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EVOLVE HESI FUNDAMENTALS EXAM NEWEST 2025
TEST BANK| 3 LATEST VERSION S WITH COMPLETE
450 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
EVOLVE HESI FUNDAMENTALS ACTUAL EXAM 2025
(BRAND NEW!!)
EVOLVE HESI FUNDAMENTALS EXAM VERSION A.
Which serum laboratory value should the nurse monitor carefully for a client who has a nasogastric (NG) tube to suction for the past week?
- White blood cell count
- Albumin
- Calcium
D. Sodium - Correct Answer - Answer: D
Monitoring serum sodium levels (D) for hyponatremia is indicated during prolonged NG suctioning because of loss of fluids. Changes in levels of (A, B, or C) are not typically associated with prolonged NG suctioning.
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care?
- Massage any reddened areas for at least five minutes.
- Encourage active range of motion exercises on extremities.
- Position the client laterally, prone, and dorsally in sequence.
- Gently lift the client when moving into a desired position. - To avoid
shearing forces when repositioning, the client should be lifted gently 1 / 4
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pg. 2 across a surface (D). Reddened areas should not be massaged (A) since this may increase the damage to already traumatized skin. To control pain and muscle spasms, active range of motion (B) may be limited on the affected leg. The position described in (C) is contraindicated for a client with a fractured left hip.
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction. After ensuring correct tube placement, what action should the nurse take next?
- Clamp the tube for 20 minutes.
- Flush the tube with water.
- Administer the medications as prescribed.
- Crush the tablets and dissolve in sterile water. - The NGT should be
flushed before, after and in between each medication administered (B).Once all medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be implemented only after the tubing has been flushed.
A client who is a Jehovah's Witness is admitted to the nursing unit.Which concern should the nurse have for planning care in terms of the client's beliefs?
- Autopsy of the body is prohibited.
- Blood transfusions are forbidden.
- Alcohol use in any form is not allowed.
- A vegetarian diet must be followed. - Blood transfusions are
forbidden (B) in the Jehovah's Witness religion. Judaism prohibits (A). 2 / 4
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pg. 3 Buddhism forbids the use of (C) and drugs. Many of these sects are vegetarian (D), but the direct impact on nursing care is (B).
The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first?
- Observe the appearance of the skin under the ice pack.
- Instruct the client regarding the need for the covering.
- Reapply the covering after filling with fresh ice.
- Ask the client how long the ice was applied to the skin. - The first
action taken by the nurse should be to assess the skin for any possible thermal injury (A). If no injury to the skin has occurred, the nurse can take the other actions (B, C, and D) as needed.
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60 gtt/ml, how many drops per minute should the client receive?
- 31 gtt/min.
- 62 gtt/min.
- 93 gtt/min.
- 124 gtt/min. - (D) is the correct calculation: Convert lbs to kg:
182/2.2 = 82.73 kg. Determine the dosage for this client: 5 mcg × 82.73
= 413.65 mcg/min. Determine how many mcg are contained in 1 ml:
250/50,000 mcg = 200 mcg per ml. The client is to receive 413.65 mcg/min, and there are 200 mcg/ml; so the client is to receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then 60 × 2.07 = 124.28 3 / 4
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gtt/min (D) OR, using dimensional analysis: gtt/min = 60 gtt/ml X 250
ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.
The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-delivered medication to demonstrate correct use of the inhaler?
- Immediately after exhalation.
- During the inhalation.
- At the end of three inhalations.
- Immediately after inhalation. - The client should be instructed to
deliver the medication during the last part of inhalation (B). After the medication is delivered, the client should remove the mouthpiece, keeping his/her lips closed and breath held for several seconds to allow for distribution of the medication. The client should not deliver the dose as stated in (A or D), and should deliver no more than two inhalations at a time (C).
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.
D. 2 tablets. - (C) is the correct calculation: D/H × Q = 7.5/5 × 1 tablet =
1½ tablets.
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