Evolve Comprehensive Exam (Hesi)
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority nursing action when a client receiving IV morphine becomes difficult to
arouse and has a respiratory rate of 6/min?
✔✔Administer naloxone immediately.
A client with pneumonia is coughing thick yellow secretions. What nursing action best helps to
thin and mobilize the secretions?
✔✔Encourage increased oral fluid intake.
A client with cirrhosis has confusion and asterixis. What condition should the nurse suspect?
✔✔Hepatic encephalopathy.
What is the priority action when a client’s chest tube suddenly stops draining?
✔✔Assess the client immediately for signs of tension pneumothorax.
1
,A client with COPD is short of breath while lying down. What position should the nurse place
the client in?
✔✔High Fowler’s with arms supported on pillows.
What is the nurse’s first action when a postpartum client is experiencing heavy vaginal bleeding?
✔✔Massage the uterine fundus.
A client with burns over 40% of the body is at highest risk for which complication during the
first 24 hours?
✔✔Hypovolemic shock.
What laboratory test should the nurse monitor in a client receiving heparin infusion?
✔✔Activated partial thromboplastin time (aPTT).
What is the nurse’s immediate action when a client receiving a blood transfusion develops chills,
fever, and back pain?
✔✔Stop the transfusion at once.
2
,What electrolyte imbalance is the nurse most concerned about when a client is taking
furosemide?
✔✔Hypokalemia.
A client with appendicitis reports sudden relief of abdominal pain. What is the nurse’s priority
action?
✔✔Assess for signs of peritonitis.
A client is prescribed levothyroxine. When should the nurse instruct the client to take the
medication?
✔✔In the morning on an empty stomach.
What is the best way to prevent aspiration in a client receiving tube feeding?
✔✔Keep the head of the bed elevated 30–45 degrees.
What condition should the nurse suspect when a client with hyperthyroidism develops fever,
tachycardia, and restlessness?
✔✔Thyroid storm.
3
, What intervention should the nurse take when a client with schizophrenia reports hearing voices
telling them to harm themselves?
✔✔Ensure client safety and notify the healthcare provider immediately.
What is the priority assessment after administering IV potassium?
✔✔Monitor cardiac rhythm.
What is the first action when a client with heart failure reports sudden weight gain of 3 pounds in
24 hours?
✔✔Notify the healthcare provider.
What complication should the nurse suspect if a client with a chest tube develops sudden
shortness of breath and tracheal deviation?
✔✔Tension pneumothorax.
What action should the nurse take when caring for a client with tuberculosis?
✔✔Place the client in airborne isolation with N95 respirator.
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority nursing action when a client receiving IV morphine becomes difficult to
arouse and has a respiratory rate of 6/min?
✔✔Administer naloxone immediately.
A client with pneumonia is coughing thick yellow secretions. What nursing action best helps to
thin and mobilize the secretions?
✔✔Encourage increased oral fluid intake.
A client with cirrhosis has confusion and asterixis. What condition should the nurse suspect?
✔✔Hepatic encephalopathy.
What is the priority action when a client’s chest tube suddenly stops draining?
✔✔Assess the client immediately for signs of tension pneumothorax.
1
,A client with COPD is short of breath while lying down. What position should the nurse place
the client in?
✔✔High Fowler’s with arms supported on pillows.
What is the nurse’s first action when a postpartum client is experiencing heavy vaginal bleeding?
✔✔Massage the uterine fundus.
A client with burns over 40% of the body is at highest risk for which complication during the
first 24 hours?
✔✔Hypovolemic shock.
What laboratory test should the nurse monitor in a client receiving heparin infusion?
✔✔Activated partial thromboplastin time (aPTT).
What is the nurse’s immediate action when a client receiving a blood transfusion develops chills,
fever, and back pain?
✔✔Stop the transfusion at once.
2
,What electrolyte imbalance is the nurse most concerned about when a client is taking
furosemide?
✔✔Hypokalemia.
A client with appendicitis reports sudden relief of abdominal pain. What is the nurse’s priority
action?
✔✔Assess for signs of peritonitis.
A client is prescribed levothyroxine. When should the nurse instruct the client to take the
medication?
✔✔In the morning on an empty stomach.
What is the best way to prevent aspiration in a client receiving tube feeding?
✔✔Keep the head of the bed elevated 30–45 degrees.
What condition should the nurse suspect when a client with hyperthyroidism develops fever,
tachycardia, and restlessness?
✔✔Thyroid storm.
3
, What intervention should the nurse take when a client with schizophrenia reports hearing voices
telling them to harm themselves?
✔✔Ensure client safety and notify the healthcare provider immediately.
What is the priority assessment after administering IV potassium?
✔✔Monitor cardiac rhythm.
What is the first action when a client with heart failure reports sudden weight gain of 3 pounds in
24 hours?
✔✔Notify the healthcare provider.
What complication should the nurse suspect if a client with a chest tube develops sudden
shortness of breath and tracheal deviation?
✔✔Tension pneumothorax.
What action should the nurse take when caring for a client with tuberculosis?
✔✔Place the client in airborne isolation with N95 respirator.
4
