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EVOLVE HESI FUNDAMENTALS EXAM
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HESI FUNDAMENTALS EXIT
EVOLVE ACTUAL EXAM
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1/22/2025
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JIMSE
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, EVOLVE HESI FUNDAMENTALS EXAM|| HESI
FUNDAMENTALS EXIT EVOLVE ACTUAL EXAM ALL
220 QUESTIONS AND 100% CORRECT ANSWERS.
COMPLETE UPDATE 2024-2025 WITH VERIFIED
SOLUTIONS
e
Urinary catheterization is prescribed for a postoperative female client who has been unable
to void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which
action will the nurse take next?
A. Clamp the catheter and recheck it in 60 minutes.
B. Pull the catheter back 3 inches and redirect upward.
C. Leave the catheter in place and reattempt with another catheter.
D. Notify the health care provider of a possible obstruction. * ANS* C
It is likely that the first catheter is in the vagina, rather than the bladder. Leaving the first
catheter in place will help locate the meatus when attempting the second catheterization
(C). The client should have at least 240 mL of urine after 8 hours.
(A) does not resolve the problem.
(B) will not change the location of the catheter unless it is completely removed, in which case a
new catheter must be used.
There is no evidence of a urinary tract obstruction if the catheter could be easily inserted (D).
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing
1
,the risk of a heart attack or stroke. Which health promotion brochure is most important for
the nurse to provide to this client?
A. "Monitoring Your Blood Pressure at Home"
2
, 2|Page
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You" * ANS* C
A health promotion brochure about decreasing cholesterol (C) is most important to provide
this client, because the most significant risk factor contributing to development of
arteriosclerosis is excess dietary fat, particularly saturated fat and cholesterol. (A) does
not address the underlying causes of arteriosclerosis. (B and D) are also important factors
for reversing arteriosclerosis but are not as important as lowering cholesterol (C).
Ten minutes after signing an operative permit for a fractured hip, an older client states,
"The aliens will be coming to get me soon!" and falls asleep. Which action should the nurse
implement next?
A. Make the client comfortable and allow the client to sleep.
B. Assess the client's neurologic status.
C. Notify the surgeon about the comment.
D. Ask the client's family to co*sign the operative permit. * ANS* B This statement
may indicate that the client is confused. Informed consent must be
provided by a mentally competent individual, so the nurse should further assess the client's
neurologic status (B) to be sure that the client understands and can legally provide consent
for surgery. (A) does not provide sufficient follow*up. If the nurse determines that the client
is confused, the surgeon must be notified (C) and permission obtained from the next of kin
(D).
3
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EVOLVE HESI FUNDAMENTALS EXAM
opasdfghjklzxcvbnmqwertyuiopa
HESI FUNDAMENTALS EXIT
EVOLVE ACTUAL EXAM
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1/22/2025
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JIMSE
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, EVOLVE HESI FUNDAMENTALS EXAM|| HESI
FUNDAMENTALS EXIT EVOLVE ACTUAL EXAM ALL
220 QUESTIONS AND 100% CORRECT ANSWERS.
COMPLETE UPDATE 2024-2025 WITH VERIFIED
SOLUTIONS
e
Urinary catheterization is prescribed for a postoperative female client who has been unable
to void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which
action will the nurse take next?
A. Clamp the catheter and recheck it in 60 minutes.
B. Pull the catheter back 3 inches and redirect upward.
C. Leave the catheter in place and reattempt with another catheter.
D. Notify the health care provider of a possible obstruction. * ANS* C
It is likely that the first catheter is in the vagina, rather than the bladder. Leaving the first
catheter in place will help locate the meatus when attempting the second catheterization
(C). The client should have at least 240 mL of urine after 8 hours.
(A) does not resolve the problem.
(B) will not change the location of the catheter unless it is completely removed, in which case a
new catheter must be used.
There is no evidence of a urinary tract obstruction if the catheter could be easily inserted (D).
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing
1
,the risk of a heart attack or stroke. Which health promotion brochure is most important for
the nurse to provide to this client?
A. "Monitoring Your Blood Pressure at Home"
2
, 2|Page
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You" * ANS* C
A health promotion brochure about decreasing cholesterol (C) is most important to provide
this client, because the most significant risk factor contributing to development of
arteriosclerosis is excess dietary fat, particularly saturated fat and cholesterol. (A) does
not address the underlying causes of arteriosclerosis. (B and D) are also important factors
for reversing arteriosclerosis but are not as important as lowering cholesterol (C).
Ten minutes after signing an operative permit for a fractured hip, an older client states,
"The aliens will be coming to get me soon!" and falls asleep. Which action should the nurse
implement next?
A. Make the client comfortable and allow the client to sleep.
B. Assess the client's neurologic status.
C. Notify the surgeon about the comment.
D. Ask the client's family to co*sign the operative permit. * ANS* B This statement
may indicate that the client is confused. Informed consent must be
provided by a mentally competent individual, so the nurse should further assess the client's
neurologic status (B) to be sure that the client understands and can legally provide consent
for surgery. (A) does not provide sufficient follow*up. If the nurse determines that the client
is confused, the surgeon must be notified (C) and permission obtained from the next of kin
(D).
3
