PN Fundamentals of Nursing Evolve HESI
PN Fundamentals of Nursing Evolve HESI Real
Exams 1 Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
a Review of 300+ Latest Correctly Answered
Questions (New!)
A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming
that liquids are allowed, which assessment action should the nurse consider a priority?
A) Listen to bilateral lung and bowel sounds.
B) Obtain the client's pulse and blood pressure.
C) Assist the client to the bathroom to void.
D) Check the client's gag and swallow reflexes. –
Correct Answer :D) Check the client's gag and swallow reflexes.
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,PN Fundamentals of Nursing Evolve HESI
Following gastroscopy, a client should remain nothing by mouth until the effects of local anesthesia
have dissipated and the airway's protective reflexes, gag and swallow reflexes, have returned (D). (A,
B, and C) are not the priority before reintroducing oral fluids after a gastroscopy.
A 49-year-old female client arrives at the clinic for an annual exam and asks the nurse why she
becomes excessively diaphoretic and feels warm during nighttime. What is the nurse's best response?
A) Explain the effect of the follicle-stimulating and luteinizing hormones.
B) Discuss perimenopause and related comfort measures.
C) Assess lung fields and for a cough productive of blood-tinged mucous.
D) Ask if a fever above 101º F has occurred in the last 24 hours. –
Correct Answer :B) Discuss perimenopause and related comfort measures.
The perimenopausal period begins about 10 years before menopause with the cessation of
menstruation at the average ages of 52 to 54. Lower estrogen levels causes FSH and LH secretion in
bursts (surges), which triggers vasomotor instability, night sweats, and hot flashes, so discussions
about the perimenopausal body's changes, comfort measures (B), and treatment options should be
provided. In-depth pathophysiology of the symptoms (A) may only confuse the client. There is no
indication that the client has tuberculosis and an infection, so (C and D) are not indicated.
The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin.
Which assessment should the nurse identify before beginning the teaching session?
A) Present knowledge related to the skill of injection.
B) Intelligence and developmental level of the client.
C) Willingness of the client to learn the injection sites.
D) Financial resources available for the equipment. –
Correct Answer :C) Willingness of the client to learn the injection sites.
If a client is incapable or does not want to learn, it is unlikely that learning will occur, so motivation is
the first factor the nurse should assess before teaching (C). To determine learning needs, the nurse
should assess (A), but this is not the most important factor for the nurse to assess. (B and D) are
factors to consider, but not as vital as (C).
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,PN Fundamentals of Nursing Evolve HESI
An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf. The
nurse notices a reddened area on the calf of his right leg which is warm to the touch and suspects it
might be thrombophlebitis. Which type of pain should further confirm this suspicion?
A) Pain in the calf awakening him from a sound sleep.
B) Calf pain on exertion which stops when standing in one place.
C) Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
D) Pain upon arising in the morning which is relieved after some stretching and exercise. –
Correct Answer :C) Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
Thrombophlebitis pain is relieved by rest and elevation of the extremity (C). It typically occurs with
exercise at the site of the thrombus, and is aggravated by placing the extremity in a dependent
position, such as standing in one place (B). (A and D) describe pain that is not common with
thrombophlebitis.
A client with early breast cancer receives the results of a breast biopsy and asks the nurse to explain
the meaning of staging and the type of receptors found on the cancer cells. Which explanation should
the nurse provide?
A) Lymph node involvement is not significant.
B) Small tumors are aggressive and indicate poor prognosis.
C) The tumor's estrogen receptor guides treatment options.
D) Stage I indicates metastasis. –
Correct Answer :C) The tumor's estrogen receptor guides treatment options.
Treatment decisions (C) and prediction of prognosis are related to the tumor's receptor status, such
as estrogen and progesterone receptor status which commonly are well-differentiated, have a lower
chance of recurrence, and are receptive to hormonal therapy. Tumor staging designates tumor size
and spread of breast cancer cells into axillary lymph nodes, which is one of the most important
prognostic factors in early-stage breast cancer, not (A). Larger tumors are more likely to indicate poor
prognosis, not (B). Stage I indicates the cancer is localized and has not spread systemically (D).
