Evolve Hesi Pharm Actual Exam
Evolve Hesi Pharm Actual Complete Exam
Version 1,2,3 And 4 2025 Test Bank with 350
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES |graded A+
1.The registered nurse (RN) uses the mini-mental state examination (MMSE) when assessing a client
for admission to an assisted living facility. Which finding is the RN assessing when requesting the client
to count by 7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex commands.
ANS: C
Counting by 7s evaulates the ability to do simple calculations and is specific to the client's attention to
detail (C). (A, B, and D) are additional parts of the MMSE that evaluate orientation and cognitive
function.
A+ TEST BANK 1
, Evolve Hesi Pharm Actual Exam
2.The registered nurse (RN) palpates a weak pedal pulse in the client's right foot. Which assessment
findings should the RN document that are consistent with diminished peripheral circulation? (Select all
that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities.
ANS: A, C
Diminished hair on the legs (A) and skin that is cool to touch (C) are symptoms of decreased arterial
blood flow. (B, D, and E) are not indicators for impaired peripheral circulation.
3.Which action should the registered nurse (RN) implement to complete an assessment for a client
while using an interpreter?
A. Ask closed-ended questions with the assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
C. Instruct interpreter to answer questions from interpreter's point of view.
D. Protect the client's privacy by asking a limited number of questions.
ANS: B
When completing an assessment, the RN should maintain eye contact with the client (B) to gather
additional information from the client's nonverbal cues. (A, C, and D) do not use both verbal and
nonverbal communication techniques to gather data during an assessment.
4.A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use?
(Select all that apply.)
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the client.
C. Repeat information to the client if misunderstood.
A+ TEST BANK 2
, Evolve Hesi Pharm Actual Exam
D. Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
ANS: A, D, E
(A, D, and E) are correct. A client with hearing loss can develop the ability to read "lips," so facing the
client during conversation (A) allows visualization of the lips and directs the sound towards the client.
Inspection of the hearing aide device's functionality is a vital step in communication (D). Hearing aides
magnify all surrounding noise, so it is imperative to reduce outside environmental noise during the
interview process (E). Speaking clearly with enunciation and in a regular tone is easier for a client to
understand than increasing the volume of speech (B). If a client shows signs of confusion, rephrasing
the question, instead of repeating (C), should be done to decrease client anxiety and facilitate
understanding.
5.A registered nurse (RN) is performing a mini-mental state examination (MMSE) for a client who is
being admitted to an assisted living community. Which communication techniques should the RN
implement to decrease anxiety in the client? (Select all that apply.)
A. Use simple sentences during the examination.
B. Move to another question if the client seems confused.
C. Reduce environmental detractors during the examination.
D. Allow family to answer for the client to decrease frustration.
Ask questions one at a time to decrease confusion.
ANS: A, C, E
(A, C, and E) are correct. Communication techniques for clients with cognitive impairments should be
simple (A), withoutenvironmental distractions (C), and direct (E). (B) increases anxiety in a client, so it
is important to give the client time to answer a question before moving to the next one. (D) is the
family's view of the client's mental status and does not give the RN an objective view of the client's
cognitive impairment.
6.A Muslim male client refuses to let the female registered nurse (RN) listen to his breath sounds
during the examination. How should the RN respond?
A. Explain how the nursing skill will be performed before proceeding.
B. Examine client with an additional healthcare provider for support.
A+ TEST BANK 3
, Evolve Hesi Pharm Actual Exam
C. Request a male nurse or healthcare provider to perform the exam.
D. Avoid any skills that involve touching the client during the exam.
ANS: C
Modesty is an important value in the Muslim community, and Muslims are reluctant to expose any part
of their body to healthcare members. Muslim clients are accustomed to examination by "same sex"
healthcare providers, so (C) is the best solution for the client. (A and B) will not alleviate the issue for
the Muslim client. (D) does not allow a thorough exam of the client.
7.A client who is uses ipratropium reports having nausea, blurred vision, headaches, and insomnia
after using the inhaler. Which action should the registered nurse (RN) implement first?
A. Withhold medication and report symptoms and vital signs to healthcare provider.
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes.
C. Reassure client that the ipratropium given will alleviate the symptoms.
D. Delay administration of ipratropium until next maintenance medication is scheduled.
ANS: A
Headache, nausea, blurred vision and insomnia are symptoms of excessive use of ipratropium, so
withholding the medication (A) until the healthcare provider is notified should be initiated to maintain
client safety. If the symptoms continue and are not addressed immediately, then (B, C, and D) may
place the client in imminent danger.
8.While reviewing the client's electronic medical record (EMR), the registered nurse (RN) assesses a
client who is at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which
client health history should the RN report to the healthcare provider concerning the OTC medication?
(Select all that apply).
