HESI COMPREHENSIVE B EVOLVE PRACTICE EXAM 2026
UPDATE QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ (BRAND NEW VISION)
Which of these changes should a nurse recognize as indicative of a problem which a patient's
lacrimal glands?
1. edema between the nose and lower eyelid
2. swelling of the eyelids
3. loss of peripheral vision
4. reddened conjunctiva - ANS-edema between the nose and lower eyelid
Which of the following assessment data is the best indication that a nurse can safely start a
nasogastric tube feedings?
1. bowel sounds are auscultated at 20 gurgles/minute
2. the patient's gastric residual volume is 90 mL
3. the patient's gastric residual pH is 7.5
4. The last feeding was given 6 hours ago - ANS-the patient's gastric residual volume is 90 mL
A nurse obtains all of the following laboratory results for a 6-year-old child prior to a
tonsillectomy. Which one should the nurse report to a physician?
1. decreased hematocrit level
2. increased platelet count
3. increased prothrombin time
4. decreased white blood cell count - ANS-increased prothrombin time
,Which of these factors is a trigger for the development of autonomic dysreflexia in a patient
who has a spinal cord injury?
1. headache
2. insomnia
3. distended abdomen
4. distended bladder - ANS-distended bladder
Which of these events, if present in a patient's history, should a nurse recognize as being most
significant in the development of adrenal hypofunction?
1. working outdoors in a very cold environment
2. engaging in unusually strenuous physical activity
3. consuming insufficient amounts of dietary sodium
4. abrupt cessation of glucocorticoid therapy - ANS-abrupt cessation of glucocorticoid therapy
Which data from a patient's history should a nurse identify as a predisposition to a base deficit
metabolic acidosis?
1. diuresis
2. vomiting
3. diarrhea
4. sweating - ANS-diarrhea
Which of these EKG changes would be suggestive of hypercalcemia?
1. high peaked T waves
2. shortened QT intervals
3. shortened PR intervals
4. presences of U waves - ANS-shortened QT intervals
,Which of these assessment findings, if present in a patient who has advanced chronic
obstructive pulmonary disease (COPD), is consistent with arterial blood gases (ABGs) revealing a
pH of 7.31?
1. shallow, rapid respirations
2. hyperreflexia
3. widening of pulse pressure
4. Kussmaul respirations - ANS-shallow, rapid respirations
Which of these changes in arterial blood gasses (ABGs) should a nurse expect to observe in a
patient who has emphysema?
1. bicarbonate level of 30 mEq/L
2. pH above 7.5
3. carbon dioxide level of 45 mmHg
4. Oxygen level above 88 mmHg - ANS-carbon dioxide level of 45 mmHg
When a patient is suspected of having adrenal hypofunction, which question is the most
important for a nurse to ask when taking a health history?
1. Do you smoke or use tobacco products?
2. Have you ever had abdominal x-ray done or skill films made?
3. Have you experienced night sweats or coughing?
4. Do you have a family history of cancer or diabetes? - ANS-Have you experienced night
sweats or coughing?
A nurse should recognize that normal fetal blood flow through the heart is from the right atrium
to the
1. aorta
2. left atrium
3. left ventricle
, 4. pulmonary artery - ANS-left atrium
During a physical examination of a 15-year-old female who reports a sore throat, a nurse notes
that the patient has severely eroded tooth enamel and swollen salivary glands. The nurse
should plan to check which of these patient laboratory tests?
1. serum electrolytes
2. mumps titer
3. T-cell count
4. White blood cell count - ANS-serum electrolytes
A nurse is assessing a 30-week preterm infant who is in the neonatal intensive care unit. Which
of these observations, if present, indicate to a nurse that the infant is experiencing early signs of
respiratory distress syndrome?
1. Bradycardia.
2. Audible expiratory grunt.
3. Respiratory alkalosis.
4. Low arterial blood pressure. - ANS-Audible expiratory grunt.
A nurse auscultates a rushing (high-pitched tinkling) of air on the right lower quadrant (RLQ)
and silence on the left lower quadrant (LLQ) on a patient with inflammatory bowel disease
(IBD). What is the best interpretation and response for the nurse to make?
1. Recognize these are symptoms of peritonitis; have the patient rate his/her discomfort.
2. Identify these as normal findings for this condition; chart the assessment.
3. Recognize these are symptoms of intestinal obstruction; ask about flatus.
4. Associate these symptoms with colon hyperactivity; assess for frequent diarrhea. - ANS-
Recognize these are symptoms of intestinal obstruction; ask about flatus.
