EVOLVE HESI FUNDAMENTALS
EXAM AND PRACTICE QUESTIONS
EXAM COMPLETE EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS)
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The nurse is caring for a client who is receiving 24-
hour total parenteral nutrition (TPN) via a central
line at 54 ml/hr. When initially assessing the client,
the nurse notes that the TPN solution has run out
and the next TPN solution is not available. What
immediate action should the nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10 percent dextrose and water at 54 ml/hr.
D. Obtain a stat blood glucose level and notify the
healthcare provider. - ....ANSWER...TPN is
discontinued gradually to allow the client to adjust to
decreased levels of glucose. Administering 10%
,dextrose in water at the prescribed rate (C) will keep
the client from experiencing hypoglycemia until the
next TPN solution is available. The client could
experience a hypoglycemic reaction if the current
level of glucose (A) is not maintained or if the TPN is
discontinued abruptly (B). There is no reason to
obtain a stat blood glucose level (D) and the
healthcare provider cannot do anything about this
situation.
Correct Answer: C
When assisting an 82-year-old client to ambulate, it
is important for the nurse to realize that the center
of gravity for an elderly person is the
A. Arms.
B. Upper torso.
C. Head.
D. Feet. - ....ANSWER...The center of gravity for
adults is the hips. However, as the person grows
older, a stooped posture is common because of the
changes from osteoporosis and normal bone
degeneration, and the knees, hips, and elbows flex.
This stooped posture results in the upper torso (B)
,becoming the center of gravity for older persons.
Although (A) is a part, or an extension of the upper
torso, this is not the best and most complete
answer.
Correct Answer: B
In developing a plan of care for a client with
dementia, the nurse should remember that
confusion in the elderly
A. is to be expected, and progresses with age.
B. often follows relocation to new surroundings.
C. is a result of irreversible brain pathology.
D. can be prevented with adequate sleep. -
....ANSWER...Relocation (B) often results in confusion
among elderly clients--moving is stressful for
anyone. (A) is a stereotypical judgment. Stress in the
elderly often manifests itself as confusion, so (C) is
wrong. Adequate sleep is not a prevention (D) for
confusion.
Correct Answer: B
, 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?
A. Talk directly to the child instead of the mother.
B. Continue asking the mother questions about the
child.
C. Ask another nurse to interview the mother now.
D. Tell the mother politely to look at you when
answering. - ....ANSWER...Eye contact is a culturally-
influenced form of non-verbal communication. In
some non-Western cultures, such as the Vietnamese
culture, a client or family member may avoid eye
contact as a form of respect, so the nurse should
continue to ask the mother questions about the child
(B). (A, C, and D) are not indicated.
Correct Answer: B
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?
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