A. Type I diabetes mellitus (DM).
B. Closed angle glaucoma.
C. Chronic hypertension.
D. Rheumatoid arthritis.
E. Crohn's disease.
ANS: B, C
(B and C) are correct. OTC decongestants can increase intraocular pressure and should be avoided in
A+ TEST BANK 4
Evolve Hesi Pharm Actual Complete Exam
Version 1,2,3 And 4 2025 Test Bank with 350
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES |graded A+
1.The registered nurse (RN) uses the mini-mental state examination (MMSE) when assessing a client
for admission to an assisted living facility. Which finding is the RN assessing when requesting the client
to count by 7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex commands.
ANS: C
Counting by 7s evaulates the ability to do simple calculations and is specific to the client's attention to
detail (C). (A, B, and D) are additional parts of the MMSE that evaluate orientation and cognitive
function.
A+ TEST BANK 1
, Evolve Hesi Pharm Actual Exam
2.The registered nurse (RN) palpates a weak pedal pulse in the client's right foot. Which assessment
findings should the RN document that are consistent with diminished peripheral circulation? (Select all
that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities.
ANS: A, C
Diminished hair on the legs (A) and skin that is cool to touch (C) are symptoms of decreased arterial
blood flow. (B, D, and E) are not indicators for impaired peripheral circulation.
3.Which action should the registered nurse (RN) implement to complete an assessment for a client
while using an interpreter?
A. Ask closed-ended questions with the assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
C. Instruct interpreter to answer questions from interpreter's point of view.
D. Protect the client's privacy by asking a limited number of questions.
ANS: B
When completing an assessment, the RN should maintain eye contact with the client (B) to gather
additional information from the client's nonverbal cues. (A, C, and D) do not use both verbal and
nonverbal communication techniques to gather data during an assessment.
4.A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use?
(Select all that apply.)
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the client.
C. Repeat information to the client if misunderstood.
A+ TEST BANK 2
, Evolve Hesi Pharm Actual Exam
D. Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
ANS: A, D, E
(A, D, and E) are correct. A client with hearing loss can develop the ability to read "lips," so facing the
client during conversation (A) allows visualization of the lips and directs the sound towards the client.
Inspection of the hearing aide device's functionality is a vital step in communication (D). Hearing aides
magnify all surrounding noise, so it is imperative to reduce outside environmental noise during the
interview process (E). Speaking clearly with enunciation and in a regular tone is easier for a client to
understand than increasing the volume of speech (B). If a client shows signs of confusion, rephrasing
the question, instead of repeating (C), should be done to decrease client anxiety and facilitate
understanding.
5.A registered nurse (RN) is performing a mini-mental state examination (MMSE) for a client who is
being admitted to an assisted living community. Which communication techniques should the RN
implement to decrease anxiety in the client? (Select all that apply.)
A. Use simple sentences during the examination.
B. Move to another question if the client seems confused.
C. Reduce environmental detractors during the examination.
D. Allow family to answer for the client to decrease frustration.
Ask questions one at a time to decrease confusion.
ANS: A, C, E
(A, C, and E) are correct. Communication techniques for clients with cognitive impairments should be
simple (A), withoutenvironmental distractions (C), and direct (E). (B) increases anxiety in a client, so it
is important to give the client time to answer a question before moving to the next one. (D) is the
family's view of the client's mental status and does not give the RN an objective view of the client's
cognitive impairment.
6.A Muslim male client refuses to let the female registered nurse (RN) listen to his breath sounds
during the examination. How should the RN respond?
A. Explain how the nursing skill will be performed before proceeding.
B. Examine client with an additional healthcare provider for support.
A+ TEST BANK 3
, Evolve Hesi Pharm Actual Exam
C. Request a male nurse or healthcare provider to perform the exam.
D. Avoid any skills that involve touching the client during the exam.
ANS: C
Modesty is an important value in the Muslim community, and Muslims are reluctant to expose any part
of their body to healthcare members. Muslim clients are accustomed to examination by "same sex"
healthcare providers, so (C) is the best solution for the client. (A and B) will not alleviate the issue for
the Muslim client. (D) does not allow a thorough exam of the client.
7.A client who is uses ipratropium reports having nausea, blurred vision, headaches, and insomnia
after using the inhaler. Which action should the registered nurse (RN) implement first?
A. Withhold medication and report symptoms and vital signs to healthcare provider.
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes.
C. Reassure client that the ipratropium given will alleviate the symptoms.
D. Delay administration of ipratropium until next maintenance medication is scheduled.
ANS: A
Headache, nausea, blurred vision and insomnia are symptoms of excessive use of ipratropium, so
withholding the medication (A) until the healthcare provider is notified should be initiated to maintain
client safety. If the symptoms continue and are not addressed immediately, then (B, C, and D) may
place the client in imminent danger.
8.While reviewing the client's electronic medical record (EMR), the registered nurse (RN) assesses a
client who is at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which
client health history should the RN report to the healthcare provider concerning the OTC medication?
(Select all that apply).
A. Type I diabetes mellitus (DM).
B. Closed angle glaucoma.
C. Chronic hypertension.
D. Rheumatoid arthritis.
E. Crohn's disease.
ANS: B, C
(B and C) are correct. OTC decongestants can increase intraocular pressure and should be avoided in
A+ TEST BANK 4
