Evolve- Hesi Fundamental Skills UPDATED
ACTUAL Questions and CORRECT
Answers
Which activity would the nurse use as an example of fine motor skills of infants aged 2 to 4
months? - CORRECT ANSWER -Bringing objects from hand to mouth
A client with cystic fibrosis asks why the percussion procedure is being performed. The nurse
explains that the primary purpose of percussion is to do what? - CORRECT ANSWER -
Loosen pulmonary secretions
An older adult in an acute care setting is experiencing emotional stress because of a recent
surgery. Which intervention would be most appropriate for the client? - CORRECT
ANSWER -Reality orientation
After abdominal surgery a client reports pain. What action should the nurse take first? -
CORRECT ANSWER -Determine the characteristics of the pain
When planning discharge teaching for a young adult, the nurse should include the potential
health problems common in this age group. What should the nurse include in this teaching plan?
- CORRECT ANSWER -Accidents, including their prevention
Which statement is true about the nursing model "team nursing"? - CORRECT
ANSWER -Hierarchical communication exists from charge nurse to charge nurse, charge
nurse to team leader, and team leader to team members.
A registered nurse instructs a nursing student to use knowledge and experience to choose proper
strategies to use to care for clients. Which critical-thinking skill does the registered nurse refer
to? - CORRECT ANSWER -Explanation
Which theories are most relevant to development in adults? Select all that apply. - CORRECT
ANSWER -Life Span approach
,Stage-Crisis theory
A nurse is assessing a middle-aged client whose children have left home in search of work. The
client is trying to adjust to these family changes. Which family life-cycle stage is the client going
through? - CORRECT ANSWER -Launching children and moving on
Which right of delegation refers to the giving of clear, concise descriptions of a task to the
delegatee? - CORRECT ANSWER -Right communication
A client admitted to the hospital with a diagnosis of malabsorption syndrome exhibits signs of
tetany. The nurse concludes that the tetany was precipitated by the inadequate absorption of
which electrolyte? - CORRECT ANSWER -Calcium
A client who is dying jokes about the situation even though the client is becoming sicker and
weaker. Which is the most therapeutic response by the nurse? - CORRECT ANSWER -
"Does it help to joke about your illness?"
What type of functional health pattern would the nurse explain describes values and goals? -
CORRECT ANSWER -Value-belief pattern
A client being treated for influenza A (H1N1) is scheduled for a computed tomography (CT)
scan. To ensure client and visitor safety during transport, the nurse should take which
precaution? - CORRECT ANSWER -Place a surgical mask on the client.
How can a nurse best evaluate the effectiveness of communication with a client? - CORRECT
ANSWER -Client feedback
Nursing actions for an older adult should include health education and promotion of self-care.
Which is most important when working with an older adult client? - CORRECT
ANSWER -Reinforcing the client's strengths and promoting reminiscing
,A client with a leg prosthesis and a history of syncopal episodes is being admitted to the hospital.
When formulating the plan of care for this client, the nurse should include that the client is at risk
for what? - CORRECT ANSWER -Falls
A home health nurse on a first visit checks the client's vital signs and obtains a blood sample for
an international normalized ratio (INR). After these tasks are completed, the client asks the nurse
to straighten the blankets on the bed. What is the nurse's most appropriate response? -
CORRECT ANSWER -"Of course. I want to do whatever I can for you."
Which developmental changes should be evaluated in girls around 12 years of age? - CORRECT
ANSWER -Skeletal Growth
A nurse is reviewing how a hyperglycemic client's blood glucose can be lowered. The nurse
recalls that the chemical that buffers the client's excessive acetoacetic acid is what? - CORRECT
ANSWER -Sodium bicarbonate
What principal components are associated with a nurse's time management skill? Select all that
apply. - CORRECT ANSWER -Goal setting
Priority setting
Interruption control
On the third postoperative day after a below-the-knee amputation, a client is refusing to eat, talk,
or perform any rehabilitative activities. What is the best initial approach that the nurse should
take when interacting with this client? - CORRECT ANSWER -Acknowledge that the
client's withdrawal is an expected and necessary part of initial grieving
Which concept refers to respecting the rights of others? - CORRECT ANSWER -Open-
mindedness
, A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I love
him, but I don't want to upset him." Which is the best response by the nurse? - CORRECT
ANSWER -"Why don't you share your feelings with him while you can?"
Which fine-motor skills may be observed in an 8 to 10 month-old infant? Select all that apply. -
CORRECT ANSWER -Using pincer grasp well
Picking up small objects
Showing hand preference
An 80-year-old client is admitted to the hospital because of complications associated with severe
dehydration. The client's daughter asks the nurse how her mother could have become dehydrated,
because she is alert and able to care for herself. The nurse's best response is: - CORRECT
ANSWER -"The thirst reflex diminishes with age, and therefore the recognition of the
need for fluid is decreased."
What are the goals of care when working with families according to the family health system?
Select all that apply. - CORRECT ANSWER -To improve family health or well-being
To assist in family management of illness conditions
To achieve health outcomes related to the family's areas of concern
Which intrinsic factor is associated with the fall of an older adult? - CORRECT
ANSWER -De conditioning
A nurse is taking the vital signs of a client who has just been admitted to the healthcare facility.
Which intervention by the nurse provides greater client satisfaction? - CORRECT
ANSWER -The nurse adjusts the bed and asks if the client is comfortable.