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, PN Fundamentals of Nursing Evolve HESI
Which healthcare practice is most important for the nurse to teach a postmenopausal client?
A) Wear layers of clothes if experiencing hot flashes.
B) Use a water-soluble lubricant for vaginal dryness.
C) Consume adequate foods rich in calcium.
D) Participate in stimulating mental exercises. –
Correct Answer :C) Consume adequate foods rich in calcium.
Bone density loss associated with osteoporosis increases at a more rapid rate when estrogen levels
begin to fall, so the most important healthcare practice during menopause is ensuring an adequate
calcium (C) intake to help maintain bone density and prevent osteoporosis. Although practices such as
(A and B) may reduce some of the discomforts for a postmenopausal female, calcium intake is more
important than comfort measures. Although social and mental exercises stimulate thought, there is
no scientific evidence that mental exercises (D) prevent dementia or common forgetfulness
associated with reduced hormonal levels.
The nurse is preparing a teaching plan for a client who is newly diagnosed with Type 1 diabetes
mellitus. Which signs and symptoms should the nurse describe when teaching the client about
hypoglycemia?
A) Sweating, trembling, tachycardia.
B) Polyuria, polydipsia, polyphagia.
C) Nausea, vomiting, anorexia.
D) Fruity breath, tachypnea, chest pain. –
Correct Answer :A) Sweating, trembling, tachycardia.
Sweating, dizziness, and trembling are signs of hypoglycemic reactions related to the release of
epinephrine as a compensatory response to the low blood sugar (A). (B, C, and D) do not describe
common symptoms of hypoglycemia.
What is the correct procedure for performing an ophthalmoscopic examination on a client's right
retina?
A) Instruct the client to look at examiner's nose and not move his/her eyes during the exam.
P a g e 4 | 106
PN Fundamentals of Nursing Evolve HESI Real
Exams 1 Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
a Review of 300+ Latest Correctly Answered
Questions (New!)
A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming
that liquids are allowed, which assessment action should the nurse consider a priority?
A) Listen to bilateral lung and bowel sounds.
B) Obtain the client's pulse and blood pressure.
C) Assist the client to the bathroom to void.
D) Check the client's gag and swallow reflexes. –
Correct Answer :D) Check the client's gag and swallow reflexes.
P a g e 1 | 106
,PN Fundamentals of Nursing Evolve HESI
Following gastroscopy, a client should remain nothing by mouth until the effects of local anesthesia
have dissipated and the airway's protective reflexes, gag and swallow reflexes, have returned (D). (A,
B, and C) are not the priority before reintroducing oral fluids after a gastroscopy.
A 49-year-old female client arrives at the clinic for an annual exam and asks the nurse why she
becomes excessively diaphoretic and feels warm during nighttime. What is the nurse's best response?
A) Explain the effect of the follicle-stimulating and luteinizing hormones.
B) Discuss perimenopause and related comfort measures.
C) Assess lung fields and for a cough productive of blood-tinged mucous.
D) Ask if a fever above 101º F has occurred in the last 24 hours. –
Correct Answer :B) Discuss perimenopause and related comfort measures.
The perimenopausal period begins about 10 years before menopause with the cessation of
menstruation at the average ages of 52 to 54. Lower estrogen levels causes FSH and LH secretion in
bursts (surges), which triggers vasomotor instability, night sweats, and hot flashes, so discussions
about the perimenopausal body's changes, comfort measures (B), and treatment options should be
provided. In-depth pathophysiology of the symptoms (A) may only confuse the client. There is no
indication that the client has tuberculosis and an infection, so (C and D) are not indicated.
The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin.
Which assessment should the nurse identify before beginning the teaching session?
A) Present knowledge related to the skill of injection.
B) Intelligence and developmental level of the client.
