EVOLVE HESI PRACTICE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
1.The healthcare provider prescribes morphine sulfate 4mg IM STAT. Mor-
phine comes in 8 mg per ml. How many ml should the nurse administer?:
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?: After clearing the tube with 30 ml of
air, check the pH of fluid withdrawn from the tube.
(Coughing, vomiting, and suctioning can precipitate displacement of the
small bore upward into the esophagus. This will help check tube
placement.)
3.A client is in the radiology department at 0900 when the prescription lev-
ofloxacin (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?: 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?: Give an around-the-
clock schedule for administration of analgesics.
5.After completing an assessment and determining that a client has a prob-
lem, which action should the nurse perform next?: 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?: A
decreased flow rate could result in the formation of a thrombosis.
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?: 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?: 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?: 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
, EVOLVE HESI PRACTICE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
should the nurse implement?: Acknowledge that she is supporting the
arm correctly.
, EVOLVE HESI PRACTICE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
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?: 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?: It is
important that you continue your medication while learning to
meditate.
13.A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The
prepara- tion 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?:
150
14.The nurse is completing a mental assessment for a client who is demon-
strating slow thought processes, personality changes, and emotional
lability. Which area of the brain controls these neuro-cognitive functions?:
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?: 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?: 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?: Place a pillow between your knees while lying in bed to
prevent hip dislo- cation.
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 re- quested that no resuscitative efforts be performed, and the
family requests hospice care. What action should the nurse implement
first?: Notify the health- care provider of the family's request.
19.A young mother of three children complains of increased anxiety during
her annual physical exam. What information should the nurse obtain first?:
VERIFIED ANSWERS (UPDATED TO PASS)
1.The healthcare provider prescribes morphine sulfate 4mg IM STAT. Mor-
phine comes in 8 mg per ml. How many ml should the nurse administer?:
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?: After clearing the tube with 30 ml of
air, check the pH of fluid withdrawn from the tube.
(Coughing, vomiting, and suctioning can precipitate displacement of the
small bore upward into the esophagus. This will help check tube
placement.)
3.A client is in the radiology department at 0900 when the prescription lev-
ofloxacin (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?: 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?: Give an around-the-
clock schedule for administration of analgesics.
5.After completing an assessment and determining that a client has a prob-
lem, which action should the nurse perform next?: 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?: A
decreased flow rate could result in the formation of a thrombosis.
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?: 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?: 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?: 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
, EVOLVE HESI PRACTICE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
should the nurse implement?: Acknowledge that she is supporting the
arm correctly.
, EVOLVE HESI PRACTICE EXAM WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
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?: 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?: It is
important that you continue your medication while learning to
meditate.
13.A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The
prepara- tion 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?:
150
14.The nurse is completing a mental assessment for a client who is demon-
strating slow thought processes, personality changes, and emotional
lability. Which area of the brain controls these neuro-cognitive functions?:
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?: 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?: 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?: Place a pillow between your knees while lying in bed to
prevent hip dislo- cation.
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 re- quested that no resuscitative efforts be performed, and the
family requests hospice care. What action should the nurse implement
first?: Notify the health- care provider of the family's request.
19.A young mother of three children complains of increased anxiety during
her annual physical exam. What information should the nurse obtain first?:
