HESI PRACTICE EXAM EVOLVE
QUESTIONS & ANSWERS (VERIFIED)
LATEST UPDATE GRADED A+
An adult client who is hospitalized after surgery reports sudden onset of chest
pain and dyspnea. The client appears anxious, restless, and mildly cyanotic. The
nurse should further assess the client for which condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis - ANSWER-pulmonary embolism
Which information should the nurse obtain when performing an initial assessment
of a client who presents to the emergency department with a painful ankle injury?
(Select all that apply.)
- quality of the pain
- signs of inflammation
- ankle range of motion
- muscle strength testing
- visible deformities of the joint - ANSWER-- quality of the pain
- signs of inflammation
- ankle range of motion
- visible deformities of the joint
,Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
- joint pain is worse in the morning and involves symmetric joints
- joint pain is better in the morning and worsens throughout the day
- joint pain is consistent throughout the day and is relieved by pain medication
- joint pain is worse during the day and involves unilateral joints - ANSWER-joint
pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)?
- hoarseness
- dry mouth
- mouth ulcers
- weight loss - ANSWER-hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
- intermittent claudication
- peripheral cyanosis - ANSWER-bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. Which action by the nurse is the priority when caring for this client?
,- assess neurovascular status
- change the client's position
- inspect the traction equipment
- review pain medication orders - ANSWER-assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed?
- I will cut back on smoking cigarettes daily
- I will avoid drinking caffeinated beverages
- I will rest frequently and avoid vigorous exercise
- I will eat a bland, low-fat, high-protein diet - ANSWER-I will cut back on smoking
cigarettes daily
(*avoid nicotine entirely)
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurse include? (Select all that apply.)
- remove the diaphragm immediately after intercourse
- wash the diaphragm with an alcohol solution
- use the diaphragm to prevent conception during the menstrual cycle
- do not leave the diaphragm in place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months - ANSWER-- do not leave the
diaphragm in place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months
, A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having
in getting pregnant and wants to know if other factors could be contributing to
their difficulty. What information is best for the nurse to provide? (Select all that
apply.)
- marijuana cigarettes do not affect sperm count
- alcohol consumption can cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
- obesity has no effect on sperm production - ANSWER-- alcohol consumption can
cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT)
cannister. Which assessment finding should the RN report as early signs of
hypovolemic shock?
- faint pedal pulses
- decrease in blood pressure
- lethargy
- slow breathing - ANSWER-lethargy
The registered nurse (RN) is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers
QUESTIONS & ANSWERS (VERIFIED)
LATEST UPDATE GRADED A+
An adult client who is hospitalized after surgery reports sudden onset of chest
pain and dyspnea. The client appears anxious, restless, and mildly cyanotic. The
nurse should further assess the client for which condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis - ANSWER-pulmonary embolism
Which information should the nurse obtain when performing an initial assessment
of a client who presents to the emergency department with a painful ankle injury?
(Select all that apply.)
- quality of the pain
- signs of inflammation
- ankle range of motion
- muscle strength testing
- visible deformities of the joint - ANSWER-- quality of the pain
- signs of inflammation
- ankle range of motion
- visible deformities of the joint
,Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
- joint pain is worse in the morning and involves symmetric joints
- joint pain is better in the morning and worsens throughout the day
- joint pain is consistent throughout the day and is relieved by pain medication
- joint pain is worse during the day and involves unilateral joints - ANSWER-joint
pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)?
- hoarseness
- dry mouth
- mouth ulcers
- weight loss - ANSWER-hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
- intermittent claudication
- peripheral cyanosis - ANSWER-bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. Which action by the nurse is the priority when caring for this client?
,- assess neurovascular status
- change the client's position
- inspect the traction equipment
- review pain medication orders - ANSWER-assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed?
- I will cut back on smoking cigarettes daily
- I will avoid drinking caffeinated beverages
- I will rest frequently and avoid vigorous exercise
- I will eat a bland, low-fat, high-protein diet - ANSWER-I will cut back on smoking
cigarettes daily
(*avoid nicotine entirely)
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurse include? (Select all that apply.)
- remove the diaphragm immediately after intercourse
- wash the diaphragm with an alcohol solution
- use the diaphragm to prevent conception during the menstrual cycle
- do not leave the diaphragm in place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months - ANSWER-- do not leave the
diaphragm in place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months
, A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having
in getting pregnant and wants to know if other factors could be contributing to
their difficulty. What information is best for the nurse to provide? (Select all that
apply.)
- marijuana cigarettes do not affect sperm count
- alcohol consumption can cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
- obesity has no effect on sperm production - ANSWER-- alcohol consumption can
cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT)
cannister. Which assessment finding should the RN report as early signs of
hypovolemic shock?
- faint pedal pulses
- decrease in blood pressure
- lethargy
- slow breathing - ANSWER-lethargy
The registered nurse (RN) is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers
