hesi practice exam evolve
(hesi practice exam evolve Latest 2026-27 Update) 4/6/2026, 6:31:26 PM
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1. An adult client who is hospitalized after surgery re- pulmonary em-
ports sudden onset of chest pain and dyspnea. The bolism
client appears anxious, restless, and mildly cyanotic.
The nurse should further assess the client for which
condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis
2. Which information should the nurse obtain when per- - quality of the pain
forming an initial assessment of a client who pre- - signs of inflam-
sents to the emergency department with a painful mation
ankle injury? (Select all that apply.) - ankle range of
- quality of the pain motion
- signs of inflammation - visible deformi-
- ankle range of motion ties of the joint
- muscle strength testing
- visible deformities of the joint
3. Which description of pain is consistent with a diag- joint pain is worse
nosis of rheumatoid arthritis? in the morning and
- joint pain is worse in the morning and involves involves symmet-
symmetric joints ric 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
4. Which physical assessment finding should the hoarseness
nurse anticipate in a client with long-term gastroe-
sophagealreflux disease (GERD)?
- hoarseness
- dry mouth
- mouth ulcers
- weight loss
4/6/2026 2026-04-06 2026/04/06
, hesi practice exam evolve
(hesi practice exam evolve Latest 2026-27 Update) 4/6/2026, 6:31:26 PM
Study online at https://quizlet.com/_fv87rj
5. A client presents with chronic venous insufficiency. bilateral lower leg
Which assessment finding should the nurse antici- stasis dermatitis
pate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
- intermittent claudication
- peripheral cyanosis
6. A client has been hospitalized with a femur fracture assess neurovas-
and is being treated with traction. Which action by the cular status
nurse is the priority when caring for this client?
- assess neurovascular status
- change the client's position
- inspect the traction equipment
- review pain medication orders
7. Which statement made by a client with chronic pan- I will cut back
creatitis indicates that further education is needed? on smoking ciga-
- I will cut back on smoking cigarettes daily rettes daily
- I will avoid drinking caffeinated beverages (*avoid nicotine
- I will rest frequently and avoid vigorous exercise entirely)
- I will eat a bland, low-fat, high-protein diet
8. The nurse is teaching a female client who uses a con- - do not leave
traceptive diaphragm about reducing the risk for tox- the diaphragm in
ic shock syndrome (TSS). Which information should place longer than
the nurse include? (Select all that apply.) 8 hours after inter-
- remove the diaphragm immediately after intercourse course
- wash the diaphragm with an alcohol solution - replace the old
- use the diaphragm to prevent conception during the diaphragm every 3
menstrual cycle months
- do not leave the diaphragm in place longer than 8
hours after intercourse
- replace the old diaphragm every 3 months
9. A male client who smokes two packs of cigarettes a - alcohol con-
day states he understands that smoking cigarettes is sumption can
contributing to the difficulty that he and his wife are cause erectile
having in getting pregnant and wants to know if other dysfunction
factors could be contributing to2026-04-06
4/6/2026
their difficulty. What - low testosterone
2026/04/06
, hesi practice exam evolve
(hesi practice exam evolve Latest 2026-27 Update) 4/6/2026, 6:31:26 PM
Study online at https://quizlet.com/_fv87rj
information is best for the nurse to provide? (Select levels affect sperm
all that apply.) production
- marijuana cigarettes do not affect sperm count - cessation of
- alcohol consumption can cause erectile dysfunc- smoking improves
tion general health and
- low testosterone levels affect sperm production fertility
- cessation of smoking improves general health and
fertility
- obesity has no effect on sperm production
10. Twenty four hours after a client returns from surgical lethargy
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
11. The registered nurse (RN) is assessing a male client ulcerative colitis
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
12. A client is newly diagnosed with diverticulosis. The chronic constipa-
registered nurse (RN) is assessing the client's basic tion causes weak-
knowledge about the disease process. Which state- ening of colon wall
ment by the client conveys an understanding of the which result in
etiology of diverticula? out-pouching sacs
- over use of laxatives for bowel regularity result in
loss of peristaltic tone
4/6/2026 2026-04-06 2026/04/06
, hesi practice exam evolve
(hesi practice exam evolve Latest 2026-27 Update) 4/6/2026, 6:31:26 PM
Study online at https://quizlet.com/_fv87rj
- inflammation of the colon mucosa cause growths
that protrude into the colon lumen
- diverticulosis is the result of high fiber diet and
sedentary life style
- chronic constipation causes weakening of colon
wall which result in out-pouching sacs
13. The registered nurse (RN) is assessing a client who sphygmomanome-
was discharged home after management of chronic ter
hypertension. Which equipment should the RN in-
struct the client to use at home?
- exercise bicycle
- sphygmomanometer
- blood glucose monitor
- weekly medication box
14. young adult male is diagnosed with Stage 4 propose sperm
Hodgkin's lymphoma in the abdominopelvic region banking before RT
and is scheduled for radiation therapy (RT). The client then artificial in-
expresses concern about becoming infertile. How semination is an
should the nurse respond? option
- propose sperm banking before RT then artificial
insemination is an option
- suggest adoption when the client is in remission or
ready for parenting
- tell the client that infertility is a non-reversible side
effect of radiotherapy
- explain that sperm production will be suppressed
after radiotherapy is over
15. A client's susceptibility to ulcerative colitis is most Jewish European
likely due to which aspect in the client's history? ancestry
- Jewish European ancestry
- H. pylori bowel infection
- family history of irritable bowel syndrome
- age between 25 and 55 years
16. Small bowel obstruction is a condition characterized severe fluid and
by which finding? electrolyte imbal-
- severe fluid and electrolyte imbalances
4/6/2026 2026-04-06
ances 2026/04/06
(hesi practice exam evolve Latest 2026-27 Update) 4/6/2026, 6:31:26 PM
Study online at https://quizlet.com/_fv87rj
1. An adult client who is hospitalized after surgery re- pulmonary em-
ports sudden onset of chest pain and dyspnea. The bolism
client appears anxious, restless, and mildly cyanotic.
