EVOLVE HESI FUNDAMENTALS
NEWEST ACTUAL EXAM 2025
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES |
ALREADY GRADED A+ 2024-2025
The nurse is preparing to administer 10 mL of liquid
potassium chloride (Kay Ciel) through a feeding tube,
followed by 10 mL of liquid acetaminophen (Tylenol).
Which action should the nurse include in this procedure?
A. Dilute each of the medications with sterile water prior to
administration.
B. Mix the medications in one syringe before opening the
feeding tube.
C. Administer water between the doses of the two liquid
medications.
D. Withdraw any fluid from the tube before instilling each
medication. Correct Answer Answer: C
Water should be instilled into the feeding tube
between administering the two medications (C) to
maintain the patency of the feeding tube and ensure
that the total dose of medication enters the stomach
and does not remain in the tube. These liquid
medications do not need to be diluted (A) when
administered via a feeding tube and should be
administered separately (B), with water instilled
between each medication (D).
,When emptying 350 mL of pale yellow urine from a client's
urinal, the nurse notes that this is the first time the client
has voided in 4 hours. Which action should the nurse take
next?
A. Record the amount on the client's fluid output record.
B. Encourage the client to increase oral fluid intake.
C. Notify the health care provider of the findings.
D. Palpate the client's bladder for distention. Correct
Answer Answer: A
The amount and appearance of the client's urine
output is within normal limits, so the nurse should
record the output (A), but no additional action is
needed (B, C, and D).
The nurse transcribes the postoperative prescriptions for a
client who returns to the unit following surgery and notes
that an antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the nurse
take?
A. Consult with the pharmacist about the need to continue
the medication.
B. Administer the antihypertensive medication as
prescribed preoperatively.
C. Withhold the medication until the client is fully alert and
vital signs are stable.
D. Contact the health care provider to renew the
prescription for the medication. Correct Answer Answer: D
Medications prescribed preoperatively must be
renewed postoperatively, so the nurse should contact
the health care provider if the antihypertensive
medication is not included in the postoperative
,prescriptions (D). The pharmacist (A) does not
prescribe medications or renew prescriptions. The
nurse must have a current prescriptions before
administering any medications (B and C).
After a needlestick occurs while removing the cap from a
sterile needle, which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately.
Correct Answer Answer: B
After a needlestick, the needle is considered used, so
the nurse should discard it and select another needle
(B). Because the needle was sterile when the nurse
was stuck and the needle was not in contact with any
other person's body fluids, the nurse does not need to
complete an incident report (A) or notify the
occupational health nurse (D). Disinfecting a needle
with an alcohol swab (C) is not in accordance with
standards for safe practice and infection control.
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. Correct 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.
During evacuation of a group of clients from a medical unit
because of a fire, the nurse observes an ambulatory client
walking alone toward the stairway at the end of the hall.
Which action should the nurse take?
A. Assign an unlicensed assistive personnel to transport
the client via a wheelchair.
B. Remind the client to walk carefully down the stairs until
reaching a lower floor.
C. Ask the client to help by assisting a wheelchair-bound
client to a nearby elevator.
D. Open the closest fire doors so that ambulatory clients
can evacuate more rapidly. Correct Answer Answer: B
During evacuation of a unit because of fire,
ambulatory clients should be evacuated via the
stairway if at all possible and reminded to walk
carefully (B). Ambulatory clients do not require the
assistance of a wheelchair to be evacuated (A).
Elevators (C) should not be used during a fire and fire
doors should be kept closed (D) to help contain the
fire.
When the health care provider diagnoses metastatic
cancer and recommends a gastrostomy for an older
female client in stable condition, the son tells the nurse
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 TUTORWAC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.99. You're not tied to anything after your purchase.
