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Evolve HESI practice Exam- questions and answers
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Evolve HESI practice Exam- questions and answers
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Evolve HESI practice Exam-questions and answers
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? - answer ✅✅Place a pillow
between your knees while lying in bed to prevent hip dislocation.
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 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? -
answer ✅✅Initiate an alternate site for the IV infusion of the
medication.
A client is to receive 10 mEq of KCl diluted in 250 ml of normal
saline over 4 hours. At what rate should the nurse set the client's
intravenous infusion pump? - answer ✅✅63 ml/hour.
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
A client who has been NPO for 3 days is receiving an infusion of
D5W 0.45 normal saline (NS) with potassium chloride (KCl) 20 mEq
at 83 ml/hour. The client's eight-hour urine output is 400 ml, blood
urea nitrogen (BUN) is 15 mg/dl, lungs are clear bilaterally, serum
glucose is 120 mg/dl, and the serum potassium is 3.7 mEq/L.
Which action is most important for the nurse to implement? -
answer ✅✅Document in the medical record that these normal
findings are expected outcomes
The results are all within normal range.(C) No changes are needed.
A client who is 5' 5" tall and weighs 200 pounds is scheduled for
surgery the next day. What question is most important for the
nurse to include during the preoperative assessment? - answer
✅✅What vitamin and mineral supplements do you take?
, (Vitamin and mineral supplements may impact medications used
during the procedure.)
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.
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.
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? -
answer ✅✅Ensure the accuracy of the blood type match.
A client with chronic renal failure selects a scrambled egg for his
breakfast. What action should the nurse take? - answer
✅✅Commend the client for selecting a high biologic value protein.
(Foods such as eggs and milk are high in biologic proteins which
are allowed because they are complete proteins and supply the
essential amino acids necessary growth and cellular repair.)
A client with pneumonia has a decrease in oxygen saturation from
94% to 88% while ambulating. Based on these findings, which
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