PN Fundamentals of Nursing Evolve HESI
PN Fundamentals of Nursing Evolve HESI Real
Exams Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
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Questions (New!)
The nurse is planning care to prevent complication for a client with multiple myeloma. Which
intervention is most important for the nurse to include?
A) Safety precautions during activity.
B) Assess for changes in size of lymph nodes.
C) Maintain a fluid intake of 3 to 4 L per day.
D) Administer narcotic analgesic around the clock. –
Correct Answer :C) Maintain a fluid intake of 3 to 4 L per day.
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,PN Fundamentals of Nursing Evolve HESI
Multiple myeloma is a malignancy of plasma cells that infiltrate bone causing demineralization and
hypercalcemia, so maintaining a urinary output of 1.5 to 2 L per day requires an intake of 3 to 4 L (C) to
promote excretion of serum calcium. Although the client is at risk for pathologic fractures due to
diffuse osteoporosis, mobilization and weight bearing (A) should be encouraged to promote bone
reabsorption of circulating calcium, which can cause renal complications. (B) is a component of
ongoing assessment. Chronic pain management (D) should be included in the plan of care, but
prevention of complications related to hypercalcemia is most important.
A client has a staging procedure for cancer of the breast and ask the nurse which type of breast cancer
has the poorest prognosis. Which information should the nurse offer the client?
A) Stage II.
B) Invasive infiltrating ductal carcinoma.
C) T1N0M0.
D) Inflammatory with peau d'orange. –
Correct Answer :D) Inflammatory with peau d'orange.
Inflammatory breast cancer, which has a thickened appearance like an orange peel (peau d'orange), is
the most aggressive form of breast malignancies (D). Staging classifies cancer by the extension or
spread of the disease, and (A) indicates limited local spread. (B) indicates cancer cells have spread
from the ducts into the surrounding breast tissue only. TNM classification is used to indicate the
extent of the disease process according to tumor size, regional spread lymph nodes involvement, and
metastasis, and (C) indicates early cancer with small in situ involvement, no lymph node involvement,
and no distant metastases.
A client who is sexually active with several partners requests an intrauterine device (IUD) as a
contraceptive method. Which information should the nurse provide?
A) Using an IUD offers no protection against sexually transmitted diseases (STD), which increase the
risk for pelvic inflammatory disease (PID).
B) Getting pregnant while using an IUD is common and is not the best contraceptive choice.
C) Relying on an IUD may be a safer choice for monogamous partners, but a barrier method provides a
better option in preventing STD transmission.
D) Selecting a contraceptive device should consider choosing a successful method used in the past. –
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,PN Fundamentals of Nursing Evolve HESI
Correct Answer :A) Using an IUD offers no protection against sexually transmitted diseases (STD),
which increase the risk for pelvic inflammatory disease (PID).
The use of an IUD provides the client with no protection from STDs (A). While pregnancy rates with
the use of an IUD are somewhat higher, (B) is not therapeutic, but judgmental. (C) is judgmental and
does not provide the client any information about use of an IUD. While talking about contraceptives
may include (D), it is does not provide the best information to maintain the client's health.
A client reports unprotected sexual intercourse one week ago and is worried about HIV exposure. An
initial HIV antibody screen (ELISA) is obtained. The nurse teaches the client that seroconversion to HIV
positive relies on antibody production by B lymphocytes after exposure to the virus. When should the
nurse recommend the client return for repeat blood testing?
A) 6 to 18 months.
B) 1 to 12 months.
C) 1 to 18 weeks.
D) 6 to 12 weeks. –
Correct Answer :D) 6 to 12 weeks.
Although the HIV antigen is detectable approximately 2 weeks after exposure, seroconversion to HIV
positive may take up to 6 to 12 weeks (D) after exposure, so the client should return to repeat the
serum screen for the presence of HIV antibodies during that time frame. (A) will delay treatment if the
client tests positive. (B and C) may provide inaccurate results because the time frame maybe too early
to reevaluate the client.