The nurse should further assess the client for which
condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis
2. Which information should the nurse obtain when per- - quality of the pain
forming an initial assessment of a client who pre- - signs of inflam-
sents to the emergency department with a painful mation
ankle injury? (Select all that apply.) - ankle range of
- quality of the pain motion
- signs of inflammation - visible deformi-
- ankle range of motion ties of the joint
- muscle strength testing
- visible deformities of the joint
3. Which description of pain is consistent with a diag- joint pain is worse
nosis of rheumatoid arthritis? in the morning and
- joint pain is worse in the morning and involves involves symmet-
symmetric joints ric 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
4. Which physical assessment finding should the hoarseness
nurse anticipate in a client with long-term gastroe-
sophagealreflux disease (GERD)?
- hoarseness
- dry mouth
- mouth ulcers
- weight loss
4/6/2026 2026-04-06 2026/04/06
, hesi practice exam evolve
(hesi practice exam evolve Latest 2026-27 Update) 4/6/2026, 6:31:26 PM
Study online at https://quizlet.com/_fv87rj
5. A client presents with chronic venous insufficiency. bilateral lower leg
Which assessment finding should the nurse antici- stasis dermatitis
pate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
- intermittent claudication
- peripheral cyanosis
6. A client has been hospitalized with a femur fracture assess neurovas-
and is being treated with traction. Which action by the cular status
nurse is the priority when caring for this client?
- assess neurovascular status
- change the client's position
- inspect the traction equipment
- review pain medication orders
7. Which statement made by a client with chronic pan- I will cut back
creatitis indicates that further education is needed? on smoking ciga-
- I will cut back on smoking cigarettes daily rettes daily
- I will avoid drinking caffeinated beverages (*avoid nicotine
- I will rest frequently and avoid vigorous exercise entirely)
- I will eat a bland, low-fat, high-protein diet
8. The nurse is teaching a female client who uses a con- - do not leave
traceptive diaphragm about reducing the risk for tox- the diaphragm in
ic shock syndrome (TSS). Which information should place longer than
the nurse include? (Select all that apply.) 8 hours after inter-
- remove the diaphragm immediately after intercourse course
- wash the diaphragm with an alcohol solution - replace the old
- use the diaphragm to prevent conception during the diaphragm every 3
menstrual cycle months
- do not leave the diaphragm in place longer than 8
hours after intercourse
- replace the old diaphragm every 3 months
9. A male client who smokes two packs of cigarettes a - alcohol con-
day states he understands that smoking cigarettes is sumption can
contributing to the difficulty that he and his wife are cause erectile
having in getting pregnant and wants to know if other dysfunction
factors could be contributing to2026-04-06
4/6/2026
their difficulty. What - low testosterone
2026/04/06
, hesi practice exam evolve
(hesi practice exam evolve Latest 2026-27 Update) 4/6/2026, 6:31:26 PM
Study online at https://quizlet.com/_fv87rj
information is best for the nurse to provide? (Select levels affect sperm
all that apply.) production
- marijuana cigarettes do not affect sperm count - cessation of
- alcohol consumption can cause erectile dysfunc- smoking improves
tion general health and
- low testosterone levels affect sperm production fertility
- cessation of smoking improves general health and
fertility
- obesity has no effect on sperm production
10. Twenty four hours after a client returns from surgical lethargy
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
11. The registered nurse (RN) is assessing a male client ulcerative colitis
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
12. A client is newly diagnosed with diverticulosis. The chronic constipa-
registered nurse (RN) is assessing the client's basic tion causes weak-
knowledge about the disease process. Which state- ening of colon wall
ment by the client conveys an understanding of the which result in
etiology of diverticula? out-pouching sacs
- over use of laxatives for bowel regularity result in
loss of peristaltic tone
4/6/2026 2026-04-06 2026/04/06
, hesi practice exam evolve
(hesi practice exam evolve Latest 2026-27 Update) 4/6/2026, 6:31:26 PM
Study online at https://quizlet.com/_fv87rj
- inflammation of the colon mucosa cause growths
that protrude into the colon lumen
- diverticulosis is the result of high fiber diet and
sedentary life style
- chronic constipation causes weakening of colon
wall which result in out-pouching sacs
13. The registered nurse (RN) is assessing a client who sphygmomanome-
was discharged home after management of chronic ter
hypertension. Which equipment should the RN in-
struct the client to use at home?
- exercise bicycle
- sphygmomanometer
- blood glucose monitor
- weekly medication box
14. young adult male is diagnosed with Stage 4 propose sperm
Hodgkin's lymphoma in the abdominopelvic region banking before RT
and is scheduled for radiation therapy (RT). The client then artificial in-
expresses concern about becoming infertile. How semination is an
should the nurse respond? option
- propose sperm banking before RT then artificial
insemination is an option
- suggest adoption when the client is in remission or
ready for parenting
- tell the client that infertility is a non-reversible side
effect of radiotherapy
- explain that sperm production will be suppressed
after radiotherapy is over
15. A client's susceptibility to ulcerative colitis is most Jewish European
likely due to which aspect in the client's history? ancestry
- Jewish European ancestry
- H. pylori bowel infection
- family history of irritable bowel syndrome
- age between 25 and 55 years
16. Small bowel obstruction is a condition characterized severe fluid and
by which finding? electrolyte imbal-
- severe fluid and electrolyte imbalances
4/6/2026 2026-04-06
ances 2026/04/06
