Evolve Fundamentals HESI Latest Exam 2024

pg. 1 Evolve Fundamentals HESI Latest Exam 2024 Complete 280 Real Exam Questions with Correct Detailed Answers (Verified Answers) Graded A+

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?

• Talk directly to the child instead of the mother.
• Continue asking the mother questions about the child.
• Ask another nurse to interview the mother now.
• Tell the mother politely to look at you when answering. - Correct 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

• are not indicated.

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?

• Complimentary healing practices interfere with the efficacy of the

medical model of treatment.

• Conventional medications are likely to interact with folk remedies and

cause adverse effects. 1 / 4

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• Many complimentary healing practices can be used in conjunction with

conventional practices.

• Conventional medical practices will ultimately replace the use of

complimentary healing practices. - Correct Answer - Conventional approaches to health care can be depersonalizing and often fail to take into consideration all aspects of an individual, including body, mind, and spirit.Often complimentary healing practices can be used in conjunction with conventional medical practices (C), rather than interfering (A) with conventional practices, causing adverse effects (B), or replacing conventional medical care (D).

A young mother of three children complains of increased anxiety during her annual physical exam. What information should the nurse obtain first?

• Sexual activity patterns.
• Nutritional history.
• Leisure activities.
• Financial stressors. - Correct Answer - Caffeine, sugars, and alcohol can

lead to increased levels of anxiety, so a nutritional history (C) should be obtained first so that health teaching can be initiated if indicated. (A and C) can be used for stress management. Though (D) can be a source of anxiety, a nutritional history should be obtained first.

The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How much should the nurse plan to administer?

• ½ tablet.
• 1 tablet.
• 1½ tablets. 2 / 4

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D. 2 tablets. - Correct Answer - (C) is the correct calculation: D/H × Q =

7.5/5 × 1 tablet = 1½ tablets.

The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?

• 1 ml.
• 1.5 ml.
• 1.75 ml.

D. 2 ml. - Correct Answer - (B) is the correct calculation: Dosage on

hand/amount on hand = Dosage desired/x amount. 20 mg : 2 ml = 15 mg : x . 20x = 30. x = 30/20; = 1½ or 1.5 ml.

Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5½ hours. How much heparin has the client received?

• 11,000 units.
• 13,000 units.
• 15,000 units.

D. 17,000 units. - Correct Answer - (A) is the correct calculation: 20,000

units/500 ml = 40 units (the amount of units in one ml of fluid). 40 units/ml x 50 ml/hr = 2,000 units/hour (1,000 units in 1/2 hour). 5.5 x 2,000 = 11,000 (A). OR, multiply 5 x 2,000 and add the 1/2 hour amount of 1,000 to reach the same conclusion = 11,000 units.

The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to administer approximately how many drops per minute? 3 / 4

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• 80
• 8
• 21
• 25 - Correct Answer - The accepted formula for figuring drops per

minute is: amount to be infused in one hour × drop factor/time for infusion

(min)= drops per minute. Using this formula: 1,000/8 hours = 125 ml/ hour

125 × 10 (drip factor) = 1,250 drops in one hour. 1,250/ 60 (number of minutes in one hour) = 20.8 or 21 gtt/min (C).

Which action is most important for the nurse to implement when donning sterile gloves?

• Maintain thumb at a ninety degree angle.
• Hold hands with fingers down while gloving.
• Keep gloved hands above the elbows.
• Put the glove on the dominant hand first. - Correct Answer - Gloved

hands held below waist level are considered unsterile (C). (A and B) are not essential to maintaining asepsis. While it may be helpful to put the glove on the dominant hand first, it is not necessary to ensure asepsis (D).

A client's infusion of normal saline infiltrated earlier today, and approximately 500 ml of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding stronger pain medications. What initial action is most important for the nurse to take?

• Ask about any past history of drug abuse or addiction.
• Measure the pulse volume and capillary refill distal to the infiltration.
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