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LATEST EVOLVE HESI FUNDAMENTALS VERSION 1,2 & 3 (V1,V2 & V3) COMPLETE VERSIONS WITH ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (CORRECT VERIFIED ANSWERS) LATEST UPDATED VERSION |ALREADY GRADED A+ (REVISED)$20.49
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LATEST EVOLVE HESI FUNDAMENTALS VERSION 1,2 & 3
(V1,V2 & V3) COMPLETE VERSIONS WITH ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (CORRECT VERIFIED ANSWERS) LATEST
UPDATED VERSION 2024-2025 |ALREADY GRADED A+
(REVISED)
VERSION 1
The Chief Operational Officer (COO) interviews a nurse and asks, "Tell
me about your practical experiences in clinical decision making". Which
example should the nurse give?
A. I palpated the right hip of the client, which appeared red and
noted the warm feeling
B. I identified impaired skin integrity in a pressure ulcer form upon
finding redness in the client's hip
C. I quickly offered a salt recipe to a client with a history of
hypotension who suffered from light-headedness and dizziness
D. I assessed weakness and hunger in a patient with a history of
diabetes who suffers with light-headedness and blurred vision -
Answer-B.
Rationale: Clinical decision making is a problem-solving activity that
focuses on defining a problem and selecting an appropriate action. So
as a part of clinical decision making, the nurse identified impaired skin
integrity in a pressure ulcer form upon finding redness in the client's
hip. Diagnostic reasoning and inference is an analytical process that
involves determining the client's health problems. An example is the
,nurse palpating and observing a warm sensation in the client's right hip
that has turned red. Another example is a nurse who finds that a client
who has hypotension history now feels light-headedness and dizziness.
A further example is a nurse who assesses symptoms of diabetes in a
client who has a history of the disease and now suffers blurred vision.
A nurse is caring for a client who is experiencing the second (acute)
phase of burn recovery. The common client response the nurse expects
to identify during this phase of burn recovery is an increase in what?
A. Serum Sodium
B. Urinary output
C. Hematocrit Level
D. Serum Potassium - Answer-B.
Rationale: As fluid returns to the vascular system, increased renal flow
and diuresis occur. An increase in the serum sodium level
(hypernatremia) is not a common response identified during the second
(acute) phase of burn recovery. An increase in the hematocrit level
indicates hemoconcentration and hypovolemia; in the second phase of
burn recovery, hemodilution and hypervolemia occur. During the
second phase of burn recovery, potassium moves back into the cells,
decreasing serum potassium.
While caring for a family, the nurse finds that the family has accepted
the shifts of generational roles. Which change in the family status for
proceeding developmentally would the nurse observe?
,A. Dealing with retirement
B. Taking on parental roles
C. Adjusting to a reduction in family size
D. Refocusing on midlife material and career issues - Answer-A.
Rationale: A family with members in the later life stage may involve the
acceptance of the shifting of generational roles. Therefore, dealing with
retirement would be an appropriate change for the family status that
requires a developmental proceeding. The acceptance of new
generations of members into the system would be associated with the
stage of a family with young children; this stage involves taking on
parental roles. An adjustment to a reduction in family size would be
associated with the family life cycle stage of launching children and
moving on. Midlife material and career issues are refocused during the
family life cycle stage of adolescence.
A nurse is explaining the nursing process to a nursing assistant. Which
step of the nursing process should include interpretation of data
collected about the client?
A. Evaluation
B. Assessment
C. Nursing interventions
D. Proposed nursing care - Answer-B.
Rationale: An actual or potential client health problem is based on the
analysis and interpretation of the data previously collected during the
assessment phase of the nursing process. Gathering data is included in
the client's assessment. Nursing interventions are based on the earlier
, steps of the nursing process. The plan of care includes nursing actions
to meet client needs. The needs first must be identified before nursing
actions are planned.
An older adult who is in acute care has a risk of skin breakdown. Which
interventions are beneficial to the client? (Select all that apply)
A. Providing meticulous skin care
B. Reducing shear forces and friction
C. Providing beverages and snacks frequently
D. Using a support surface base all the time
E. Avoiding pressure with proper positioning - Answer-A, B, E
Rationale: Providing an older adult with meticulous skin care may
reduce the risk of skin breakdown. Reducing shear forces and friction
prevents the development of pressure ulcers. Pressure can be avoided
with proper positioning. Beverages and snacks are frequently provided
to clients who are hospitalized due to dehydration. A supportive
surface base is used based on risk factors.
Which condition in the client indicates need of nursing care that
supports homeostatic regulation? (Select all that apply)
A. Damaged Tissue
B. Obstructed Airway
C. Poor nutritional status
D. Restricted body movement
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