EVOLVE HESI FUNDAMENTALS
EXAM AND PRACTICE QUESTIONS
EXAM COMPLETE EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS)
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A nurse is working in an occupational health clinic
when an employee walks in and states that he was
struck by lightning while working in a truck bed. The
client is alert but reports feeling faint. Which
assessment will the nurse perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury - ....ANSWER...Answer: A
Lightning is a jolt of electrical current and can
produce a "natural" defibrillation, so assessment of
the pulse rate and regularity (A) is a priority.
Because the client is talking, he has an open airway
,(B), so that assessment is not necessary. Assessing
for (C and D) should occur after assessing for
adequate circulation.
The nurse is assessing several clients prior to
surgery. Which factor in a client's history poses the
greatest threat for complications to occur during
surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months
- ....ANSWER...Answer: B
Anticoagulants (B) increase the risk for bleeding
during surgery, which can pose a threat for the
development of surgical complications. The health
care provider should be informed that the client is
taking these drugs. Although clients who take birth
control pills (A) may be more susceptible to the
development of thrombi, such problems usually
occur postoperatively. A client with (C or D) is at
less of a surgical risk than (B).
When assisting a client from the bed to a chair,
which procedure is best for the nurse to follow?
,A. Place the chair parallel to the bed, with its back
toward the head of the bed and assist the client in
moving to the chair.
B. With the nurse's feet spread apart and knees
aligned with the client's knees, stand and pivot the
client into the chair.
C. Assist the client to a standing position by gently
lifting upward, underneath the axillae.
D. Stand beside the client, place the client's arms
around the nurse's neck, and gently move the client
to the chair. - ....ANSWER...Answer: B
(B) describes the correct positioning of the nurse
and affords the nurse a wide base of support while
stabilizing the client's knees when assisting to a
standing position. The chair should be placed at a
45-degree angle to the bed, with the back of the
chair toward the head of the bed (A). Clients should
never be lifted under the axillae (C); this could
damage nerves and strain the nurse's back. The
client should be instructed to use the arms of the
chair and should never place his or her arms around
the nurse's neck (D); this places undue stress on the
nurse's neck and back and increases the risk for a
fall.
, The nurse is instructing a client in the proper use of
a metered-dose inhaler. Which instruction should
the nurse provide the client to ensure the optimal
benefits from the drug?
A. "Fill your lungs with air through your mouth and
then compress the inhaler."
B. "Compress the inhaler while slowly breathing in
through your mouth."
C. "Compress the inhaler while inhaling quickly
through your nose."
D. "Exhale completely after compressing the inhaler
and then inhale." - ....ANSWER...Answer: B
The medication should be inhaled through the mouth
simultaneously with compression of the inhaler (B).
This will facilitate the desired destination of the
aerosol medication deep in the lungs for an optimal
bronchodilation effect. (A, C, and D) do not allow for
deep lung penetration.
The nurse finds a client crying behind a locked
bathroom door. The client will not open the door.
Which action should the nurse implement first?
A. Instruct an unlicensed assistive personnel (UAP)
to stay and keep talking to the client.
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