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FUNDAMENTALS HESI EVOLVE EXAM 2025 | COMPLETE
QUESTIONS AND CORRECT ANSWERS WITH
EXPLANATIONS | GRADED A+ | PROFESSOR VERIFIED |
LATEST EXAM
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NSG 170 Cellular Regulation ATI Nutrition Proctored Exam Adult Health 2 HESI
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An elderly client with a fractured To avoid shearing forces when repositioning, the client should be
left hip is on strict bedrest. lifted gently across a surface (D). Reddened areas should not be
Which nursing measure is massaged (A) since this may increase the damage to already
essential to the client's nursing traumatized skin. To control pain and muscle spasms, active
care? range of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client with a
A. Massage any reddened areas fractured left hip.
for at least five minutes.
B. Encourage active range of Correct Answer: D
motion exercises on extremities.
C. Position the client laterally,
prone, and dorsally in sequence.
D. Gently lift the client when
moving into a desired position.
See an expert-written answer!
,The nurse is administering The NGT should be flushed before, after and in between each
medications through a medication administered (B). Once all medications are
nasogastric tube (NGT) which is administered, the NGT should be clamped for 20 minutes (A). (C
connected to suction. After and D) may be implemented only after the tubing has been
ensuring correct tube flushed.
placement, what action should
the nurse take next? Correct Answer: B
A. Clamp the tube for 20
minutes.
B. Flush the tube with water.
C. Administer the medications as
prescribed.
D. Crush the tablets and dissolve
in sterile water.
A client who is in hospice care The most effective management of pain is achieved using an
complains of increasing amounts around-the-clock schedule that provides analgesic medications
of pain. The healthcare provider on a regular basis (A) and in a timely manner. Analgesics are less
prescribes an analgesic every effective if pain persists until it is severe, so an analgesic
four hours as needed. Which medication should be administered before the client's pain peaks
action should the nurse (B). Providing comfort is a priority for the client who is dying, but
implement? sedation that impairs the client's ability to interact and
experience the time before life ends should be minimized (C).
A. Give an around-the-clock Offering a medication-free period allows the serum drug level to
schedule for administration of fall, which is not an effective method to manage chronic pain (D).
analgesics.
B. Administer analgesic Correct Answer: A
medication as needed when the
pain is severe.
C. Provide medication to keep
the client sedated and unaware
of stimuli.
D. Offer a medication-free
period so that the client can do
daily activities.
When assessing a client with The priority nursing action is to restore circulation by loosening
wrist restraints, the nurse the restraint (A), because blue fingers (cyanosis) indicates
observes that the fingers on the decreased circulation. (C and D) are also important nursing
right hand are blue. What action interventions, but do not have the priority of (A). Pulse oximetry
should the nurse implement (B) measures the saturation of hemoglobin with oxygen and is
first? not indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
A. Loosen the right wrist
restraint. Correct Answer: A
B. Apply a pulse oximeter to the
right hand.
C. Compare hand color
bilaterally.
D. Palpate the right radial pulse.
See an expert-written answer!
,The nurse is assessing the A lactating woman (B) has the greatest need for additional
nutritional status of several protein intake. (A, C, and D) are all conditions that require
clients. Which client has the protein, but do not have the increased metabolic protein
greatest nutritional need for demands of lactation.
additional intake of protein?
Correct Answer: B
A. A college-age track runner
with a sprained ankle.
B. A lactating woman nursing her
3-day-old infant.
C. A school-aged child with
Type 2 diabetes.
D. An elderly man being treated
for a peptic ulcer.
See an expert-written answer!
A client is in the radiology To ensure that a therapeutic level of medication is maintained,
department at 0900 when the the nurse should administer the missed dose as soon as possible,
prescription levofloxacin and revise the administration schedule accordingly to prevent
(Levaquin) 500 mg IV q24h is dangerously increasing the level of the medication in the
scheduled to be administered. bloodstream (D). The nurse should document the reason for the
The client returns to the unit at late dose, but (A and C) are not warranted. (B) could result in
1300. What is the best increased blood levels of the drug.
intervention for the nurse to
implement? Correct Answer: D
A. Contact the healthcare
provider and complete a
medication variance form.
