ANSWERS|WELL STRUCTURED|100% PASS|
A hospitalized male client is receiv-
ing nasogastric tube feedings via a
small-bore tube and a continuous pump After clearing the tube with 30 ml of air,
infusion. He reports that he had a bad check the pH of fluid withdrawn from the
bout of severe coughing a few minutes tube.
ago, but feels fine now. What action is
best for the nurse to take?
A client is in the radiology department at
0900 when the prescription levofloxacin
Give the missed dose at 1300 and
(Levaquin) 500 mg IV q24h is scheduled
change the schedule to administer daily
to be administered. The client returns to
at 1300.
the unit at 1300. What is the best inter-
vention for the nurse to implement?
A client who is in hospice care com-
plains of increasing amounts of pain.The
Give an around-the-clock schedule for
healthcare provider prescribes an anal-
administration of analgesics.
gesic every four hours as needed. Which
action should the nurse implement?
After completing an assessment and de-
termining that a client has a problem,
determine the etiology of the problem
which action should the nurse perform
next?
What is the most important reason for
starting intravenous infusions in the up- A decreased flow rate could result in the
per extremities rather than the lower ex- formation of a thrombosis.
tremities of adults?
The nurse notices that the mother of
a 9-year-old Vietnamese child always
Continue asking the mother questions
looks at the floor when she talks to
about the child.
the nurse. What action should the nurse
take?
Which intervention is most important for
the nurse to implement for a male client Assess for bladder distention.
who is experiencing urinary retention?
A client who is a Jehovah's Witness is
Blood transfusions are forbidden.
admitted to the nursing unit. Which con-
, EVOLVE HESI FUNDAMENTAL FINAL EXAM QUESTIONS AND CORRECT
ANSWERS|WELL STRUCTURED|100% PASS|
cern should the nurse have for planning
care in terms of the client's beliefs?
While instructing a male client's wife in
the performance of passive range-of-mo-
tion exercises to his contracted shoul-
Acknowledge that she is supporting the
der, the nurse observes that she is hold-
arm correctly.
ing his arm above and below the elbow.
What nursing action should the nurse
implement?
An elderly male client who is unrespon-
sive following a cerebral vascular ac-
cident (CVA) is receiving bolus enter-
Fowler's.
al feedings though a gastrostomy tube.
What is the best client position for admin-
istration of the bolus tube feedings?
An adult male client with a history of hy-
pertension tells the nurse that he is tired
of taking antihypertensive medications It is important that you continue your
and is going to try spiritual meditation medication while learning to meditate.
instead. What should be the nurse's first
response?
A client is to receive cimetidine (Taga-
met) 300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50
ml of 0.9% NaCl. The nurse plans to ad-
150
minister the IVPB dose over 20 minutes.
For how many ml/hr should the infusion
pump be set to deliver the secondary
infusion?
The nurse is completing a mental as-
sessment for a client who is demonstrat-
ing slow thought processes, personality
Frontal lobe
changes, and emotional lability. Which
area of the brain controls these neu-
ro-cognitive functions?
A client is receiving a cephalosporin an-
tibiotic IV and complains of pain and ir-