HESI EVOLVE PRACTICE EXAM WITH
RATIONALES QUIZZES WITH ANSWERS 2025 -
2026
an,antacid,(Maalox),is,prescribed,for,a,client,with,peptic,ulcer,disease.,the,nurse,knows,that,the,purpose,
of,this,medicatio,is:
A.,decrease,production,of,gastric,secretions
B.,produce,an,adherent,barrier,over,the,ulcer
C.,maintain,a,gastric,pH,of,3.5,or,higher
D.,decrease,gastric,motor,activity,,,ANS,-C.,maintain,a,gastric,pH,of,3.5,or,higher
rationale:,objective,of,antacids,is,to,neutralize,gastric,acids,and,keep,a,pH,of,3.5,or,above,,which,is,neces
sary,for,pepsinogen,activity
In,evaluation,the,effects,of,lactulose,(Cephulac),,which,outcome,would,indicate,that,the,drug,is,performi
ng,as,intended?
A.,increase,in,urine,output
B.,2,or,3,soft,stools,per,day.
C.,watery,,diarrhea,stools
D.,increased,serum,bilirubin,,,ANS,-B.,2,or,3,soft,stools,per,day.
The,healthcare,provider,prescribes,digitalis,(Digoxin),for,a,client,diagnosed,with,CHF.,which,intervention,
should,the,nurse,implement,prior,to,administering,Digoxin?
A.,observe,respiratory,rate,and,depth
B.,assess,serum,potassium,level
C.,obtain,the,client's,BP
D.,Monitor,the,serum,glucose,level,,,ANS,-B.,assess,serum,potassium,level
Following,the,administration,of,sublingual,nitroglycerin,to,a,client,experiencing,an,acute,anginal,attack,,
which,assessment,finding,indicates,to,the,nurse,that,the,desired,effect,has,been,achieved?
,A.,client,states,chest,pain,is,relieved
B.,client's,pulse,decreases,from,120,to,90
C.,client's,systolic,BP,decreases,from,180,to,90.
D.,clients,Oxygen,level,increases,form,92%,to,96%,,,ANS,-A.,client,states,chest,pain,is,relieved
A,client,with,CHF,is,being,discharges,with,a,new,prescription,for,ACE,inhibitor,Captopril,(Capoten).,The,n
urse's,discharge,instruction,should,include,reporting,which,problem,to,the,health,care,provider?
A.,weight,loss
B.,Dizziness
C.,Muscle,cramps
D.,Dry,mucous,membreanes,,,ANS,-B.,Dizziness
A,client,is,being,treated,for,hyperthyroidism,with,propylthiouracil,(PTU).,The,nurse,knows,that,the,action
,of,this,drug,is,to:
A.,decrease,the,amount,of,thyroid-stimulating,hormone,circulating,in,the,blood.
B.,increase,the,amount,of,thyroid-stimulating,hormone,circulating,in,the,blood.
C.,increase,the,amount,of,T4,and,decrease,the,amount,of,T3,produced,by,the,thyroid.
D.,inhibit,synthesis,of,T3,and,T4,by,the,thyroid,glanf,,,ANS,-
D.,inhibits,synthesis,of,T3,and,T4,by,the,thyroid,gland.
A,client,with,Parkinson's,disease,is,taking,carbidopa-
levadopa,(Sinemet).,which,observation,by,the,nurse,would,indicate,that,the,desired,outcome,of,the,med
ication,is,being,achieved?
A.,decreased,BP
B.,lessening,of,tremors
C.,increased,salivation
D.,increased,attention,span,,,ANS,-B.,lessening,of,tremors
rationale:,sinemet,carbidopa,increases,the,amount,of,levodopa,to,the,CNS,(dopamine,to,the,brain).,incre
ased,amounts,of,dopamine,improve,the,symptoms,of,Parkinsons,,such,as,involuntary,movements,,restin
g,tremors,,shuffling,air,,etc.,dec,drooling,would,be,a,desired,effect,of,levodopa/carbidopa
, Following,heparin,treatment,for,a,pulmonary,embolism,,a,client,is,being,discharged,with,a,prescription,f
or,warfarin,(coumadin).,In,conducting,discharge,teaching,,the,nurse,advises,the,client,to,have,which,diag
nostic,test,monitored,regularly,after,discharge?,
A.,perfusion,scan
B.,Prothrombin,Time,(PT/INR)
C.,activated,partial,thromboplastin,(APPT)
D.,serum,coumadin,level,(SCL).,,,ANS,-B.,prothrombin,time,(PT/INR)
rationale:,when,used,for,a,client,with,a,pulmonary,embolus,,the,theraputic,goal,for,warfarin,therapy,is,1-
2x,greater,than,the,control,,Orr,an,INR,of,2-3
A,postoperative,client,has,been,receiving,a,continuous,IV,infusion,of,meperidine,(demerol),35mg/hr,for,f
our,days.,the,client,has,a,PRN,prescription,for,Demerol,100,mg,PO,q3h.,The,nurse,notes,that,the,client,ha
s,become,increasingly,restless,,irritable,and,confused,,stating,that,there,are,bugs,all,over,the,walls.,what,
action,should,the,nurse,take,first?