B. Administer the Levaquin at
1300 and resume the 0900
schedule in the morning.
C. Notify the charge nurse and
complete an incident report to
explain the missed dose.
D. Give the missed dose at 1300
and change the schedule to
administer daily at 1300.
See an expert-written answer!
, While instructing a male client's The wife is performing the passive ROM correctly, therefore the
wife in the performance of nurse should acknowledge this fact (A). The joint that is being
passive range-of-motion exercised should be uncovered (B) while the rest of the body
exercises to his contracted should remain covered for warmth and privacy. (C and D) do not
shoulder, the nurse observes provide adequate support to the joint while still allowing for joint
that she is holding his arm above movement.
and below the elbow. What
nursing action should the nurse Correct Answer: A
implement?
A. Acknowledge that she is
supporting the arm correctly.
B. Encourage her to keep the
joint covered to maintain
warmth.
C. Reinforce the need to grip
directly under the joint for better
support.
D. Instruct her to grip directly
over the joint for better motion.
What is the most important Venous return is usually better in the upper extremities.
reason for starting intravenous Cannulation of the veins in the lower extremities increases the
infusions in the upper risk of thrombus formation (B) which, if dislodged, could be life-
extremities rather than the lower threatening. Superficial veins are often very easy (A) to find in the
extremities of adults? feet and legs. Handling a leg or foot with an IV (C) is probably
not any more difficult than handling an arm or hand. Even if the
A. It is more difficult to find a nurse did believe moving a cannulated leg was more difficult,
superficial vein in the feet and this is not the most important reason for using the upper
ankles. extremities. Pain (D) is not a consideration.
B. A decreased flow rate could
result in the formation of a Correct Answer: B
thrombosis.
C. A cannulated extremity is
more difficult to move when the
leg or foot is used.
D. Veins are located deep in the
feet and ankles, resulting in a
more painful procedure.
See an expert-written answer!
FUNDAMENTALS HESI EVOLVE EXAM 2025 | COMPLETE
QUESTIONS AND CORRECT ANSWERS WITH
EXPLANATIONS | GRADED A+ | PROFESSOR VERIFIED |
LATEST EXAM
Save
Students also studied
Flashcard sets Study guides
NSG 170 Cellular Regulation ATI Nutrition Proctored Exam Adult Health 2 HESI
71 terms 77 terms Teacher 55 terms
Maggie_Mwai Preview coldpalmer20 Preview gichuki911
An elderly client with a fractured To avoid shearing forces when repositioning, the client should be
left hip is on strict bedrest. lifted gently across a surface (D). Reddened areas should not be
Which nursing measure is massaged (A) since this may increase the damage to already
essential to the client's nursing traumatized skin. To control pain and muscle spasms, active
care? range of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client with a
A. Massage any reddened areas fractured left hip.
for at least five minutes.
B. Encourage active range of Correct Answer: D
motion exercises on extremities.
C. Position the client laterally,
prone, and dorsally in sequence.
D. Gently lift the client when
moving into a desired position.
See an expert-written answer!
,The nurse is administering The NGT should be flushed before, after and in between each
medications through a medication administered (B). Once all medications are
nasogastric tube (NGT) which is administered, the NGT should be clamped for 20 minutes (A). (C
connected to suction. After and D) may be implemented only after the tubing has been
ensuring correct tube flushed.
placement, what action should
the nurse take next? Correct Answer: B
A. Clamp the tube for 20
minutes.
B. Flush the tube with water.
C. Administer the medications as
prescribed.
D. Crush the tablets and dissolve
in sterile water.
A client who is in hospice care The most effective management of pain is achieved using an
complains of increasing amounts around-the-clock schedule that provides analgesic medications
of pain. The healthcare provider on a regular basis (A) and in a timely manner. Analgesics are less
prescribes an analgesic every effective if pain persists until it is severe, so an analgesic
four hours as needed. Which medication should be administered before the client's pain peaks
action should the nurse (B). Providing comfort is a priority for the client who is dying, but
implement? sedation that impairs the client's ability to interact and
experience the time before life ends should be minimized (C).
