2023 EVOLVE HESI FUNDAMENTALS VERSION 1,2& 3
ACTUAL EXAM EACH VERSION CONTAINS 55 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+ (BRAND NEW!!)
VERSION 1
The healthcare provider prescribes a protein supplement for an older client who is
recovering from surgery. What information should the practical nurse provide the
family about the value of the supplement?
a. an increase of protein supplies fuel for energy in the client
b. additional protein promotes tissue healing postoperatively
c. protein supplements stimulate the client’s appetite
d. increased protein satiates craving for carbohydrates – ANSWER- b. additional
protein promotes tissue healing postoperatively
RATIONALE: incised tissue needs additional protein to help build and repair cells
The practical nurse (PN) is caring for a group of clients who are on a high protein
diet. Which client’s condition is most likely to experience the most therapeutic
response with this diet?
a. client with cardiovascular disease
b. client recovering from illness or surgery
c. client who is experiencing a stressful life event
d. client who exercises regularly after sporadic activity – ANSWER- b. client
recovering from illness or surgery
The practical nurse (PN) is reviewing a meal plan of foods rich in riboflavin for
primigravida client, Which foods should the PN suggest that the client eat at least 2
servings daily?
a. fresh fruits
b. enriched cereals
c. white potatoes
d. white rice – ANSWER- b. enriched cereals<\/p>\n\n\n\n
The practical nurse (PN) stresses to a female client the importance of osteoporosis
prevention. Which foods should the PN recommend the client to include in her
diet?
a. apples
b. cheddar cheese
c. lima beans
d. canned tuna – ANSWER- d. canned tuna
The practical nurse (PN) is evaluating the client’s knowledge of low-sodium menu
selections. Which food items listed by the client confirm appropriate choices?
(SATA)
a. white rice with steamed vegetables
b. cottage cheese with sliced tomatoes
c. canned vegetable soup with crackers
d. turkey bacon with scrambled eggs
e. chicken with soy sauce and brown rice – ANSWER- a. white rice with steamed
vegetables
b. cottage cheese with sliced tomatoes
The practical nurse (PN) is reviewing the diet with a client with acute cholecystitis.
Which food selection demonstrates to the PN that the client understands the dietary
recommendations?
a. chicken pot pie and buttered rolls
b. saut\u00e9ed ground beef with mashed potatoes
c. friend round steak and macaroni with cheese
d. baked fish and tomatoes with lettuce – ANSWER- d. baked fish and tomatoes
with lettuce
RATIONALE: a client with acute cholecystitis should decrease dietary fat in
foods, so baked foods are the best choice
The practical nurse (PN) is discharging a new mother from he post partum unit.
Which statement made by the client during discharge indicates that the new mother
needs reenforcement of the breastfeeding instructions?
a. increase caloric intake by a minimum of 500 calories t aid with milk production
b. drink one glass of wine while breast feeding to help with milk “let down”
c. drink fluids liberally between 2 to 3 liters\/day to help with milk production
d. spicy foods should be avoided to reduce the incidence of causing distress for the
baby – ANSWER- b. drink one glass of wine while breast feeding to help with milk
“let down”<\/p>\n\n\n\n
The practical nurse (PN) is assisting an Orthodox Jewish client who has dementia
make weekly dinner choices in an assisted living community. Which main course
selections should the PN suggest that are suitable for a kosher diet?
a. lamb chops with mint jelly
b. crab cakes with cocktail sauce
c. pork chops with cranberry relish
d. steak with cream sauce – ANSWER- a. lamb chops with mint jelly
The practical nurse (PN) is reinforcing the teaching of diet and weight loss with a
client who has the goal of losing 25 lbs. What is the most common problem that
the PN should recognize about the accuracy of client reporting about daily food
intake?
a. over reporting pf food intake
b. under reporting of food intake
c. unawareness of the amount of food eaten
d. unwillingness to change eating habits – ANSWER- b. under reporting of food
intake
RATIONALE: a client is more likely to under report what has been eaten due to
the embarrassment or inability to comply with the weight loss goal
The practical nurse (PN) receives four new admissions in an assissted living
community. After reviewing the clients’ medical histories, which client should the
PN evaluate for a high caloric diet?
a. a client with osteoporosis
b. a client with type 2 diabetes mellitus
c. a client with rheumatoid arthritis
d. a clean with bacterial pneumonia – ANSWER- d. a clean with bacterial
pneumonia
RATIONALE: a client with an active infection requires an increase in caloric
intake to combat the infection
An older client receives a prescription for psylium (Metamucil) for constipation.
What information should the practical nurse (PN) provide the client about taking
this supplement?
a. take medication in the evening before bedtime to reduce fullness
b. take supplement with 240 ml of liquid and follow with a second glass
c. the supplement with how beverages to help dissolve the powder completely<\/p>\n\n\n\n
d. mix supplement with pudding or applesauce to help the taste and texture –
ANSWER- b. take supplement with 240 ml of liquid and follow with a second
glass
RATIONALE: psylium (Metamucil) is a bulk laxative and should be taken with
full glass followed by another glass of fluid to be effective and decrease the chance
of impaction
A Chinese male client who moves into an assisted living community is concerned
that the community will not be able to meet his dietary preferences. What should
the practical nurse include in the diet for this client based on his cultural group?
a. dairy products
b. vegetables
c. pork and beef
d. cakes and pies – ANSWER- b. vegetables
RATIONALE: a Chinese diet includes generous amounts of rice and vegetables
which are often included in every meal
The practical nurse (PN) is caring for a client who is receiving total parenteral
nutrition (TPN). Which metabolic change should the PN monitor the client for
during administration of TPN?
a. hypercalcemia
b. hypernatremia
c. hyperkalemia
d. hyperglycemia – ANSWER- d. hyperglycemia
The practical nurse (PN) is caring for a client who was recently diagnosed with
type 2 diabetes mellitus. What information is most important for the PN to
reinforce with the client about life-style changes?
a. daily fingerstick glucose monitoring
b. regular exercise program
c. portion-controlled, heart healthy diet selections
d. compliance with oral hypoglycemic medications – ANSWER- c. portioncontrolled, heart healthy diet selections
The practical nurse (PN) suspects that a male client is altering his own diabetic
journals to please his healthcare provider. Which laboratory test should the PN
review to evaluate the client’s compliance with self management for type 1
diabetes mellitus?<\/p>\n","protected":false},"excerpt":{"rendered":"
2023 EVOLVE HESI FUNDAMENTALS VERSION 1,2& 3ACTUAL EXAM EACH VERSION CONTAINS 55 QUESTIONSAND CORRECT DETAILED ANSWERS WITHRATIONALES|ALREADY GRADED A+ (BRAND NEW!!)VERSION 1The healthcare provider prescribes a protein supplement for an older client who isrecovering from surgery. What information should the practical nurse provide thefamily about the value of the supplement?a. an increase of protein supplies […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112303","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112303","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112303"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112303\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112303"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112303"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}