Evolve HESI practice Exam WITH
CORRECT ANSWERS Latest Update 2024
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clearing the tube with 30 ml of air, check the pH of fluid withdrawn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? -
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,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
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, 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 administer the IVPB dose over 20 minutes. For
how many ml/hr should the infusion pump be set to deliver the
secondary infusion? - answer-150
The nurse is completing a mental assessment for a client who is
demonstrating slow thought processes, personality changes, and
emotional lability. Which area of the brain controls these neuro-
cognitive functions? - answer-Frontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of
pain and irritation at the infusion site. The nurse observes erythema,
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