NUR 111 Evolve HESI Exam Questions With
Complete Answers
What action should the nurse implement when adding sterile liquids to a sterile
field?
a. Use an outdated sterile liquid if the bottle is sealed and has not been opened.
b. Consider the sterile field contaminated if it becomes wet during the
procedure.
c. Remove the container cap and lay it with the inside facing down on the sterile
field.
d. Hold the container high and pour the solution into a receptacle at the back of
the sterile field. - ANSWER Consider the sterile field contaminated if it becomes
wet during the procedure
The nurse administers a booster dose of DTaP (diphtheria, tetanus, and
pertussis) vaccine to an infant. Which level of prevention is the nurse
implementing?
a. Primary prevention.
b. Tertiary prevention.
c. Secondary prevention.
d. Primary nursing. - ANSWER Primary prevention
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?
a. Assist the ambulating client back to the bed.
b. Encourage the client to ambulate to resolve pneumonia.
c. Obtain a prescription for portable oxygen while ambulating.
d. Move the oximetry probe from the finger to the earlobe. - ANSWER Assist the
ambulating client back to the bed
To assess the effectiveness of an analgesic administered to a 4-year-old, what
intervention is best for the nurse to implement?
a. Use a happy-face/sad-face pain scale.
b. Ask the mother if she thinks the analgesic is working.
c. Assess for changes in the child's vital signs.
d. Teach the child to point to a numeric pain scale. - ANSWER Use a happy-
face/sad-face pain scale
The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. What information should the nurse tell the client?
, a. A single dose of the oral antifungal agent is usually sufficient to treat the
infection.
b. The infection is difficult to eradicate and requires prolonged therapy for 3 to 6
months.
c. Complete eradicate is important because of the risk of a systemic infection.
d. Prolonged therapy provides no benefit and increases the risk of adverse
effects. - ANSWER The infection is difficult to eradicate and requires prolonged
therapy for 3 to 6 months
Which topic should the nurse include in planning a secondary prevention project
for the local retirement community?
a. Safety measures in the home.
b. Adult immunization program.
c. Rehabilitation after surgery.
d. Vision and hearing screening. - ANSWER Vision and hearing screening
A crying toddler has a blood pressure measurement of 120/70 mm Hg. What
action should the nurse implement?
a. Notify the healthcare provider of the measurement.
b. Quiet the child and retake the blood pressure.
c. Ask the parent if the child has a history of hypertension.
d. Document the finding and recheck in 4 hours. - ANSWER Quiet the child and
retake the blood pressure
The unlicensed assistive personnel (UAP) working on a chronic neuro unit asks
the nurse to help determine the safest way to transfer an older client with left-
sided weakness from the bed to the chair. Which method describes the correct
transfer procedure for this client?
a. Place the chair at a right angle to the bed on the client's left side before
moving.
b. Assist the client to a standing position, then place the right hand on the
armrest.
c. Have the client place the left foot next to the chair and pivot to the left before
sitting.
d. Move the chair parallel to the right side of the bed, and stand the client on the
right foot. - ANSWER Move the chair parallel to the right side of the bed, and
stand the client on the right foot
The nurse is assisting an 82-year-old client to ambulate. Which is the center of
gravity for an elderly person?
a. Arms.
b. Upper torso.
c. Head.
d. Feet. - ANSWER Upper torso
Complete Answers
What action should the nurse implement when adding sterile liquids to a sterile
field?
a. Use an outdated sterile liquid if the bottle is sealed and has not been opened.
b. Consider the sterile field contaminated if it becomes wet during the
procedure.
c. Remove the container cap and lay it with the inside facing down on the sterile
field.
d. Hold the container high and pour the solution into a receptacle at the back of
the sterile field. - ANSWER Consider the sterile field contaminated if it becomes
wet during the procedure
The nurse administers a booster dose of DTaP (diphtheria, tetanus, and
pertussis) vaccine to an infant. Which level of prevention is the nurse
implementing?
a. Primary prevention.
b. Tertiary prevention.
c. Secondary prevention.
d. Primary nursing. - ANSWER Primary prevention
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?
a. Assist the ambulating client back to the bed.
b. Encourage the client to ambulate to resolve pneumonia.
c. Obtain a prescription for portable oxygen while ambulating.
d. Move the oximetry probe from the finger to the earlobe. - ANSWER Assist the
ambulating client back to the bed
To assess the effectiveness of an analgesic administered to a 4-year-old, what
intervention is best for the nurse to implement?
a. Use a happy-face/sad-face pain scale.
b. Ask the mother if she thinks the analgesic is working.
c. Assess for changes in the child's vital signs.
d. Teach the child to point to a numeric pain scale. - ANSWER Use a happy-
face/sad-face pain scale
The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. What information should the nurse tell the client?
, a. A single dose of the oral antifungal agent is usually sufficient to treat the
infection.
b. The infection is difficult to eradicate and requires prolonged therapy for 3 to 6
months.
c. Complete eradicate is important because of the risk of a systemic infection.
d. Prolonged therapy provides no benefit and increases the risk of adverse
effects. - ANSWER The infection is difficult to eradicate and requires prolonged
therapy for 3 to 6 months
Which topic should the nurse include in planning a secondary prevention project
for the local retirement community?
a. Safety measures in the home.
b. Adult immunization program.
c. Rehabilitation after surgery.
d. Vision and hearing screening. - ANSWER Vision and hearing screening
A crying toddler has a blood pressure measurement of 120/70 mm Hg. What
action should the nurse implement?
a. Notify the healthcare provider of the measurement.
b. Quiet the child and retake the blood pressure.
c. Ask the parent if the child has a history of hypertension.
d. Document the finding and recheck in 4 hours. - ANSWER Quiet the child and
retake the blood pressure
The unlicensed assistive personnel (UAP) working on a chronic neuro unit asks
the nurse to help determine the safest way to transfer an older client with left-
sided weakness from the bed to the chair. Which method describes the correct
transfer procedure for this client?
a. Place the chair at a right angle to the bed on the client's left side before
moving.
b. Assist the client to a standing position, then place the right hand on the
armrest.
c. Have the client place the left foot next to the chair and pivot to the left before
sitting.
d. Move the chair parallel to the right side of the bed, and stand the client on the
right foot. - ANSWER Move the chair parallel to the right side of the bed, and
stand the client on the right foot
The nurse is assisting an 82-year-old client to ambulate. Which is the center of
gravity for an elderly person?
a. Arms.
b. Upper torso.
c. Head.
d. Feet. - ANSWER Upper torso