A.,administer,a,PRN,dose,of,PO,meperidine,(Demerol).
B.,administer,naloxone,(Narcan),IV,per,PRN,protocol/
C.,Decrease,the,IV,infusion,rate,of,the,meperidine,(Demerol),per,protocol.
D.,notify,the,healthcare,provider,of,the,client's,confusion,and,hallucinations,,,ANS,-
C.,Decrease,the,IV,infusion,rate,of,the,meperidine,(Demerol),per,protocol.
A,client,is,being,treated,for,osteoporosis,with,alendronate,(fosamax),,and,the,nurse,has,completed,disch
arge,teaching,regarding,medication,administration.,Which,morning,schedule,would,indicate,to,the,nurse,
that,the,client,teaching,has,been,effective?
A.,take,medication,,go,for,a,30,minute,morning,walk,,then,eat,breakfast
B.,take,medication,,rest,in,bed,for,30,minutes,,,eat,breakfast,,go,for,morning,walk
C.,take,medication,with,breakfast,,then,take,a,30,minute,morning,walk.
D.,go,for,a,30,minute,morning,walk,,eat,breakfast,,then,take,medication,,,ANS,-
A.,take,medication,,go,for,a,30,minute,morning,walk,,then,eat,breakfast
A,client,is,receibing,metoprolol,(Lopressor).,What,assessment,is,most,important,for,the,nurse,to,obtain?
RATIONALES QUIZZES WITH ANSWERS 2025 -
2026
an,antacid,(Maalox),is,prescribed,for,a,client,with,peptic,ulcer,disease.,the,nurse,knows,that,the,purpose,
of,this,medicatio,is:
A.,decrease,production,of,gastric,secretions
B.,produce,an,adherent,barrier,over,the,ulcer
C.,maintain,a,gastric,pH,of,3.5,or,higher
D.,decrease,gastric,motor,activity,,,ANS,-C.,maintain,a,gastric,pH,of,3.5,or,higher
rationale:,objective,of,antacids,is,to,neutralize,gastric,acids,and,keep,a,pH,of,3.5,or,above,,which,is,neces
sary,for,pepsinogen,activity
In,evaluation,the,effects,of,lactulose,(Cephulac),,which,outcome,would,indicate,that,the,drug,is,performi
ng,as,intended?
A.,increase,in,urine,output
B.,2,or,3,soft,stools,per,day.
C.,watery,,diarrhea,stools
D.,increased,serum,bilirubin,,,ANS,-B.,2,or,3,soft,stools,per,day.
The,healthcare,provider,prescribes,digitalis,(Digoxin),for,a,client,diagnosed,with,CHF.,which,intervention,
should,the,nurse,implement,prior,to,administering,Digoxin?
A.,observe,respiratory,rate,and,depth
B.,assess,serum,potassium,level
C.,obtain,the,client's,BP
D.,Monitor,the,serum,glucose,level,,,ANS,-B.,assess,serum,potassium,level
Following,the,administration,of,sublingual,nitroglycerin,to,a,client,experiencing,an,acute,anginal,attack,,
which,assessment,finding,indicates,to,the,nurse,that,the,desired,effect,has,been,achieved?
,A.,client,states,chest,pain,is,relieved
B.,client's,pulse,decreases,from,120,to,90
C.,client's,systolic,BP,decreases,from,180,to,90.
D.,clients,Oxygen,level,increases,form,92%,to,96%,,,ANS,-A.,client,states,chest,pain,is,relieved
A,client,with,CHF,is,being,discharges,with,a,new,prescription,for,ACE,inhibitor,Captopril,(Capoten).,The,n
urse's,discharge,instruction,should,include,reporting,which,problem,to,the,health,care,provider?