A 32-year-old female client complains of severe abdominal pain each month before her menstrual
period, painful intercourse, and painful defecation. Which additional history should the nurse obtain
that is consistent with the client's complaints?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. –
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, PN Fundamentals of Nursing Evolve HESI
Correct Answer :B) Inability to get pregnant.
Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common symptoms of
endometriosis, which is the abnormal displacement of endometrial tissue in the dependent areas of
the pelvic peritoneum. A history of infertility (B) is another common finding associated with
endometriosis. Although (A, C, and D) are common, nonspecific gynecological complaints, the most
common complaints of the client with endometriosis are pain and infertility.
The nurse is completing an admission interview and assessment on a client with a history of
Parkinson's disease. Which question should provide information relevant to the client's plan of care?
A) Have you ever experienced any paralysis of your arms or legs?
B) Have you ever sustained a severe head injury?
C) Have you ever been 'frozen' in one spot, unable to move?
D) Do you have headaches, especially ones with throbbing pain? –
Correct Answer :C) Have you ever been 'frozen' in one spot, unable to move?
Clients with Parkinson's disease frequently experience difficulty in initiating, maintaining, and
performing motor activities. They may even experience being rooted to the spot and unable to move
(C). Parkinson's disease does not cause (A). Parkinson's disease is not usually associated with (B), nor
does it typically cause (D).
A female client requests information about using the calendar method of contraception. Which
assessment is most important for the nurse to obtain?
A) Amount of weight gain or weight loss during the previous year.
B) An accurate menstrual cycle diary for the past 6 to 12 months.
C) Skin pigmentation and hair texture for evidence of hormonal changes.
D) Previous birth-control methods and beliefs about the calendar method. - Correct Answer :B) An
accurate menstrual cycle diary for the past 6 to 12 months.
The fertile period, which occurs 2 weeks prior to the onset of menses, is determined using an accurate
record of the number of days of the menstrual cycles for the past 6 months, so it is most important to
P a g e 4 | 82
PN Fundamentals of Nursing Evolve HESI Real
Exams Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
a Review of 300+ Latest Correctly Answered
Questions (New!)
The nurse is planning care to prevent complication for a client with multiple myeloma. Which
intervention is most important for the nurse to include?
A) Safety precautions during activity.
B) Assess for changes in size of lymph nodes.
C) Maintain a fluid intake of 3 to 4 L per day.
D) Administer narcotic analgesic around the clock. –
Correct Answer :C) Maintain a fluid intake of 3 to 4 L per day.
P a g e 1 | 82
,PN Fundamentals of Nursing Evolve HESI
Multiple myeloma is a malignancy of plasma cells that infiltrate bone causing demineralization and
hypercalcemia, so maintaining a urinary output of 1.5 to 2 L per day requires an intake of 3 to 4 L (C) to
promote excretion of serum calcium. Although the client is at risk for pathologic fractures due to
diffuse osteoporosis, mobilization and weight bearing (A) should be encouraged to promote bone
reabsorption of circulating calcium, which can cause renal complications. (B) is a component of
ongoing assessment. Chronic pain management (D) should be included in the plan of care, but
prevention of complications related to hypercalcemia is most important.
A client has a staging procedure for cancer of the breast and ask the nurse which type of breast cancer
has the poorest prognosis. Which information should the nurse offer the client?
A) Stage II.
B) Invasive infiltrating ductal carcinoma.
C) T1N0M0.
D) Inflammatory with peau d'orange. –
Correct Answer :D) Inflammatory with peau d'orange.
Inflammatory breast cancer, which has a thickened appearance like an orange peel (peau d'orange), is
the most aggressive form of breast malignancies (D). Staging classifies cancer by the extension or
spread of the disease, and (A) indicates limited local spread. (B) indicates cancer cells have spread
from the ducts into the surrounding breast tissue only. TNM classification is used to indicate the
extent of the disease process according to tumor size, regional spread lymph nodes involvement, and
metastasis, and (C) indicates early cancer with small in situ involvement, no lymph node involvement,
and no distant metastases.
