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Evolve- Hesi Fundamental Skills
Questions with Detailed Verified
Answers Graded A+
Which activity would the nurse use as an example of fine motor skills of
infants aged 2 to 4 months? Ans: 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? Ans: 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? Ans: Reality orientation
After abdominal surgery a client reports pain. What action should the nurse
take first? Ans: 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? Ans: Accidents, including their prevention
Which statement is true about the nursing model "team nursing"? Ans:
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? Ans: Explanation
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Which theories are most relevant to development in adults? Select all that
apply. Ans: 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? Ans: Launching children
and moving on
Which right of delegation refers to the giving of clear, concise descriptions of
a task to the delegatee? Ans: 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? Ans: 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? Ans: "Does it help to joke about your illness?"
What type of functional health pattern would the nurse explain describes
values and goals? Ans: 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? Ans: Place a surgical mask on the client.
How can a nurse best evaluate the effectiveness of communication with a
client? Ans: Client feedback
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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? Ans: 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? Ans: 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? Ans: "Of course. I want to do
whatever I can for you."
Which developmental changes should be evaluated in girls around 12 years of
age? Ans: 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? Ans: Sodium bicarbonate
What principal components are associated with a nurse's time management
skill? Select all that apply. Ans: Goal setting
Priority setting
Interruption control
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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?
Ans: Acknowledge that the client's withdrawal is an expected and necessary
part of initial grieving
Which concept refers to respecting the rights of others? Ans: 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? Ans: "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. Ans: 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: Ans: "The thirst reflex diminishes
with age, and therefore the recognition of the need for fluid is decreased."
Evolve- Hesi Fundamental Skills
Questions with Detailed Verified
Answers Graded A+
Which activity would the nurse use as an example of fine motor skills of
infants aged 2 to 4 months? Ans: 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? Ans: 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? Ans: Reality orientation
After abdominal surgery a client reports pain. What action should the nurse
take first? Ans: 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? Ans: Accidents, including their prevention
Which statement is true about the nursing model "team nursing"? Ans:
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? Ans: Explanation
,2|Page
Which theories are most relevant to development in adults? Select all that
apply. Ans: 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? Ans: Launching children
and moving on
Which right of delegation refers to the giving of clear, concise descriptions of
a task to the delegatee? Ans: 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? Ans: 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? Ans: "Does it help to joke about your illness?"
What type of functional health pattern would the nurse explain describes
values and goals? Ans: 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? Ans: Place a surgical mask on the client.
How can a nurse best evaluate the effectiveness of communication with a
client? Ans: Client feedback
,3|Page
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? Ans: 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? Ans: 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? Ans: "Of course. I want to do
whatever I can for you."
Which developmental changes should be evaluated in girls around 12 years of
age? Ans: 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? Ans: Sodium bicarbonate
What principal components are associated with a nurse's time management
skill? Select all that apply. Ans: Goal setting
Priority setting
Interruption control
, 4|Page
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?
Ans: Acknowledge that the client's withdrawal is an expected and necessary
part of initial grieving
Which concept refers to respecting the rights of others? Ans: 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? Ans: "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. Ans: 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: Ans: "The thirst reflex diminishes
with age, and therefore the recognition of the need for fluid is decreased."