A.,weight,loss
B.,Dizziness
C.,Muscle,cramps
D.,Dry,mucous,membreanes,,,ANS,-B.,Dizziness
A,client,is,being,treated,for,hyperthyroidism,with,propylthiouracil,(PTU).,The,nurse,knows,that,the,action
,of,this,drug,is,to:
A.,decrease,the,amount,of,thyroid-stimulating,hormone,circulating,in,the,blood.
B.,increase,the,amount,of,thyroid-stimulating,hormone,circulating,in,the,blood.
C.,increase,the,amount,of,T4,and,decrease,the,amount,of,T3,produced,by,the,thyroid.
D.,inhibit,synthesis,of,T3,and,T4,by,the,thyroid,glanf,,,ANS,-
D.,inhibits,synthesis,of,T3,and,T4,by,the,thyroid,gland.
A,client,with,Parkinson's,disease,is,taking,carbidopa-
levadopa,(Sinemet).,which,observation,by,the,nurse,would,indicate,that,the,desired,outcome,of,the,med
ication,is,being,achieved?
A.,decreased,BP
B.,lessening,of,tremors
C.,increased,salivation
D.,increased,attention,span,,,ANS,-B.,lessening,of,tremors
rationale:,sinemet,carbidopa,increases,the,amount,of,levodopa,to,the,CNS,(dopamine,to,the,brain).,incre
ased,amounts,of,dopamine,improve,the,symptoms,of,Parkinsons,,such,as,involuntary,movements,,restin
g,tremors,,shuffling,air,,etc.,dec,drooling,would,be,a,desired,effect,of,levodopa/carbidopa
, Following,heparin,treatment,for,a,pulmonary,embolism,,a,client,is,being,discharged,with,a,prescription,f
or,warfarin,(coumadin).,In,conducting,discharge,teaching,,the,nurse,advises,the,client,to,have,which,diag
nostic,test,monitored,regularly,after,discharge?,
A.,perfusion,scan
B.,Prothrombin,Time,(PT/INR)
C.,activated,partial,thromboplastin,(APPT)
D.,serum,coumadin,level,(SCL).,,,ANS,-B.,prothrombin,time,(PT/INR)
rationale:,when,used,for,a,client,with,a,pulmonary,embolus,,the,theraputic,goal,for,warfarin,therapy,is,1-
2x,greater,than,the,control,,Orr,an,INR,of,2-3
A,postoperative,client,has,been,receiving,a,continuous,IV,infusion,of,meperidine,(demerol),35mg/hr,for,f
our,days.,the,client,has,a,PRN,prescription,for,Demerol,100,mg,PO,q3h.,The,nurse,notes,that,the,client,ha
s,become,increasingly,restless,,irritable,and,confused,,stating,that,there,are,bugs,all,over,the,walls.,what,
action,should,the,nurse,take,first?
A.,administer,a,PRN,dose,of,PO,meperidine,(Demerol).
B.,administer,naloxone,(Narcan),IV,per,PRN,protocol/
C.,Decrease,the,IV,infusion,rate,of,the,meperidine,(Demerol),per,protocol.
D.,notify,the,healthcare,provider,of,the,client's,confusion,and,hallucinations,,,ANS,-
C.,Decrease,the,IV,infusion,rate,of,the,meperidine,(Demerol),per,protocol.
A,client,is,being,treated,for,osteoporosis,with,alendronate,(fosamax),,and,the,nurse,has,completed,disch
arge,teaching,regarding,medication,administration.,Which,morning,schedule,would,indicate,to,the,nurse,
that,the,client,teaching,has,been,effective?
A.,take,medication,,go,for,a,30,minute,morning,walk,,then,eat,breakfast
B.,take,medication,,rest,in,bed,for,30,minutes,,,eat,breakfast,,go,for,morning,walk
C.,take,medication,with,breakfast,,then,take,a,30,minute,morning,walk.
D.,go,for,a,30,minute,morning,walk,,eat,breakfast,,then,take,medication,,,ANS,-
A.,take,medication,,go,for,a,30,minute,morning,walk,,then,eat,breakfast
A,client,is,receibing,metoprolol,(Lopressor).,What,assessment,is,most,important,for,the,nurse,to,obtain?
