2022 Evolve Questions Fundamentals Practice
Exam
1. The healthcare provider prescribes morphine sulfate 4mg IM STAT.
Morphine comes in 8 mg per ml. How many ml should the nurse
administer?(answer)0.5 ml.
2. A hospitalized male client is receiving nasogastric tube feedings via a
small-bore tube and a continuous pump infusion. He reports that he had
a bad bout of severe coughing a few minutes ago, but feels fine now.
What action is best for the nurse to take?(answer)After clearing the
tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
3. 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.
4. 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.
5. After completing an assessment and determining that a client has a
problem, which action should the nurse perform
next?(answer)determine the etiology of the problem
6. What is the most important reason for starting intravenous infusions in
the upper extremities rather than the lower extremities of
adults?(answer)A decreased flow rate could result in the formation of a
thrombosis.
,2022 Evolve Questions Fundamentals Practice
Exam
7. 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?(answer)Continue asking the mother questions
about the child.
8. Which intervention is most important for the nurse to implement for a
male client who is experiencing urinary retention?(answer)Assess for
bladder distention.
9. 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.
10. While instructing a male client's wife in the performance of
passive range-of-motion exercises to his contracted shoulder, the
nurse observes that she is holding his arm above and below the elbow.
What nursing action should the nurse
implement?(answer)Acknowledge that she is supporting the arm
correctly.
11. An elderly male client who is unresponsive following a cerebral
vascular accident (CVA) is receiving bolus enteral feedings though a
gastrostomy tube. What is the best client position for administration of
the bolus tube feedings?(answer)Fowler's.
12. An adult male client with a history of hypertension tells the nurse
that he is tired of taking antihypertensive medications and is going to
try spiritual meditation instead. What should be the nurse's first
response?(answer)It is important that you continue your medication
while learning to meditate.
, 2022 Evolve Questions Fundamentals Practice
Exam
13. 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
14. The nurse is completing a mental assessment for a client who is
demonstrating slow thought processes, personality changes, and
emotional lability. Which area of the brain controls these neuro-
cognitive functions?(answer)Frontal lobe
15. 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.
16. A female client asks the nurse to find someone who can
translate into her native language her concerns about a treatment.
Which action should the nurse take?(answer)Request and document
the name of the certified translator.
17. 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.
18. An elderly resident of a long-term care facility is no longer able
to perform self-care and is becoming progressively weaker. The
resident previously requested that no resuscitative efforts be
performed, and the family requests hospice care. What action should
Exam
1. The healthcare provider prescribes morphine sulfate 4mg IM STAT.
Morphine comes in 8 mg per ml. How many ml should the nurse
administer?(answer)0.5 ml.
2. A hospitalized male client is receiving nasogastric tube feedings via a
small-bore tube and a continuous pump infusion. He reports that he had
a bad bout of severe coughing a few minutes ago, but feels fine now.
What action is best for the nurse to take?(answer)After clearing the
tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
3. 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.
4. 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.
5. After completing an assessment and determining that a client has a
problem, which action should the nurse perform
next?(answer)determine the etiology of the problem
6. What is the most important reason for starting intravenous infusions in
the upper extremities rather than the lower extremities of
adults?(answer)A decreased flow rate could result in the formation of a
thrombosis.
,2022 Evolve Questions Fundamentals Practice
Exam
7. 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?(answer)Continue asking the mother questions
about the child.
8. Which intervention is most important for the nurse to implement for a
male client who is experiencing urinary retention?(answer)Assess for
bladder distention.
9. 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.
10. While instructing a male client's wife in the performance of
passive range-of-motion exercises to his contracted shoulder, the
nurse observes that she is holding his arm above and below the elbow.
What nursing action should the nurse
implement?(answer)Acknowledge that she is supporting the arm
correctly.
11. An elderly male client who is unresponsive following a cerebral
vascular accident (CVA) is receiving bolus enteral feedings though a
gastrostomy tube. What is the best client position for administration of
the bolus tube feedings?(answer)Fowler's.
12. An adult male client with a history of hypertension tells the nurse
that he is tired of taking antihypertensive medications and is going to
try spiritual meditation instead. What should be the nurse's first
response?(answer)It is important that you continue your medication
while learning to meditate.
, 2022 Evolve Questions Fundamentals Practice
Exam
13. 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
14. The nurse is completing a mental assessment for a client who is
demonstrating slow thought processes, personality changes, and
emotional lability. Which area of the brain controls these neuro-
cognitive functions?(answer)Frontal lobe
15. 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.
16. A female client asks the nurse to find someone who can
translate into her native language her concerns about a treatment.
Which action should the nurse take?(answer)Request and document
the name of the certified translator.
17. 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.
18. An elderly resident of a long-term care facility is no longer able
to perform self-care and is becoming progressively weaker. The
resident previously requested that no resuscitative efforts be
performed, and the family requests hospice care. What action should
