's side rails. Upon reviewing
the client's medical record, the nurse discovers that restraints had been prescribed but were not in
place at the time of the fall. What information should the nurse include in the follow-up incident
report? - CORRECT ANSWER -A listing of facts related to the incident as witnessed by
the nurse
