Fundamentals of Nursing Evolve HESI Real
Exams
Fundamentals of Nursing Evolve HESI Real
Exams Questions Bank Review Latest | Evolve
Hesi Fundamentals Best Exam Prep Test Bank-
a Review of 340 Latest Correctly Answered
Questions with Rationales (New!)
During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV
infusion containing insulin. Which assessment should the nurse complete first?
P a g e 1 | 100
,Fundamentals of Nursing Evolve HESI Real
Exams
A. Review the client's history for diabetes mellitus
B. Observe the extremity distal to the IV site
C. Monitor the client's serum potassium and blood glucose levels
D. Evaluate the client's oxygen saturation and breath sounds –
Correct Answer :Monitor the client's serum potassium and blood glucose levels
Rationale:
Clients with tumor lysis syndrome may experience hyperkalemia, requiring the addition of
insulin to the IV solution to reduce the serum potassium level. It is most important for the
nurse to monitor the client's serum potassium and blood glucose levels to ensure that they
are not at dangerous levels. Options A, B, and D provide valuable assessment data but are of
less priority than option C.
Which description of symptoms is characteristic of a client diagnosed with trigeminal
neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing difficulties
B. Sudden, stabbing, severe pain over the lip and chin
C. Unilateral facial weakness and paralysis
D. Difficulty in chewing, talking, and swallowing –
Correct Answer :Sudden, stabbing, severe pain over the lip and chin
Rationale: Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric
shock, in the area innervated by one or more branches of the trigeminal nerve (cranial V).
Option A would be characteristic of Ménière syndrome (cranial nerve VIII). Option C would be
characteristic of Bell palsy (cranial nerve VII). Option D would be characteristic of disorders of
the hypoglossal (cranial nerve XII).
P a g e 2 | 100
,Fundamentals of Nursing Evolve HESI Real
Exams
The nurse is caring for a client with a fractured right elbow. Which assessment finding has the
highest priority and requires immediate intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow –
Correct Answer :Deep unrelenting pain in the right arm
Rationale: Compartment syndrome is a condition involving increased pressure and
constriction of the nerves and vessels within an anatomic compartment, causing pain
uncontrolled by opioids and neurovascular compromise. Option A is an expected finding.
Option C related to compartment syndrome cannot be seen, and any visible edema is an
expected finding related to the injury. Option D is an expected finding.
Based on the clinical manifestations of Cushing syndrome, which nursing intervention would
be appropriate for a client who is newly diagnosed with Cushing syndrome?
A. Monitor blood glucose levels daily
B. Increase intake of fluids high in potassium
C. Encourage adequate rest between activities
D. Offer the client a sodium-enriched menu
- Correct Answer :Monitor blood glucose levels daily
P a g e 3 | 100
, Fundamentals of Nursing Evolve HESI Real
Exams
Rationale: Based on the clinical manifestations of Cushing syndrome, which nursing
intervention would be appropriate for a client who is newly diagnosed with Cushing
syndrome?
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis prevention.
Which activity would be most beneficial in achieving the client's goal of osteoporosis
prevention?
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaking –
Correct Answer :Cross-country skiiing
Rationale: Most weight-bearing exercise
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after
chest tube insertion for hemothorax. What is the best initial action for the nurse to take?
A. Document this expected decrease in drainage
B. Clamp the chest tube while assessing for air leaks
C. Milk the tube to remove any excessive blood clot buildup
D. Assess for kinks or dependent loops in the tubing –
Correct Answer :Assess for kinks or dependent loops in the tubing
P a g e 4 | 100
Exams
Fundamentals of Nursing Evolve HESI Real
Exams Questions Bank Review Latest | Evolve
Hesi Fundamentals Best Exam Prep Test Bank-
a Review of 340 Latest Correctly Answered
Questions with Rationales (New!)
During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV
infusion containing insulin. Which assessment should the nurse complete first?
P a g e 1 | 100
,Fundamentals of Nursing Evolve HESI Real
Exams
A. Review the client's history for diabetes mellitus
B. Observe the extremity distal to the IV site
C. Monitor the client's serum potassium and blood glucose levels
D. Evaluate the client's oxygen saturation and breath sounds –
Correct Answer :Monitor the client's serum potassium and blood glucose levels
Rationale:
Clients with tumor lysis syndrome may experience hyperkalemia, requiring the addition of
insulin to the IV solution to reduce the serum potassium level. It is most important for the
nurse to monitor the client's serum potassium and blood glucose levels to ensure that they
are not at dangerous levels. Options A, B, and D provide valuable assessment data but are of
less priority than option C.
Which description of symptoms is characteristic of a client diagnosed with trigeminal
neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing difficulties
B. Sudden, stabbing, severe pain over the lip and chin
C. Unilateral facial weakness and paralysis
D. Difficulty in chewing, talking, and swallowing –
Correct Answer :Sudden, stabbing, severe pain over the lip and chin
Rationale: Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric
shock, in the area innervated by one or more branches of the trigeminal nerve (cranial V).
Option A would be characteristic of Ménière syndrome (cranial nerve VIII). Option C would be
characteristic of Bell palsy (cranial nerve VII). Option D would be characteristic of disorders of
the hypoglossal (cranial nerve XII).
P a g e 2 | 100
,Fundamentals of Nursing Evolve HESI Real
Exams
The nurse is caring for a client with a fractured right elbow. Which assessment finding has the
highest priority and requires immediate intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow –
Correct Answer :Deep unrelenting pain in the right arm
Rationale: Compartment syndrome is a condition involving increased pressure and
constriction of the nerves and vessels within an anatomic compartment, causing pain
uncontrolled by opioids and neurovascular compromise. Option A is an expected finding.
Option C related to compartment syndrome cannot be seen, and any visible edema is an
expected finding related to the injury. Option D is an expected finding.
Based on the clinical manifestations of Cushing syndrome, which nursing intervention would
be appropriate for a client who is newly diagnosed with Cushing syndrome?
A. Monitor blood glucose levels daily
B. Increase intake of fluids high in potassium
C. Encourage adequate rest between activities
D. Offer the client a sodium-enriched menu
- Correct Answer :Monitor blood glucose levels daily
P a g e 3 | 100
, Fundamentals of Nursing Evolve HESI Real
Exams
Rationale: Based on the clinical manifestations of Cushing syndrome, which nursing
intervention would be appropriate for a client who is newly diagnosed with Cushing
syndrome?
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis prevention.
Which activity would be most beneficial in achieving the client's goal of osteoporosis
prevention?
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaking –
Correct Answer :Cross-country skiiing
Rationale: Most weight-bearing exercise
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after
chest tube insertion for hemothorax. What is the best initial action for the nurse to take?
A. Document this expected decrease in drainage
B. Clamp the chest tube while assessing for air leaks
C. Milk the tube to remove any excessive blood clot buildup
D. Assess for kinks or dependent loops in the tubing –
Correct Answer :Assess for kinks or dependent loops in the tubing
P a g e 4 | 100
