EVOLVE HESI PRACTICE EXAM
QUESTIONS AND ANSWERS.
The healthcare provider prescribes morphine sulfate 4mg IM STAT.
Morphine comes in 8 mg per ml. How many ml should the nurse
administer? - CorreCt Answers -0.5 ml.
The healthcare provider prescribes 1,000 ml of Ringer's Lactate with 30
Units of Pitocin to run in over 4 hours for a client who has just delivered a
10 pound infant by cesarean section. The tubing has been changed to a 20
gtt/ml administration set. The nurse plans to set the flow rate at how many
gtt/min? - CorreCt Answers -83 gtt/min.
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should the
nurse implement? - CorreCt Answers -Encourage additional oral intake of
juices and water
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? -
CorreCt Answers -Infuse 10 percent dextrose and water at 54 ml/hr.
(TPN is discontinued gradually to allow patient to adjust to decreased levels
of glucose. Administering 10% dextrose in water at the prescribed rate, it
will keep the patient from experiencing hypoglycemia until the next TPN is
available.)
,A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over
4 hours. At what rate should the nurse set the client's intravenous infusion
pump? - CorreCt Answers -63 ml/hour.
The UAPs working on a chronic neuro unit ask the nurse to help them
determine the safest way to transfer an elderly client with left-sided
weakness from the bed to the chair. What method describes the correct
transfer procedure for this client? - CorreCt Answers -Move the chair
parallel to the right side of the bed, and stand the client on the right foot.
On admission, a client presents a signed living will that includes a Do Not
Resuscitate (DNR) prescription. When the client stops breathing, the nurse
performs cardiopulmonary resuscitation (CPR) and successfully revives the
client. What legal issues could be brought against the nurse? - CorreCt
Answers -) Battery
Civil laws protect individual rights and include intentional torts, such as
assault (an intentional threat to engage in harmful contact with another) or
battery (unwanted touching). Performing any procedure against the client's
wishes can potentially poise a legal issue, such as battery (B), even if the
procedure is of questionable benefit to the client. (A, C, and D) are not
examples against the client's request
A resident in a skilled nursing facility for short-term rehabilitation after a
hip replacement tells the nurse, "I don't want any more blood taken for
those useless tests." Which narrative documentation should the nurse enter
in the client's medical record? - CorreCt Answers -Healthcare provider
notified of client's refusal to have blood specimens collected for testing.
, At the beginning of the shift, the nurse assesses a client who is admitted
from the post-anesthesia care unit (PACU). When should the nurse
document the client's findings? - CorreCt Answers -Immediately after the
assessments are completed.
An Arab-American woman, who is a devout traditional Muslim, lives with
her married son's family, which includes several adult children and their
children. What is the best plan to obtain consent for surgery for this client?
- CorreCt Answers -D) Tell the surgeon that the son will decide after
explanation of the proposed surgery is provided.
Traditional Muslim women live in a patriarchal family where decisions are
made by men. Most likely, the son will make the decision for his mother, so
Which response by a client with a nursing diagnosis of Spiritual distress,
indicates to the nurse that a desired outcome measure has been met? -
CorreCt Answers -Accepts that punishment from God is not related to
illness
Acceptance that she is not being punished by God indicates a desired
outcome
During shift change report, the nurse receives report that a client has
abnormal heart sounds. Which placement of the stethoscope should the
nurse use to hear the client's heart sounds? - CorreCt Answers -Use the
stethoscope bell over the valvular areas of the anterior chest
Abnormal heart sounds are best heard with the bell of the stethoscope,
which picks up lower-pitched sounds, that is placed at points on the
anterior chest
QUESTIONS AND ANSWERS.
The healthcare provider prescribes morphine sulfate 4mg IM STAT.
Morphine comes in 8 mg per ml. How many ml should the nurse
administer? - CorreCt Answers -0.5 ml.
The healthcare provider prescribes 1,000 ml of Ringer's Lactate with 30
Units of Pitocin to run in over 4 hours for a client who has just delivered a
10 pound infant by cesarean section. The tubing has been changed to a 20
gtt/ml administration set. The nurse plans to set the flow rate at how many
gtt/min? - CorreCt Answers -83 gtt/min.
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should the
nurse implement? - CorreCt Answers -Encourage additional oral intake of
juices and water
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? -
CorreCt Answers -Infuse 10 percent dextrose and water at 54 ml/hr.
(TPN is discontinued gradually to allow patient to adjust to decreased levels
of glucose. Administering 10% dextrose in water at the prescribed rate, it
will keep the patient from experiencing hypoglycemia until the next TPN is
available.)
,A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over
4 hours. At what rate should the nurse set the client's intravenous infusion
pump? - CorreCt Answers -63 ml/hour.
The UAPs working on a chronic neuro unit ask the nurse to help them
determine the safest way to transfer an elderly client with left-sided
weakness from the bed to the chair. What method describes the correct
transfer procedure for this client? - CorreCt Answers -Move the chair
parallel to the right side of the bed, and stand the client on the right foot.
On admission, a client presents a signed living will that includes a Do Not
Resuscitate (DNR) prescription. When the client stops breathing, the nurse
performs cardiopulmonary resuscitation (CPR) and successfully revives the
client. What legal issues could be brought against the nurse? - CorreCt
Answers -) Battery
Civil laws protect individual rights and include intentional torts, such as
assault (an intentional threat to engage in harmful contact with another) or
battery (unwanted touching). Performing any procedure against the client's
wishes can potentially poise a legal issue, such as battery (B), even if the
procedure is of questionable benefit to the client. (A, C, and D) are not
examples against the client's request
A resident in a skilled nursing facility for short-term rehabilitation after a
hip replacement tells the nurse, "I don't want any more blood taken for
those useless tests." Which narrative documentation should the nurse enter
in the client's medical record? - CorreCt Answers -Healthcare provider
notified of client's refusal to have blood specimens collected for testing.
, At the beginning of the shift, the nurse assesses a client who is admitted
from the post-anesthesia care unit (PACU). When should the nurse
document the client's findings? - CorreCt Answers -Immediately after the
assessments are completed.
An Arab-American woman, who is a devout traditional Muslim, lives with
her married son's family, which includes several adult children and their
children. What is the best plan to obtain consent for surgery for this client?
- CorreCt Answers -D) Tell the surgeon that the son will decide after
explanation of the proposed surgery is provided.
Traditional Muslim women live in a patriarchal family where decisions are
made by men. Most likely, the son will make the decision for his mother, so
Which response by a client with a nursing diagnosis of Spiritual distress,
indicates to the nurse that a desired outcome measure has been met? -
CorreCt Answers -Accepts that punishment from God is not related to
illness
Acceptance that she is not being punished by God indicates a desired
outcome
During shift change report, the nurse receives report that a client has
abnormal heart sounds. Which placement of the stethoscope should the
nurse use to hear the client's heart sounds? - CorreCt Answers -Use the
stethoscope bell over the valvular areas of the anterior chest
Abnormal heart sounds are best heard with the bell of the stethoscope,
which picks up lower-pitched sounds, that is placed at points on the
anterior chest
