Evolve HESI Fundamentals Practice Qs
Terms in this set (74)
Urinary catheterization is Answer: C
prescribed for a
It is likely that the first catheter is in the vagina,
postoperative female client
rather than the bladder. Leaving the first catheter
who has been unable to void
for 8 hours. The nurse inserts in place will help locate the meatus when
the catheter, but no urine is attempting the second catheterization (C). The
seen in the tubing. Which client should have at least 240 mL of urine after 8
action will the nurse take hours. (A) does not resolve the problem. (B) will
next?
not change the location of the catheter unless it is
A. Clamp the catheter
completely removed, in which case a new catheter
and recheck it in 60
minutes. must be used. There is no evidence of a urinary
B. Pull the catheter tract obstruction if the catheter could be easily
back 3inches and redirect inserted (D).
upward.
C. Leave the catheter
in place and reattempt with
another catheter.
D. Notify the health
care provider of a possible
obstruction.
,The nurse is teaching an Answer: C
obese client, newly A health promotion brochure about decreasing
diagnosed with cholesterol (C) is most important to provide this
arteriosclerosis, about client, because the most significant risk factor
reducing the risk of a contributing to development of arteriosclerosis is
heart attack or stroke. excess dietary fat, particularly saturated fat and
Which health promotion cholesterol. (A) does not address the underlying
brochure is most causes of arteriosclerosis. (B and D) are also
important for the nurse important factors for reversing arteriosclerosis but
to provide to this client? are not as important as lowering cholesterol (C).
A. "Monitoring Your
Blood
Pressure at Home"
B. "Smoking
Cessation as a
Lifelong Commitment"
C. "Decreasing
Cholesterol Levels
Through Diet"
D. "Stress
Management fora
Healthier You"
,Ten minutes after signing an Answer: B
operative permit for a fractured This statement may indicate that the
hip, an older client states, "The client is confused. Informed consent must
aliens will be coming to get me be provided by a mentally competent
soon!" and falls asleep. Which individual, so the nurse should further
action should the nurse implement assess the client's neurologic status (B) to
next? A. Make the client be sure that the client understands and
comfortable and allow the client to can legally provide consent for surgery.
sleep. (A) does not provide sufficient follow-up.
B. Assess the client'sneurologic If the nurse determines that the client is
status. confused, the surgeon must be notified
C. Notify the surgeonabout the (C) and permission obtained from the
comment. next of kin (D).
D. Ask the client's family toco-
sign the operative permit.
, The nurse-manager of a Answer: A
skilled nursing (chronic Performing range-of-motion exercises (A) is
care) unit is instructing beneficial in reducing contractures around
UAPs on ways to prevent joints. (B, C, and D) are all potentially
complications of harmful practices that place the immobile
immobility. Which client at risk of complications.
intervention should be
included in this
instruction?
A. Perform range-of-
motion exercises to
prevent contractures.
B. Decrease the
client'sfluid intake to
prevent diarrhea.
C. Massage the
client'slegs to reduce
embolism occurrence.
D. Turn the client from
sideto back every shift.
Terms in this set (74)
Urinary catheterization is Answer: C
prescribed for a
It is likely that the first catheter is in the vagina,
postoperative female client
rather than the bladder. Leaving the first catheter
who has been unable to void
for 8 hours. The nurse inserts in place will help locate the meatus when
the catheter, but no urine is attempting the second catheterization (C). The
seen in the tubing. Which client should have at least 240 mL of urine after 8
action will the nurse take hours. (A) does not resolve the problem. (B) will
next?
not change the location of the catheter unless it is
A. Clamp the catheter
completely removed, in which case a new catheter
and recheck it in 60
minutes. must be used. There is no evidence of a urinary
B. Pull the catheter tract obstruction if the catheter could be easily
back 3inches and redirect inserted (D).
upward.
C. Leave the catheter
in place and reattempt with
another catheter.
D. Notify the health
care provider of a possible
obstruction.
,The nurse is teaching an Answer: C
obese client, newly A health promotion brochure about decreasing
diagnosed with cholesterol (C) is most important to provide this
arteriosclerosis, about client, because the most significant risk factor
reducing the risk of a contributing to development of arteriosclerosis is
heart attack or stroke. excess dietary fat, particularly saturated fat and
Which health promotion cholesterol. (A) does not address the underlying
brochure is most causes of arteriosclerosis. (B and D) are also
important for the nurse important factors for reversing arteriosclerosis but
to provide to this client? are not as important as lowering cholesterol (C).
A. "Monitoring Your
Blood
Pressure at Home"
B. "Smoking
Cessation as a
Lifelong Commitment"
C. "Decreasing
Cholesterol Levels
Through Diet"
D. "Stress
Management fora
Healthier You"
,Ten minutes after signing an Answer: B
operative permit for a fractured This statement may indicate that the
hip, an older client states, "The client is confused. Informed consent must
aliens will be coming to get me be provided by a mentally competent
soon!" and falls asleep. Which individual, so the nurse should further
action should the nurse implement assess the client's neurologic status (B) to
next? A. Make the client be sure that the client understands and
comfortable and allow the client to can legally provide consent for surgery.
sleep. (A) does not provide sufficient follow-up.
B. Assess the client'sneurologic If the nurse determines that the client is
status. confused, the surgeon must be notified
C. Notify the surgeonabout the (C) and permission obtained from the
comment. next of kin (D).
D. Ask the client's family toco-
sign the operative permit.
, The nurse-manager of a Answer: A
skilled nursing (chronic Performing range-of-motion exercises (A) is
care) unit is instructing beneficial in reducing contractures around
UAPs on ways to prevent joints. (B, C, and D) are all potentially
complications of harmful practices that place the immobile
immobility. Which client at risk of complications.
intervention should be
included in this
instruction?
A. Perform range-of-
motion exercises to
prevent contractures.
B. Decrease the
client'sfluid intake to
prevent diarrhea.
C. Massage the
client'slegs to reduce
embolism occurrence.
D. Turn the client from
sideto back every shift.
