EVOLVE HESI FUNDAMENTALS FINAL EXAM
SCRIPT 2026 QUESTIONS AND CORRECT
ANSWERS
◉ The nurse is caring for a client who is receiving 24-hour total
parenteral nutrition (TPN) via a central line at 54 ml/hr. When
initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What
immediate action should the nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10 percent dextrose and water at 54 ml/hr.
D. Obtain a stat blood glucose level and notify the healthcare
provider.
Answer: TPN is discontinued gradually to allow the client to adjust
to decreased levels of glucose. Administering 10% dextrose in water
at the prescribed rate (C) will keep the client from experiencing
hypoglycemia until the next TPN solution is available. The client
could experience a hypoglycemic reaction if the current level of
glucose (A) is not maintained or if the TPN is discontinued abruptly
(B). There is no reason to obtain a stat blood glucose level (D) and
the healthcare provider cannot do anything about this situation.
,Correct
Answer: C
◉ When assisting an 82-year-old client to ambulate, it is important
for the nurse to realize that the center of gravity for an elderly
person is the
A. Arms.
B. Upper torso.
C. Head.
D. Feet.
Answer: The center of gravity for adults is the hips. However, as the
person grows older, a stooped posture is common because of the
changes from osteoporosis and normal bone degeneration, and the
knees, hips, and elbows flex. This stooped posture results in the
upper torso (B) becoming the center of gravity for older persons.
Although (A) is a part, or an extension of the upper torso, this is not
the best and most complete answer.
Correct
Answer: B
◉ In developing a plan of care for a client with dementia, the nurse
should remember that confusion in the elderly
,A. is to be expected, and progresses with age.
B. often follows relocation to new surroundings.
C. is a result of irreversible brain pathology.
D. can be prevented with adequate sleep.
Answer: Relocation (B) often results in confusion among elderly
clients--moving is stressful for anyone. (A) is a stereotypical
judgment. Stress in the elderly often manifests itself as confusion, so
(C) is wrong. Adequate sleep is not a prevention (D) for confusion.
Correct
Answer: B
◉ The nurse notices that the mother of a 9-year-old Vietnamese
child always looks at the floor when she talks to the nurse. What
action should the nurse take?
A. Talk directly to the child instead of the mother.
B. Continue asking the mother questions about the child.
C. Ask another nurse to interview the mother now.
D. Tell the mother politely to look at you when answering.
Answer: Eye contact is a culturally-influenced form of non-verbal
communication. In some non-Western cultures, such as the
Vietnamese culture, a client or family member may avoid eye contact
, as a form of respect, so the nurse should continue to ask the mother
questions about the child (B). (A, C, and D) are not indicated.
Correct
Answer: B
◉ When conducting an admission assessment, the nurse should ask
the client about the use of complimentary healing practices. Which
statement is accurate regarding the use of these practices?
A. Complimentary healing practices interfere with the efficacy of the
medical model of treatment.
B. Conventional medications are likely to interact with folk remedies
and cause adverse effects.
C. Many complimentary healing practices can be used in conjunction
with conventional practices.
D. Conventional medical practices will ultimately replace the use of
complimentary healing practices.
Answer: Conventional approaches to health care can be
depersonalizing and often fail to take into consideration all aspects
of an individual, including body, mind, and spirit. Often
complimentary healing practices can be used in conjunction with
conventional medical practices (C), rather than interfering (A) with
conventional practices, causing adverse effects (B), or replacing
conventional medical care (D).
SCRIPT 2026 QUESTIONS AND CORRECT
ANSWERS
◉ The nurse is caring for a client who is receiving 24-hour total
parenteral nutrition (TPN) via a central line at 54 ml/hr. When
initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What
immediate action should the nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10 percent dextrose and water at 54 ml/hr.
D. Obtain a stat blood glucose level and notify the healthcare
provider.
Answer: TPN is discontinued gradually to allow the client to adjust
to decreased levels of glucose. Administering 10% dextrose in water
at the prescribed rate (C) will keep the client from experiencing
hypoglycemia until the next TPN solution is available. The client
could experience a hypoglycemic reaction if the current level of
glucose (A) is not maintained or if the TPN is discontinued abruptly
(B). There is no reason to obtain a stat blood glucose level (D) and
the healthcare provider cannot do anything about this situation.
,Correct
Answer: C
◉ When assisting an 82-year-old client to ambulate, it is important
for the nurse to realize that the center of gravity for an elderly
person is the
A. Arms.
B. Upper torso.
C. Head.
D. Feet.
Answer: The center of gravity for adults is the hips. However, as the
person grows older, a stooped posture is common because of the
changes from osteoporosis and normal bone degeneration, and the
knees, hips, and elbows flex. This stooped posture results in the
upper torso (B) becoming the center of gravity for older persons.
Although (A) is a part, or an extension of the upper torso, this is not
the best and most complete answer.
Correct
Answer: B
◉ In developing a plan of care for a client with dementia, the nurse
should remember that confusion in the elderly
,A. is to be expected, and progresses with age.
B. often follows relocation to new surroundings.
C. is a result of irreversible brain pathology.
D. can be prevented with adequate sleep.
Answer: Relocation (B) often results in confusion among elderly
clients--moving is stressful for anyone. (A) is a stereotypical
judgment. Stress in the elderly often manifests itself as confusion, so
(C) is wrong. Adequate sleep is not a prevention (D) for confusion.
Correct
Answer: B
◉ The nurse notices that the mother of a 9-year-old Vietnamese
child always looks at the floor when she talks to the nurse. What
action should the nurse take?
A. Talk directly to the child instead of the mother.
B. Continue asking the mother questions about the child.
C. Ask another nurse to interview the mother now.
D. Tell the mother politely to look at you when answering.
Answer: Eye contact is a culturally-influenced form of non-verbal
communication. In some non-Western cultures, such as the
Vietnamese culture, a client or family member may avoid eye contact
, as a form of respect, so the nurse should continue to ask the mother
questions about the child (B). (A, C, and D) are not indicated.
Correct
Answer: B
◉ When conducting an admission assessment, the nurse should ask
the client about the use of complimentary healing practices. Which
statement is accurate regarding the use of these practices?
A. Complimentary healing practices interfere with the efficacy of the
medical model of treatment.
B. Conventional medications are likely to interact with folk remedies
and cause adverse effects.
C. Many complimentary healing practices can be used in conjunction
with conventional practices.
D. Conventional medical practices will ultimately replace the use of
complimentary healing practices.
Answer: Conventional approaches to health care can be
depersonalizing and often fail to take into consideration all aspects
of an individual, including body, mind, and spirit. Often
complimentary healing practices can be used in conjunction with
conventional medical practices (C), rather than interfering (A) with
conventional practices, causing adverse effects (B), or replacing
conventional medical care (D).