ACTUAL Questions and CORRECT
Answers
Which activity would the nurse use as an example of fine motor skills of infants aged 2 to 4
months? - CORRECT ANSWER -Bringing objects from hand to mouth
A client with cystic fibrosis asks why the percussion procedure is being performed. The nurse
explains that the primary purpose of percussion is to do what? - CORRECT ANSWER -
Loosen pulmonary secretions
An older adult in an acute care setting is experiencing emotional stress because of a recent
surgery. Which intervention would be most appropriate for the client? - CORRECT
ANSWER -Reality orientation
After abdominal surgery a client reports pain. What action should the nurse take first? -
CORRECT ANSWER -Determine the characteristics of the pain
When planning discharge teaching for a young adult, the nurse should include the potential
health problems common in this age group. What should the nurse include in this teaching plan?
- CORRECT ANSWER -Accidents, including their prevention
Which statement is true about the nursing model "team nursing"? - CORRECT
ANSWER -Hierarchical communication exists from charge nurse to charge nurse, charge
nurse to team leader, and team leader to team members.
A registered nurse instructs a nursing student to use knowledge and experience to choose proper
strategies to use to care for clients. Which critical-thinking skill does the registered nurse refer
to? - CORRECT ANSWER -Explanation
Which theories are most relevant to development in adults? Select all that apply. - CORRECT
ANSWER -Life Span approach
,Stage-Crisis theory
A nurse is assessing a middle-aged client whose children have left home in search of work. The
client is trying to adjust to these family changes. Which family life-cycle stage is the client going
through? - CORRECT ANSWER -Launching children and moving on
Which right of delegation refers to the giving of clear, concise descriptions of a task to the
delegatee? - CORRECT ANSWER -Right communication
A client admitted to the hospital with a diagnosis of malabsorption syndrome exhibits signs of
tetany. The nurse concludes that the tetany was precipitated by the inadequate absorption of
which electrolyte? - CORRECT ANSWER -Calcium
A client who is dying jokes about the situation even though the client is becoming sicker and
weaker. Which is the most therapeutic response by the nurse? - CORRECT ANSWER -
"Does it help to joke about your illness?"
What type of functional health pattern would the nurse explain describes values and goals? -
CORRECT ANSWER -Value-belief pattern
A client being treated for influenza A (H1N1) is scheduled for a computed tomography (CT)
scan. To ensure client and visitor safety during transport, the nurse should take which
precaution? - CORRECT ANSWER -Place a surgical mask on the client.
How can a nurse best evaluate the effectiveness of communication with a client? - CORRECT
ANSWER -Client feedback
Nursing actions for an older adult should include health education and promotion of self-care.
Which is most important when working with an older adult client? - CORRECT
ANSWER -Reinforcing the client's strengths and promoting reminiscing
,A client with a leg prosthesis and a history of syncopal episodes is being admitted to the hospital.
When formulating the plan of care for this client, the nurse should include that the client is at risk
for what? - CORRECT ANSWER -Falls
A home health nurse on a first visit checks the client's vital signs and obtains a blood sample for
an international normalized ratio (INR). After these tasks are completed, the client asks the nurse
to straighten the blankets on the bed. What is the nurse's most appropriate response? -
CORRECT ANSWER -"Of course. I want to do whatever I can for you."
Which developmental changes should be evaluated in girls around 12 years of age? - CORRECT
ANSWER -Skeletal Growth
A nurse is reviewing how a hyperglycemic client's blood glucose can be lowered. The nurse
recalls that the chemical that buffers the client's excessive acetoacetic acid is what? - CORRECT
ANSWER -Sodium bicarbonate
What principal components are associated with a nurse's time management skill? Select all that
apply. - CORRECT ANSWER -Goal setting
Priority setting
Interruption control
On the third postoperative day after a below-the-knee amputation, a client is refusing to eat, talk,
or perform any rehabilitative activities. What is the best initial approach that the nurse should
take when interacting with this client? - CORRECT ANSWER -Acknowledge that the
client's withdrawal is an expected and necessary part of initial grieving
Which concept refers to respecting the rights of others? - CORRECT ANSWER -Open-
mindedness
, A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I love
him, but I don't want to upset him." Which is the best response by the nurse? - CORRECT
ANSWER -"Why don't you share your feelings with him while you can?"
Which fine-motor skills may be observed in an 8 to 10 month-old infant? Select all that apply. -
CORRECT ANSWER -Using pincer grasp well
Picking up small objects
Showing hand preference
An 80-year-old client is admitted to the hospital because of complications associated with severe
dehydration. The client's daughter asks the nurse how her mother could have become dehydrated,
because she is alert and able to care for herself. The nurse's best response is: - CORRECT
ANSWER -"The thirst reflex diminishes with age, and therefore the recognition of the
need for fluid is decreased."
What are the goals of care when working with families according to the family health system?
Select all that apply. - CORRECT ANSWER -To improve family health or well-being
To assist in family management of illness conditions
To achieve health outcomes related to the family's areas of concern
Which intrinsic factor is associated with the fall of an older adult? - CORRECT
ANSWER -De conditioning
A nurse is taking the vital signs of a client who has just been admitted to the healthcare facility.
Which intervention by the nurse provides greater client satisfaction? - CORRECT
ANSWER -The nurse adjusts the bed and asks if the client is comfortable.
