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Evolve HESI Fundamentals Practice questions And Answers 2024/2025 graded A+
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Evolve HESI Fundamentals Practice questions AndAnswers 2024-2025 graded A+
Urinary .catheterization .is .prescribed .for .a .postoperative .female .client .who .has .been .unable .to .void .
for .8 .hours. .The .nurse .inserts .the .catheter, .but .no .urine .is .seen .in .the .tubing. .Which .action .will .the
.nurse .take .next?
A. .Clamp .the .catheter .and .recheck .it .in .60 .minutes.
B. .Pull .the .catheter .back .3 .inches .and .redirect .upward.
C. .Leave .the .catheter .in .place .and .reattempt .with .another .catheter.
D. .Notify .the .health .care .provider .of .a .possible .obstruction. .- .(correct .answer) .-Answer: .C
It .is .likely .that .the .first .catheter .is .in .the .vagina, .rather .than .the .bladder. .Leaving .the .first .catheter .i
n .place .will .help .locate .the .meatus .when .attempting .the .second .catheterization .
(C). .The .client .should .have .at .least .240 .mL .of .urine .after .8 .hours. .(A) .does .not .resolve .the .problem.
.
(B) .will .not .change .the .location .of .the .catheter .unless .it .is .completely .removed, .in .which .case .a .ne
w .catheter .must .be .used. .There .is .no .evidence .of .a .urinary .tract .obstruction .if .the .catheter .could .b
e .easily .inserted .(D).
The .nurse .is .teaching .an .obese .client, .newly .diagnosed .with .arteriosclerosis, .about .reducing .the .risk
.of .a .heart .attack .or .stroke. .Which .health .promotion .brochure .is .most .important .for .the .nurse .to .pr
ovide .to .this .client?
A. ."Monitoring .Your .Blood .Pressure .at .Home"
B. ."Smoking .Cessation .as .a .Lifelong .Commitment"
C. ."Decreasing .Cholesterol .Levels .Through .Diet"
D. ."Stress .Management .for .a .Healthier .You" .- .(correct .answer) .-Answer: .C
A .health .promotion .brochure .about .decreasing .cholesterol .
(C) .is .most .important .to .provide .this .client, .because .the .most .significant .risk .factor .contributing .to .
,development .of .arteriosclerosis .is .excess .dietary .fat, .particularly .saturated .fat .and .cholesterol. .
(A) .does .not .address .the .underlying .causes .of .arteriosclerosis. .
(B .and .D) .are .also .important .factors .for .reversing .arteriosclerosis .but .are .not .as .important .as .loweri
ng .cholesterol .(C).
Ten .minutes .after .signing .an .operative .permit .for .a .fractured .hip, .an .older .client .states, ."The .aliens .
will .be .coming .to .get .me .soon!" .and .falls .asleep. .Which .action .should .the .nurse .implement .next?
A. .Make .the .client .comfortable .and .allow .the .client .to .sleep.
B. .Assess .the .client's .neurologic .status.
C. .Notify .the .surgeon .about .the .comment.
D. .Ask .the .client's .family .to .co-sign .the .operative .permit. .- .(correct .answer) .-Answer: .B
This .statement .may .indicate .that .the .client .is .confused. .Informed .consent .must .be .provided .by .a .m
entally .competent .individual, .so .the .nurse .should .further .assess .the .client's .neurologic .status .
(B) .to .be .sure .that .the .client .understands .and .can .legally .provide .consent .for .surgery. .
(A) .does .not .provide .sufficient .follow-
up. .If .the .nurse .determines .that .the .client .is .confused, .the .surgeon .must .be .notified .
(C) .and .permission .obtained .from .the .next .of .kin .(D).
The .nurse-manager .of .a .skilled .nursing .
(chronic .care) .unit .is .instructing .UAPs .on .ways .to .prevent .complications .of .immobility. .Which .interv
ention .should .be .included .in .this .instruction?
A. .Perform .range-of-motion .exercises .to .prevent .contractures.
B. .Decrease .the .client's .fluid .intake .to .prevent .diarrhea.
C. .Massage .the .client's .legs .to .reduce .embolism .occurrence.
D. .Turn .the .client .from .side .to .back .every .shift. .- .(correct .answer) .-Answer: .A
Performing .range-of-motion .exercises .(A) .is .beneficial .in .reducing .contractures .around .joints. .
(B, .C, .and .D) .are .all .potentially .harmful .practices .that .place .the .immobile .client .at .risk .of .complicati
ons.
The .nurse .is .assisting .a .client .to .the .bathroom. .When .the .client .is .5 .feet .from .the .bathroom .door, .
he .states, ."I .feel .faint." .Before .the .nurse .can .get .the .client .to .a .chair, .the .client .starts .to .fall. .Which
.is .the .priority .action .for .the .nurse .to .take?
A. .Check .the .client's .carotid .pulse.
B. .Encourage .the .client .to .get .to .the .toilet.
, C. .In .a .loud .voice, .call .for .help.
D. .Gently .lower .the .client .to .the .floor. .- .(correct .answer) .-Answer: .D
(D) .is .the .most .prudent .intervention .and .is .the .priority .nursing .action .to .prevent .injury .to .the .client
.and .the .nurse. .Lowering .the .client .to .the .floor .should .be .done .when .the .client .cannot .support .his .
own .weight. .The .client .should .be .placed .in .a .bed .or .chair .only .when .sufficient .help .is .available .to .p
revent .injury. .
(A) .is .important .but .should .be .done .after .the .client .is .in .a .safe .position. .Because .the .client .is .not .s
upporting .himself, .(B) .is .impractical. .
(C) .is .likely .to .cause .chaos .on .the .unit .and .might .alarm .the .other .clients.
A .female .nurse .is .assigned .to .care .for .a .close .friend, .who .says, ."I .am .worried .that .friends .will .find .
out .about .my .diagnosis." .The .nurse .tells .her .friend .that .legally .she .must .protect .a .client's .confidenti
ality. .Which .resource .describes .the .nurse's .legal .responsibilities?
A. .Code .of .Ethics .for .Nurses
B. .State .Nurse .Practice .Act
C. .Patient's .Bill .of .Rights
D. .ANA .Standards .of .Practice .- .(correct .answer) .-Answer: .B
The .State .Nurse .Practice .Act .
(B) .contains .legal .requirements .for .the .protection .of .client .confidentiality .and .the .consequences .for .
breaches .in .confidentiality. .
(A) .outlines .ethical .standards .for .nursing .care .but .does .not .include .legal .guidelines. .
(C .and .D) .describe .expectations .for .nursing .practice .but .do .not .address .legal .implications.
The .nurse .is .teaching .a .client .how .to .perform .progressive .muscle .relaxation .techniques .to .relieve .in
somnia. .A .week .later .the .client .reports .that .he .is .still .unable .to .sleep, .despite .following .the .same .r
outine .every .night. .Which .action .should .the .nurse .take .first?
A. .Instruct .the .client .to .add .regular .exercise .as .a .daily .routine.
B. .Determine .if .the .client .has .been .keeping .a .sleep .diary.
C. .Encourage .the .client .to .continue .the .routine .until .sleep .is .achieved.
D. .Ask .the .client .to .describe .the .routine .that .the .client .is .currently .following. .- .(correct .answer) .-
Answer: .D
The .nurse .should .first .evaluate .whether .the .client .has .been .adhering .to .the .original .instructions .(D).
.A .verbal .report .of .the .client's .routine .will .provide .more .specific .information .than .the .client's .writte
n .diary .(B). .The .nurse .can .then .determine .which .changes .need .to .be .made .
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