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Evolve HESI practice Exam | Study Guide Questions &Expertly Verified Answers, 2026 | 2027 (Newest Update Rated A)

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Evolve HESI practice Exam | Study Guide Questions &Expertly Verified Answers, 2026 | 2027 (Newest Update Rated A) Quiz_________________? A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's teaching plan? - Answer Place a pillow between your knees while lying in bed to prevent hip dislocation. Quiz_________________? A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the nurse to implement? - Answer Give the missed dose at 1300 and change the schedule to administer daily at 1300. Quiz_________________? A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion site. The nurse observes erythema, swelling, and a red streak along the vessel above the IV access site. Which action should the nurse take at this time? - Answer Initiate an alternate site for the IV infusion of the medication. Quiz_________________? A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate should the nurse set the client's intravenous infusion pump? - Answer 63 ml/hour. Quiz_________________? A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion? - Answer 150 Quiz_________________? A client who has been NPO for 3 days is receiving an infusion of D5W 0.45 normal saline (NS) with potassium chloride (KCl) 20 mEq at 83 ml/hour. The client's eight-hour urine output is 400 ml, blood urea nitrogen (BUN) is 15 mg/dl, lungs are clear bilaterally, serum glucose is 120 mg/dl, and the serum potassium is 3.7 mEq/L. Which action is most important for the nurse to implement? - Answer Document in the medical record that these normal findings are expected outcomes The results are all within normal range.(C) No changes are needed. Quiz_________________? A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is most important for the nurse to include during the preoperative assessment? - Answer What vitamin and mineral supplements do you take? (Vitamin and mineral supplements may impact medications used during the procedure.) Quiz_________________? A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse have for planning care in terms of the client's beliefs? - Answer Blood transfusions are forbidden. Quiz_________________? A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement? - Answer Give an around-the-clock schedule for administration of analgesics. Quiz_________________? A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood cells) as rapidly as possible. Which intervention is most important for the nurse to implement? - Answer Ensure the accuracy of the blood type match. Quiz_________________? A client with chronic renal failure selects a scrambled egg for his breakfast. What action should the nurse take? - Answer Commend the client for selecting a high biologic value protein. (Foods such as eggs and milk are high in biologic proteins which are allowed because they are complete proteins and supply the essential amino acids necessary growth and cellular repair.) Quiz_________________? A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating. Based on these findings, which intervention should the nurse implement first? - Answer Assist the ambulating client back to the bed.

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Evolve HESI Practice
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Evolve HESI practice

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Answers, 2026 | 2027 (Newest Update
Rated A)


Quiz_________________?

A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture
resulting from a fall. In reviewing hip precautions with the client, which instruction should
the nurse include in this client's teaching plan? -

Answer✅

Place a pillow between your knees while lying in bed to prevent hip dislocation.




Quiz_________________?

A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at
1300. What is the best intervention for the nurse to implement? -

Answer✅

Give the missed dose at 1300 and change the schedule to administer daily at 1300.




Quiz_________________?

A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the
infusion site. The nurse observes erythema, swelling, and a red streak along the vessel above
the IV access site. Which action should the nurse take at this time? -

Answer✅



1

, Initiate an alternate site for the IV infusion of the medication.




Quiz_________________?

A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At
what rate should the nurse set the client's intravenous infusion pump? -

Answer✅

63 ml/hour.




Quiz_________________?

A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from
the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose
over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the
secondary infusion? -

Answer✅

150




Quiz_________________?

A client who has been NPO for 3 days is receiving an infusion of D5W 0.45 normal saline
(NS) with potassium chloride (KCl) 20 mEq at 83 ml/hour. The client's eight-hour urine
output is 400 ml, blood urea nitrogen (BUN) is 15 mg/dl, lungs are clear bilaterally, serum
glucose is 120 mg/dl, and the serum potassium is 3.7 mEq/L. Which action is most important
for the nurse to implement? -

Answer✅

Document in the medical record that these normal findings are expected outcomes



The results are all within normal range.(C) No changes are needed.




2

, Quiz_________________?

A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment? -

Answer✅

What vitamin and mineral supplements do you take?



(Vitamin and mineral supplements may impact medications used during the procedure.)




Quiz_________________?

A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should
the nurse have for planning care in terms of the client's beliefs? -

Answer✅

Blood transfusions are forbidden.




Quiz_________________?

A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should the nurse
implement? -

Answer✅

Give an around-the-clock schedule for administration of analgesics.




Quiz_________________?

A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood
cells) as rapidly as possible. Which intervention is most important for the nurse to
implement? -

Answer✅

Ensure the accuracy of the blood type match.



3

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