UPDATE QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ (BRAND NEW VISION)
Which of these changes should a nurse recognize as indicative of a problem which a patient's
lacrimal glands?
1. edema between the nose and lower eyelid
2. swelling of the eyelids
3. loss of peripheral vision
4. reddened conjunctiva - ANS-edema between the nose and lower eyelid
Which of the following assessment data is the best indication that a nurse can safely start a
nasogastric tube feedings?
1. bowel sounds are auscultated at 20 gurgles/minute
2. the patient's gastric residual volume is 90 mL
3. the patient's gastric residual pH is 7.5
4. The last feeding was given 6 hours ago - ANS-the patient's gastric residual volume is 90 mL
A nurse obtains all of the following laboratory results for a 6-year-old child prior to a
tonsillectomy. Which one should the nurse report to a physician?
1. decreased hematocrit level
2. increased platelet count
3. increased prothrombin time
4. decreased white blood cell count - ANS-increased prothrombin time
,Which of these factors is a trigger for the development of autonomic dysreflexia in a patient
who has a spinal cord injury?
1. headache
2. insomnia
3. distended abdomen
4. distended bladder - ANS-distended bladder
Which of these events, if present in a patient's history, should a nurse recognize as being most
significant in the development of adrenal hypofunction?
1. working outdoors in a very cold environment
2. engaging in unusually strenuous physical activity
3. consuming insufficient amounts of dietary sodium
4. abrupt cessation of glucocorticoid therapy - ANS-abrupt cessation of glucocorticoid therapy
Which data from a patient's history should a nurse identify as a predisposition to a base deficit
metabolic acidosis?
1. diuresis
2. vomiting
3. diarrhea
4. sweating - ANS-diarrhea
Which of these EKG changes would be suggestive of hypercalcemia?
1. high peaked T waves
2. shortened QT intervals
3. shortened PR intervals
4. presences of U waves - ANS-shortened QT intervals
,Which of these assessment findings, if present in a patient who has advanced chronic
obstructive pulmonary disease (COPD), is consistent with arterial blood gases (ABGs) revealing a
pH of 7.31?
1. shallow, rapid respirations
2. hyperreflexia
3. widening of pulse pressure
4. Kussmaul respirations - ANS-shallow, rapid respirations
Which of these changes in arterial blood gasses (ABGs) should a nurse expect to observe in a
patient who has emphysema?
1. bicarbonate level of 30 mEq/L
2. pH above 7.5
3. carbon dioxide level of 45 mmHg
4. Oxygen level above 88 mmHg - ANS-carbon dioxide level of 45 mmHg
When a patient is suspected of having adrenal hypofunction, which question is the most
important for a nurse to ask when taking a health history?
1. Do you smoke or use tobacco products?
2. Have you ever had abdominal x-ray done or skill films made?
3. Have you experienced night sweats or coughing?
4. Do you have a family history of cancer or diabetes? - ANS-Have you experienced night
sweats or coughing?
A nurse should recognize that normal fetal blood flow through the heart is from the right atrium
to the
1. aorta
2. left atrium
3. left ventricle
, 4. pulmonary artery - ANS-left atrium
During a physical examination of a 15-year-old female who reports a sore throat, a nurse notes
that the patient has severely eroded tooth enamel and swollen salivary glands. The nurse
should plan to check which of these patient laboratory tests?
1. serum electrolytes
2. mumps titer
3. T-cell count
4. White blood cell count - ANS-serum electrolytes
A nurse is assessing a 30-week preterm infant who is in the neonatal intensive care unit. Which
of these observations, if present, indicate to a nurse that the infant is experiencing early signs of
respiratory distress syndrome?
1. Bradycardia.
2. Audible expiratory grunt.
3. Respiratory alkalosis.
4. Low arterial blood pressure. - ANS-Audible expiratory grunt.
A nurse auscultates a rushing (high-pitched tinkling) of air on the right lower quadrant (RLQ)
and silence on the left lower quadrant (LLQ) on a patient with inflammatory bowel disease
(IBD). What is the best interpretation and response for the nurse to make?
1. Recognize these are symptoms of peritonitis; have the patient rate his/her discomfort.
2. Identify these as normal findings for this condition; chart the assessment.
3. Recognize these are symptoms of intestinal obstruction; ask about flatus.
4. Associate these symptoms with colon hyperactivity; assess for frequent diarrhea. - ANS-
Recognize these are symptoms of intestinal obstruction; ask about flatus.
