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EVOLVE Hesi Fundamentals Actual Exam Test Bank Newest 2025/2026 Complete 400 Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!
A nurse is caring for a client on bed rest. How can the nurse help prevent a pulmonary embolus? - ANSWER-Teach the client how to exercise the legs.
The nurse is caring for a client that is hyperventilating. The
nurse recalls that the client is at risk for: - ANSWER-
Respiratory alkalosis
The nurse is caring for a client who is on a low carbohydrate diet. With this diet, there is decreased glucose available for energy, and fat is metabolized for energy resulting in an increased production of which substance in the urine? - ANSWER-Ketones
The nurse is caring for a client with a closed soft tissue injury.
The nurse describes the injury as a/an: - ANSWER-Contusion
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A nurse is caring for an elderly client with dementia who has developed dehydration as a result of vomiting and diarrhea.Which assessment best reflects the fluid balance of this client? - ANSWER-Blood lab results
A nurse is caring for an older adult who is taking acetaminophen (Tylenol) for the relief of chronic pain. Which substance is mostimportant for the nurse to determine if the client is taking because it intensifies the mostserious adverse effect of acetaminophen? - ANSWER-Alcohol
A nurse is caring for a postoperative client who had general anesthesia during surgery. What independent nursing intervention may prevent an accumulation of secretions? - ANSWER-Frequent changes of position
The nurse is discussing discharge plans with a client who had a myocardial infarction. The client states, "I'm worried about going home." The nurse responds, "Tell me more about this." What interviewing technique did the nurse use? - ANSWER- Exploring
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A nurse is evaluating the effectiveness of treatment for a client with excessive fluid volume. What clinical finding indicates that treatment has been successful? - ANSWER-Clear breath sounds
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? - ANSWER-Evaluation
A nurse is obtaining a health history from the newly admitted client who has chronic pain in the knee. What should the nurse include in the pain assessment? - ANSWER-Pain history including location, intensity and quality of pain;Pain pattern including precipitating and alleviating factors
The nurse is preparing discharge instructions for a client that acquired a nosocomial infection, Clostridium difficile. What should the nurse include in the instructions? - ANSWER-The infection causes diarrhea accompanied by flatus and abdominal discomfort
A nurse is preparing to administer an oil-retention enema and
understands that it works primarily by: - ANSWER-Lubricating
the sigmoid colon and rectum
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A nurse is preparing to administer an ophthalmic medication to a client. What techniques should the nurse use for this procedure?
- ANSWER-Clean the eyelid and eyelashes, apply clean gloves
before beginning of procedure, Press on the nasolacrimal duct after instilling the solution
A nurse is preparing to change a client's dressing. What is the reason for using surgical asepsis during this procedure? - ANSWER-Keeps the area free of microorganisms
A nurse is providing preoperative teaching for a client regarding use of an incentive spirometer and should include what instructions? - ANSWER-Inhale deeply through the spirometer, hold it as long as possible, and slowly exhale
Which statement defines the term family resiliency? - ANSWER-Family resiliency is the ability of the family to cope with stressors.
A nurse is reviewing a plan of care for a client who was admitted with dehydration as a result of prolonged watery diarrhea. Which prescription should the nurse question? - ANSWER-Parenteral albumin (Albuminar)
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