A. Give an around-the-clock Offering a medication-free period allows the serum drug level to
schedule for administration of fall, which is not an effective method to manage chronic pain (D).
analgesics.
B. Administer analgesic Correct Answer: A
medication as needed when the
pain is severe.
C. Provide medication to keep
the client sedated and unaware
of stimuli.
D. Offer a medication-free
period so that the client can do
daily activities.
When assessing a client with The priority nursing action is to restore circulation by loosening
wrist restraints, the nurse the restraint (A), because blue fingers (cyanosis) indicates
observes that the fingers on the decreased circulation. (C and D) are also important nursing
right hand are blue. What action interventions, but do not have the priority of (A). Pulse oximetry
should the nurse implement (B) measures the saturation of hemoglobin with oxygen and is
first? not indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
A. Loosen the right wrist
restraint. Correct Answer: A
B. Apply a pulse oximeter to the
right hand.
C. Compare hand color
bilaterally.
D. Palpate the right radial pulse.
See an expert-written answer!
,The nurse is assessing the A lactating woman (B) has the greatest need for additional
nutritional status of several protein intake. (A, C, and D) are all conditions that require
clients. Which client has the protein, but do not have the increased metabolic protein
greatest nutritional need for demands of lactation.
additional intake of protein?
Correct Answer: B
A. A college-age track runner
with a sprained ankle.
B. A lactating woman nursing her
3-day-old infant.
C. A school-aged child with
Type 2 diabetes.
D. An elderly man being treated
for a peptic ulcer.
See an expert-written answer!
A client is in the radiology To ensure that a therapeutic level of medication is maintained,
department at 0900 when the the nurse should administer the missed dose as soon as possible,
prescription levofloxacin and revise the administration schedule accordingly to prevent
(Levaquin) 500 mg IV q24h is dangerously increasing the level of the medication in the
scheduled to be administered. bloodstream (D). The nurse should document the reason for the
The client returns to the unit at late dose, but (A and C) are not warranted. (B) could result in
1300. What is the best increased blood levels of the drug.
intervention for the nurse to
implement? Correct Answer: D
A. Contact the healthcare
provider and complete a
medication variance form.
B. Administer the Levaquin at
1300 and resume the 0900
schedule in the morning.
C. Notify the charge nurse and
complete an incident report to
explain the missed dose.
D. Give the missed dose at 1300
and change the schedule to
administer daily at 1300.
See an expert-written answer!
, While instructing a male client's The wife is performing the passive ROM correctly, therefore the
wife in the performance of nurse should acknowledge this fact (A). The joint that is being
passive range-of-motion exercised should be uncovered (B) while the rest of the body
exercises to his contracted should remain covered for warmth and privacy. (C and D) do not
shoulder, the nurse observes provide adequate support to the joint while still allowing for joint
that she is holding his arm above movement.
and below the elbow. What
nursing action should the nurse Correct Answer: A
implement?
A. Acknowledge that she is
supporting the arm correctly.
B. Encourage her to keep the
joint covered to maintain
warmth.
C. Reinforce the need to grip
directly under the joint for better
support.
D. Instruct her to grip directly
over the joint for better motion.
What is the most important Venous return is usually better in the upper extremities.
reason for starting intravenous Cannulation of the veins in the lower extremities increases the
infusions in the upper risk of thrombus formation (B) which, if dislodged, could be life-
extremities rather than the lower threatening. Superficial veins are often very easy (A) to find in the
extremities of adults? feet and legs. Handling a leg or foot with an IV (C) is probably
not any more difficult than handling an arm or hand. Even if the
A. It is more difficult to find a nurse did believe moving a cannulated leg was more difficult,
superficial vein in the feet and this is not the most important reason for using the upper
ankles. extremities. Pain (D) is not a consideration.
B. A decreased flow rate could
result in the formation of a Correct Answer: B
thrombosis.
C. A cannulated extremity is
more difficult to move when the
leg or foot is used.
D. Veins are located deep in the
feet and ankles, resulting in a
more painful procedure.
See an expert-written answer!
