Evolve HESI practice Exam / HESI Practice Exam
(Evolve) | Edition | Verified Q&A + Study
Guide & Explanations
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.
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check the pH of fluid withdrawn from the tube.
(Coughing, vomiting, and suctioning can precipitate displacement of the small
bore upward into the esophagus. This will help check tube placement.)
,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
(Evolve) | Edition | Verified Q&A + Study
Guide & Explanations
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.
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.
(Coughing, vomiting, and suctioning can precipitate displacement of the small
bore upward into the esophagus. This will help check tube placement.)
,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
