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EVOLVE HESI PRACTICE EXAM
QUESTIONS AND ANSWERS
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Morphine comes in 8 mg per ml
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5 ml
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The tubing has been changed to a 20
gtt/ml administration set
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During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber
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When initially assessing the
client, the nurse notes that the TPN solution has run out and the next TPN
solution is not available
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(TPN is discontinued gradually to allow patient to adjust to decreased levels
of glucose
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)

A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over
4 hours
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The UAPs working on a chronic neuro unit ask the nurse to help them
determine the safest way to transfer an elderly client with left-sided
weakness from the bed to the chair
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On admission, a client presents a signed living will that includes a Do Not
Resuscitate (DNR) prescription
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What legal issues could be brought against the nurse? - CorreCt
Answers -) Battery

Civil laws protect individual rights and include intentional torts, such as
assault (an intentional threat to engage in harmful contact with another) or
battery (unwanted touching)
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(A, C, and D) are not
examples against the client's request

A resident in a skilled nursing facility for short-term rehabilitation after a
hip replacement tells the nurse, "I don't want any more blood taken for
those useless tests
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At the beginning of the shift, the nurse assesses a client who is admitted
from the post-anesthesia care unit (PACU)
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An Arab-American woman, who is a devout traditional Muslim, lives with
her married son's family, which includes several adult children and their
children
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Traditional Muslim women live in a patriarchal family where decisions are
made by men
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Which placement of the stethoscope should the
nurse use to hear the client's heart sounds? - CorreCt Answers -Use the
stethoscope bell over the valvular areas of the anterior chest

Abnormal heart sounds are best heard with the bell of the stethoscope,
which picks up lower-pitched sounds, that is placed at points on the
anterior chest

A nurse is preparing to give medications through a nasogastric feeding
tube
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During the admission interview, which technique is most efficient for the
nurse to use when obtaining information about signs and symptoms of a
client's primary health problem? - CorreCt Answers -Closed-ended
questions

Lay descriptors of health problems can be vague and nonspecific
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Which finding should the nurse identify as a client
risk factor for pressure ulcers? - CorreCt Answers -Rashes in the axillary,
groin, and skin fold regions

Immobility, constant contact with bed clothing, and excessive heat and
moisture in areas where air flow is limited contributes to bacterial and
fungal growth, which increases the risk for rashes

A client who has been NPO for 3 days is receiving an infusion of D5W 0
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The client's eight-hour urine output is 400 ml, blood urea nitrogen (BUN)

is 15 mg/dl, lungs are clear bilaterally, serum glucose is 120 mg/dl, and the
serum potassium is 3
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Which action is most important for the
nurse to implement? - CorreCt Answers -Document in the medical record
that these normal findings are expected outcomes

The results are all within normal range
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What action should the nurse implement when accessing an implanted
infusion port for a client who receives long term IV medications? - CorreCt
Answers -Insert a Huber-point needle into the port

An implanted infusion port needs to be accessed using a Huber-point
needle (B) (non-coring) to be prevent damage to the self-sealing septum of
the port
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What
action should the nurse take? - CorreCt Answers -Listen and show interest
as the client expresses these feelings

When a client begins to cry and express feelings, a therapeutic nursing
intervention is to listen and show interest as the client expresses feelings

The nurse plans to obtain health assessment information from a primary
source
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(B, C, and D) are considered secondary sources about the client's health

history, but other details, such as subjective data, can only be provided
directly from the client
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What information should the
genogram provide? - CorreCt Answers -Genetic and familial health
disorders

A genogram that is used during the health assessment process identifies
genetic and familial health disorders (A)
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Each family member speaks fluent
English
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What is the best plan to
obtain consent for surgery for this client? - CorreCt Answers -Tell the
su

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