Evolve HESI Fundamentals Practice Questions and
Answers 2024
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withdrawn from the tube.
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.
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.
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
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.
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.
Which intervention is most important for the nurse to implement for a male client who
is experiencing urinary retention? - ANSWER Assess for bladder distention.
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.
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.
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.
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.
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
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
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.
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.
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.
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 the nurse implement first? - ANSWER Notify the healthcare provider of the
family's request.
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first? - ANSWER
Nutritional history.
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8
hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate the
IV to administer approximately how many drops per minute? - ANSWER 21
Three days following surgery, a male client observes his colostomy for the first time.
He becomes quite upset and tells the nurse that it is much bigger than he expected.
What is the best response by the nurse? - ANSWER Instruct the client that the
stoma will become smaller when the initial swelling diminishes.
Answers 2024
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.
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.
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.
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
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.
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.
Which intervention is most important for the nurse to implement for a male client who
is experiencing urinary retention? - ANSWER Assess for bladder distention.
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.
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.
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.
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.
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
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
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.
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.
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.
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 the nurse implement first? - ANSWER Notify the healthcare provider of the
family's request.
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first? - ANSWER
Nutritional history.
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8
hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate the
IV to administer approximately how many drops per minute? - ANSWER 21
Three days following surgery, a male client observes his colostomy for the first time.
He becomes quite upset and tells the nurse that it is much bigger than he expected.
What is the best response by the nurse? - ANSWER Instruct the client that the
stoma will become smaller when the initial swelling diminishes.
