Evolve HESI Fundamental Questions latest update 2025/2026
After sustaining a head trauma, a client reports hearing ringing noises. Which area should the nurse
assess further?
Frontal lobe
Occipital lobe
Sixth cranial nerve (abducens)
Eighth cranial nerve (vestibulocochlear) - (ANSWER)Eighth cranial nerve (vestibulocochlear)
A client is admitted to the hospital after sustaining a head injury. Which is the most reliable sign of
increased intracranial pressure the nurse can monitor for?
Rise in respiratory rate
Narrowing of pulse pressure
Decrease in the level of consciousness
Increase in the diastolic blood pressure - (ANSWER)Decrease in the level of consciousness
In caring for the client with burr holes for a subdural hematoma postoperatively on day 2, the nurse
notes the client has an increased temperature to 101.3 F° (38.5° C). What does the nurse understand
about this reaction?
This is a normal assessment for the client with a subdural hematoma.
This is a normal reaction day 2 postoperatively, and the nurse will administer acetaminophen as
prescribed by the healthcare provider.
,Evolve HESI Fundamental Questions latest update 2025/2026
Because the client has burr holes, this is not an accurate measurement.
The client is exhibiting signs of an infection, and the healthcare provider needs to be notified. -
(ANSWER)The client is exhibiting signs of an infection, and the healthcare provider needs to be notified.
A client who had a cerebrovascular accident (also known as a "brain attack") becomes incontinent of
feces. What is the most important nursing action to support the success of a bowel training program?
Using medication to induce elimination
Adhering to a definite time for attempted evacuations
Considering previous habits associated with defecation
Timing of elimination to take advantage of the gastrocolic reflex - (ANSWER)Adhering to a definite time
for attempted evacuations
A client sustains a vertebral fracture at the T1 level and is admitted to the emergency department.
During a detailed neurologic assessment, the nurse expects to identify which clinical manifestation?
Difficulty breathing
Inability to move the lower arms
Normal biceps reflexes in the arms
Loss of pain sensation in the hands - (ANSWER)Normal biceps reflexes in the arms
Which cranial nerve damage may lead to a decrease in the client's olfactory acuity?
, Evolve HESI Fundamental Questions latest update 2025/2026
Cranial nerve I
Cranial nerve X
Cranial nerve V
Cranial nerve VIII - (ANSWER)Cranial nerve I
An older client is diagnosed with Alzheimer disease. For which clinical manifestations should the nurse
assess the client?
Loss of recent memory
Focused attention span
Perceptual disturbances
Willingness to accept change
Difficulty learning something new - (ANSWER)Loss of recent memory
Perceptual disturbances
Difficulty learning something new
After a cerebrovascular accident (also known as brain attack) a client is unable to differentiate between
heat or cold and sharp or dull sensory stimulation. What lobe of the brain should the nurse conclude is
likely affected?
After sustaining a head trauma, a client reports hearing ringing noises. Which area should the nurse
assess further?
Frontal lobe
Occipital lobe
Sixth cranial nerve (abducens)
Eighth cranial nerve (vestibulocochlear) - (ANSWER)Eighth cranial nerve (vestibulocochlear)
A client is admitted to the hospital after sustaining a head injury. Which is the most reliable sign of
increased intracranial pressure the nurse can monitor for?
Rise in respiratory rate
Narrowing of pulse pressure
Decrease in the level of consciousness
Increase in the diastolic blood pressure - (ANSWER)Decrease in the level of consciousness
In caring for the client with burr holes for a subdural hematoma postoperatively on day 2, the nurse
notes the client has an increased temperature to 101.3 F° (38.5° C). What does the nurse understand
about this reaction?
This is a normal assessment for the client with a subdural hematoma.
This is a normal reaction day 2 postoperatively, and the nurse will administer acetaminophen as
prescribed by the healthcare provider.
,Evolve HESI Fundamental Questions latest update 2025/2026
Because the client has burr holes, this is not an accurate measurement.
The client is exhibiting signs of an infection, and the healthcare provider needs to be notified. -
(ANSWER)The client is exhibiting signs of an infection, and the healthcare provider needs to be notified.
A client who had a cerebrovascular accident (also known as a "brain attack") becomes incontinent of
feces. What is the most important nursing action to support the success of a bowel training program?
Using medication to induce elimination
Adhering to a definite time for attempted evacuations
Considering previous habits associated with defecation
Timing of elimination to take advantage of the gastrocolic reflex - (ANSWER)Adhering to a definite time
for attempted evacuations
A client sustains a vertebral fracture at the T1 level and is admitted to the emergency department.
During a detailed neurologic assessment, the nurse expects to identify which clinical manifestation?
Difficulty breathing
Inability to move the lower arms
Normal biceps reflexes in the arms
Loss of pain sensation in the hands - (ANSWER)Normal biceps reflexes in the arms
Which cranial nerve damage may lead to a decrease in the client's olfactory acuity?
, Evolve HESI Fundamental Questions latest update 2025/2026
Cranial nerve I
Cranial nerve X
Cranial nerve V
Cranial nerve VIII - (ANSWER)Cranial nerve I
An older client is diagnosed with Alzheimer disease. For which clinical manifestations should the nurse
assess the client?
Loss of recent memory
Focused attention span
Perceptual disturbances
Willingness to accept change
Difficulty learning something new - (ANSWER)Loss of recent memory
Perceptual disturbances
Difficulty learning something new
After a cerebrovascular accident (also known as brain attack) a client is unable to differentiate between
heat or cold and sharp or dull sensory stimulation. What lobe of the brain should the nurse conclude is
likely affected?
