Evolve HESI Fundamentals Practice Exam
Study online at https://quizlet.com/_91nn6n
1. 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best for the nurse to take?: After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from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.
2. 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.
3. 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.
4. After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?: determine the etiology of the problem
5. 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.
6. 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.
7. Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?: Assess for bladder distention.
8. 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 be-
liefs?: Blood transfusions are forbidden.
9. 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?: Acknowledge that she is supporting the arm correctly.
, Evolve HESI Fundamentals Practice Exam
Study online at https://quizlet.com/_91nn6n
10. An elderly male client who is unresponsive following a cerebral vascular acci-
dent (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.
11. 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.
12. 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?: 150
13. The nurse is completing a mental assessment for a client who is demonstrat-
ing slow thought processes, personality changes, and emotional lability. Which
area of the brain controls these neuro-cognitive functions?: Frontal lobe
14. 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.
15. 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.
16. 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 dislocation.
17. 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 healthcare
provider of the family's request.
Study online at https://quizlet.com/_91nn6n
1. 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.
2. 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.
3. 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.
4. After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?: determine the etiology of the problem
5. 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.
6. 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.
7. Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?: Assess for bladder distention.
8. 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 be-
liefs?: Blood transfusions are forbidden.
9. 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?: Acknowledge that she is supporting the arm correctly.
, Evolve HESI Fundamentals Practice Exam
Study online at https://quizlet.com/_91nn6n
10. An elderly male client who is unresponsive following a cerebral vascular acci-
dent (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.
11. 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.
12. 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?: 150
13. The nurse is completing a mental assessment for a client who is demonstrat-
ing slow thought processes, personality changes, and emotional lability. Which
area of the brain controls these neuro-cognitive functions?: Frontal lobe
14. 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.
15. 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.
16. 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 dislocation.
17. 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 healthcare
provider of the family's request.
