EVOLVE HESI FUNDAMENTALS EXIT EXAM|| LATELY
UPDATE QUESTIONS AND 100% CORRECT ANSWERS
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UPDATE 2025-2026 WITH VERIFIED SOLUTIONS||
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1. The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A) If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low-density lipoproteins needs to increase.
- ANS >>> C
2. A client with acute hemorrhagic anemia is to receive four units of packed RBCs
(red blood cells) as rapidly as possible. Which intervention is most important for
the nurse to implement?
A) Obtain the pre-transfusion hemoglobin level.
B) Prime the tubing and prepare a blood pump set-up.
C) Monitor vital signs q15 minutes for the first hour.
D) Ensure the accuracy of the blood type match.
- ANS >>> D
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3. The nurse observes unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
within the client's usual range. What action is most important for the nurse to
implement?
A) Tell the UAP to use a larger cuff at the next scheduled assessment.
B) Reassess the client's blood pressure using a larger cuff.
C) Have the unit educator review this procedure with the UAPs.
D) Teach the UAP the correct technique for assessing blood pressure.
- ANS >>> B
4. The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8
hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate
the IV to administer approximately how many drops per minute?
A) 80
B) 8
C) 21
D) 25
- ANS >>> C
5.
A client is to receive 10 me of Kill diluted in 250 ml of normal saline over 4 hours.
At what rate should the nurse set the client's intravenous infusion pump?
A) 13 ml/hour.
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B) 63 ml/hour.
C) 80 ml/hour.
D) 125 ml/hour.
- ANS >>> B
6. When conducting an admission assessment, the nurse should ask the client about
the use of complimentary healing practices. Which statement is accurate regarding
the use of these practices?
A) Complimentary healing practices interfere with the efficacy of the medical
model of
treatment.
B) Conventional medications are likely to interact with folk remedies and cause
adverse
effects.
C) Many complimentary healing practices can be used in conjunction with
conventional
practices.
D) Conventional medical practices will ultimately replace the use of
complimentary healing
practices.
- ANS >>> C
7. 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
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administer the IVPB dose over 20 minutes. For how many ml/hr. should the
infusion pump be set to deliver the secondary infusion?
- ANS >>> 150
8. The nurse is performing nasotracheal suctioning. After suctioning the client's
trachea for fifteen seconds, large amounts of thick yellow secretions return. What
action should the nurse implement next?
A) Encourage the client to cough to help loosen secretions.
B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining secretions.
D) Re-oxygenate the client before attempting to suction again.
- ANS >>> D
9. Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?
A) Apply a condom catheter.
B) Apply a skin protectant.
C) Encourage increased fluid intake.
D) Assess for bladder distention.
- ANS >>> D