HESI PRACTICE EXAM EVOLVE
2025 QUESTIONS AND ANSWERS
100% PASS
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 - ✔✔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 - ✔✔- quality of the pain
- signs of inflammation
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,- 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 - ✔✔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 - ✔✔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 - ✔✔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
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
,- inspect the traction equipment
- review pain medication orders - ✔✔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 - ✔✔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 - ✔✔- 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
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
, - 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 - ✔✔- 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 - ✔✔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
that the client has had 14 to 20 loose stools with rectal bleeding. When taking the
client's medical history, which information is most for the nurse to obtain?
- irritable bowel syndrome
- diverticulitis
- crohn's disease
- ulcerative colitis - ✔✔ulcerative colitis
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 4
2025 QUESTIONS AND ANSWERS
100% PASS
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 - ✔✔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 - ✔✔- quality of the pain
- signs of inflammation
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 1
,- 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 - ✔✔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 - ✔✔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 - ✔✔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
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
,- inspect the traction equipment
- review pain medication orders - ✔✔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 - ✔✔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 - ✔✔- 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
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
, - 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 - ✔✔- 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 - ✔✔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
that the client has had 14 to 20 loose stools with rectal bleeding. When taking the
client's medical history, which information is most for the nurse to obtain?
- irritable bowel syndrome
- diverticulitis
- crohn's disease
- ulcerative colitis - ✔✔ulcerative colitis
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 4
