Exam (elaborations)

Evolve HESI Fundamentals Practice Questions 2024 Update

0 purchase

Course
Evolve HESI Fundamentals Practice

Institution
Evolve HESI Fundamentals Practice

[Show more]

Preview 4 out of 36 pages

View example

Uploaded on September 17, 2024
Number of pages 36
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

evolve hesi fundamentals
evolve hesi
evolve hesi fundamentals practice questions 2024 u

Institution Evolve HESI Fundamentals Practice
Course Evolve HESI Fundamentals Practice

NURSING2EXAM Member since 1 year 697 documents sold

529

$17.99

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

Evolve HESI Fundamentals
Practice Questions 2024
Update

A 20-year-old female client with a noticeable body odor has refused to shower for
the last 3 days. She states, "I have been told that it is harmful to bathe during my
period." Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the client. -
✔✔✔ANSWER-Answer: D

,Because a shower is most beneficial for the client in terms of hygiene, the client
should receive teaching first (D), respecting any personal beliefs such as cultural or
spiritual values. After client teaching, the client may still choose (A or B).
Brochures reinforce the teaching (C).

A 65-year-old client who attends an adult daycare program and is wheelchair-
mobile has redness in the sacral area. Which instruction is most important for the
nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair. - ✔✔✔ANSWER-Answer: B
The most important teaching is to change positions frequently (B) because pressure
is the most significant factor related to the development of pressure ulcers.
Increased vitamin and fluid intake (A and C) may also be beneficial promote
healing and reduce further risk. (D) is an intervention of last resort because this
will be very expensive for the client.

The nurse-manager of a skilled nursing (chronic care) unit is instructing UAPs on
ways to prevent complications of immobility. Which intervention 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. - ✔✔✔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 complications.

,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. - ✔✔✔ANSWER-
Answer: C
It is likely that the first catheter is in the vagina, rather than the bladder. Leaving
the first catheter in 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 new catheter must be used. There
is no evidence of a urinary tract obstruction if the catheter could be easily inserted
(D).

When assisting a client from the bed to a chair, which procedure is best for the
nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed and
assist the client in moving to the chair.
B. With the nurse's feet spread apart and knees aligned with the client's knees,
stand and pivot the client into the chair.
C. Assist the client to a standing position by gently lifting upward, underneath the
axillae.
D. Stand beside the client, place the client's arms around the nurse's neck, and
gently move the client to the chair. - ✔✔✔ANSWER-Answer: B
(B) describes the correct positioning of the nurse and affords the nurse a wide base
of support while stabilizing the client's knees when assisting to a standing position.
The chair should be placed at a 45-degree angle to the bed, with the back of the
chair toward the head of the bed (A). Clients should never be lifted under the
axillae (C); this could damage nerves and strain the nurse's back. The client should

, be instructed to use the arms of the chair and should never place his or her arms
around the nurse's neck (D); this places undue stress on the nurse's neck and back
and increases the risk for a fall.

A client becomes angry while waiting for a supervised break to smoke a cigarette
outside and states, "I want to go outside now and smoke. It takes forever to get
anything done here!" Which intervention is best for the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
C. Have the client leave the unit with another staff.
D. Review the schedule of outdoor breaks with the client. - ✔✔✔ANSWER-
Answer: D
The best nursing action is to review the schedule of outdoor breaks (D) and
provide concrete information about the schedule. (A) is contraindicated if the client
wants to continue smoking. (B) is insufficient to encourage a trusting relationship
with the client. (C) is preferential for this client only and is inconsistent with unit
rules.

A client has a nasogastric tube connected to low intermittent suction. When
administering medications through the nasogastric tube, which action should the
nurse do first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
D. Turn off the intermittent suction device. - ✔✔✔ANSWER-Answer: D
The nurse should first turn off the suction (D) and then confirm placement of the
tube in the stomach (B) before instilling the medications (C). To prevent immediate
removal of the instilled medications and allow absorption, the tube should be
clamped for a period of time (A) before reconnecting the suction.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSING2EXAM. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Exam (elaborations)

Evolve HESI Fundamentals Practice Questions 2024 Update

Document information

Subjects

Written for

Seller

Reviews received

Content preview