2025 HESI Evolve Fundamentals Exam: Complete Review, Question Format, and Essential Study Tips for Success

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During shift change report, the nurse receives report that a client has abnormal heart sounds.
Which placement of the stethoscope should the nurse use to hear the client’s hear sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest,
D. Position the diaphragm of the stethoscope at Erb’s point on the chest. – – correct ans-
Abdominal 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 (B). (A, C, and D) do not
provide the best assessment of abdominal heart valve sounds.
Correct Answer: B
A nurse is preparing to give medications through a nasogastric feeding tube. Which nursing
action should prevent complications during administration?
A. Mix each medication individually.
B. Use sterile gloves for the procedure.
C. Monitor vital signs before giving medications.
D. Mix all medications together to facilitate administration. – – correct ans- -Medications should
be mixed separately (A) to prevent clumping. (B, C, and D) are not indicated.
Correct Answer: A
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?
A. Restatement of responses.
B. Open-ended questions.
C. Closed-ended questions.
D. Problem-seeking responses. – – correct ans- -Lay descriptions of health problems can be
vague and nonspecific. To efficiently obtain specific information, the nurse should use closed
ended questions (C) that focus on common signs and symptoms about a client’s health
problem. (A, B, and D) are used when therapeutically interacting and should be used after
specific information is obtained from the client. 2025 HESI Evolve Fundamentals Exam