A client who is sexually active with several partners requests an intrauterine device (IUD) as a
contraceptive method. Which information should the nurse provide?
A) Using an IUD offers no protection against sexually transmitted diseases (STD), which increase the
risk for pelvic inflammatory disease (PID).
B) Getting pregnant while using an IUD is common and is not the best contraceptive choice.
C) Relying on an IUD may be a safer choice for monogamous partners, but a barrier method provides a
better option in preventing STD transmission.
D) Selecting a contraceptive device should consider choosing a successful method used in the past. –
P a g e 2 | 82
,PN Fundamentals of Nursing Evolve HESI
Correct Answer :A) Using an IUD offers no protection against sexually transmitted diseases (STD),
which increase the risk for pelvic inflammatory disease (PID).
The use of an IUD provides the client with no protection from STDs (A). While pregnancy rates with
the use of an IUD are somewhat higher, (B) is not therapeutic, but judgmental. (C) is judgmental and
does not provide the client any information about use of an IUD. While talking about contraceptives
may include (D), it is does not provide the best information to maintain the client's health.
A client reports unprotected sexual intercourse one week ago and is worried about HIV exposure. An
initial HIV antibody screen (ELISA) is obtained. The nurse teaches the client that seroconversion to HIV
positive relies on antibody production by B lymphocytes after exposure to the virus. When should the
nurse recommend the client return for repeat blood testing?
A) 6 to 18 months.
B) 1 to 12 months.
C) 1 to 18 weeks.
D) 6 to 12 weeks. –
Correct Answer :D) 6 to 12 weeks.
Although the HIV antigen is detectable approximately 2 weeks after exposure, seroconversion to HIV
positive may take up to 6 to 12 weeks (D) after exposure, so the client should return to repeat the
serum screen for the presence of HIV antibodies during that time frame. (A) will delay treatment if the
client tests positive. (B and C) may provide inaccurate results because the time frame maybe too early
to reevaluate the client.
A 32-year-old female client complains of severe abdominal pain each month before her menstrual
period, painful intercourse, and painful defecation. Which additional history should the nurse obtain
that is consistent with the client's complaints?
A) Frequent urinary tract infections.
B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives. –
P a g e 3 | 82
, PN Fundamentals of Nursing Evolve HESI
Correct Answer :B) Inability to get pregnant.
Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common symptoms of
endometriosis, which is the abnormal displacement of endometrial tissue in the dependent areas of
the pelvic peritoneum. A history of infertility (B) is another common finding associated with
endometriosis. Although (A, C, and D) are common, nonspecific gynecological complaints, the most
common complaints of the client with endometriosis are pain and infertility.
The nurse is completing an admission interview and assessment on a client with a history of
Parkinson's disease. Which question should provide information relevant to the client's plan of care?
A) Have you ever experienced any paralysis of your arms or legs?
B) Have you ever sustained a severe head injury?
C) Have you ever been 'frozen' in one spot, unable to move?
D) Do you have headaches, especially ones with throbbing pain? –
Correct Answer :C) Have you ever been 'frozen' in one spot, unable to move?
Clients with Parkinson's disease frequently experience difficulty in initiating, maintaining, and
performing motor activities. They may even experience being rooted to the spot and unable to move
(C). Parkinson's disease does not cause (A). Parkinson's disease is not usually associated with (B), nor
does it typically cause (D).
A female client requests information about using the calendar method of contraception. Which
assessment is most important for the nurse to obtain?
A) Amount of weight gain or weight loss during the previous year.
B) An accurate menstrual cycle diary for the past 6 to 12 months.
C) Skin pigmentation and hair texture for evidence of hormonal changes.
D) Previous birth-control methods and beliefs about the calendar method. - Correct Answer :B) An
accurate menstrual cycle diary for the past 6 to 12 months.
The fertile period, which occurs 2 weeks prior to the onset of menses, is determined using an accurate
record of the number of days of the menstrual cycles for the past 6 months, so it is most important to
P a g e 4 | 82