C) Willingness of the client to learn the injection sites.
D) Financial resources available for the equipment. –
Correct Answer :C) Willingness of the client to learn the injection sites.
If a client is incapable or does not want to learn, it is unlikely that learning will occur, so motivation is
the first factor the nurse should assess before teaching (C). To determine learning needs, the nurse
should assess (A), but this is not the most important factor for the nurse to assess. (B and D) are
factors to consider, but not as vital as (C).
P a g e 2 | 106
,PN Fundamentals of Nursing Evolve HESI
An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf. The
nurse notices a reddened area on the calf of his right leg which is warm to the touch and suspects it
might be thrombophlebitis. Which type of pain should further confirm this suspicion?
A) Pain in the calf awakening him from a sound sleep.
B) Calf pain on exertion which stops when standing in one place.
C) Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
D) Pain upon arising in the morning which is relieved after some stretching and exercise. –
Correct Answer :C) Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
Thrombophlebitis pain is relieved by rest and elevation of the extremity (C). It typically occurs with
exercise at the site of the thrombus, and is aggravated by placing the extremity in a dependent
position, such as standing in one place (B). (A and D) describe pain that is not common with
thrombophlebitis.
A client with early breast cancer receives the results of a breast biopsy and asks the nurse to explain
the meaning of staging and the type of receptors found on the cancer cells. Which explanation should
the nurse provide?
A) Lymph node involvement is not significant.
B) Small tumors are aggressive and indicate poor prognosis.
C) The tumor's estrogen receptor guides treatment options.
D) Stage I indicates metastasis. –
Correct Answer :C) The tumor's estrogen receptor guides treatment options.
Treatment decisions (C) and prediction of prognosis are related to the tumor's receptor status, such
as estrogen and progesterone receptor status which commonly are well-differentiated, have a lower
chance of recurrence, and are receptive to hormonal therapy. Tumor staging designates tumor size
and spread of breast cancer cells into axillary lymph nodes, which is one of the most important
prognostic factors in early-stage breast cancer, not (A). Larger tumors are more likely to indicate poor
prognosis, not (B). Stage I indicates the cancer is localized and has not spread systemically (D).
P a g e 3 | 106
, PN Fundamentals of Nursing Evolve HESI
Which healthcare practice is most important for the nurse to teach a postmenopausal client?
A) Wear layers of clothes if experiencing hot flashes.
B) Use a water-soluble lubricant for vaginal dryness.
C) Consume adequate foods rich in calcium.
D) Participate in stimulating mental exercises. –
Correct Answer :C) Consume adequate foods rich in calcium.
Bone density loss associated with osteoporosis increases at a more rapid rate when estrogen levels
begin to fall, so the most important healthcare practice during menopause is ensuring an adequate
calcium (C) intake to help maintain bone density and prevent osteoporosis. Although practices such as
(A and B) may reduce some of the discomforts for a postmenopausal female, calcium intake is more
important than comfort measures. Although social and mental exercises stimulate thought, there is
no scientific evidence that mental exercises (D) prevent dementia or common forgetfulness
associated with reduced hormonal levels.
The nurse is preparing a teaching plan for a client who is newly diagnosed with Type 1 diabetes
mellitus. Which signs and symptoms should the nurse describe when teaching the client about
hypoglycemia?
A) Sweating, trembling, tachycardia.
B) Polyuria, polydipsia, polyphagia.
C) Nausea, vomiting, anorexia.
D) Fruity breath, tachypnea, chest pain. –
Correct Answer :A) Sweating, trembling, tachycardia.
Sweating, dizziness, and trembling are signs of hypoglycemic reactions related to the release of
epinephrine as a compensatory response to the low blood sugar (A). (B, C, and D) do not describe
common symptoms of hypoglycemia.
What is the correct procedure for performing an ophthalmoscopic examination on a client's right
retina?
A) Instruct the client to look at examiner's nose and not move his/her eyes during the exam.
P a g e 4 | 106
