Evolve Hesi Pharm Actual Complete Exam P a g e |
1
Evolve Hesi Pharm Actual Complete Exam
Version 2,3 And 4 2025 Test Bank with 350
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED
A client is brought to the Emergency Center after a snow-skiing accident. Which intervention is most
important for the nurse to implement?
Review the electrocardiogram tracing.
Obtain blood for coagulation studies.
Apply a warming blanket.
Provide heated PO fluids.
P a g e 1 | 77
, Evolve Hesi Pharm Actual Complete Exam P a g e |
2
Review the electrocardiogram tracing.
Rationale
While airway, breathing, and circulation are priorities in client assessment and treatment,continuous
cardiac monitoring is also indicated because hypothermic clients have an increased risk for
dysrhythmias.
A 26-year-old male client with Hodgkin's disease is scheduled to undergo radiation therapy. The client
expresses concern about the effect of radiation on his ability to have children. What information
should the nurse provide?
-The radiation therapy causes the inability to have an erection.
-Radiation therapy with chemotherapy causes temporary infertility.
-Permanent sterility occurs in male clients who receive radiation.
-The client should restrict sexual activity during radiotherapy.
Permanent sterility occurs in male clients who receive radiation.
Rationale
Low sperm count and loss of motility are seen in males with Hodgkin's disease before any therapy.
Radiotherapy often results in permanent aspermia, or sterility.The other options are inaccurate.
The parents of a child with hemophilia A ask the nurse about their probability of having another child
with hemophilia A. Which information is the basis for the nurse's response? (Select all that apply.)
-Autosomal dominance occurs with this disorder.
-Sons of female carriers have a 50% chance of inheriting hemophilia.
-Men with hemophilia have sons who also manifest the disease.
-The disease occurs in daughters of men with hemophilia.
-Hemophilia is an X-linked recessive disorder.
-Sons of female carriers have a 50% chance of inheriting hemophilia
P a g e 2 | 77
, Evolve Hesi Pharm Actual Complete Exam P a g e |
3
-Hemophilia is an X-linked recessive disorder.
Rationale
Hemophilia is an inherited disease that manifests in male children whose mother is a carrier. With each
pregnancy there is a 50% chance that a male child will inherit the defective gene and manifest
hemophilia A, which is an X-linked recessive disorder. Hemophilia A is not an autosomal dominance
disorder and it is inherited by male offspring of female carriers . Daughters do not manifest the
disease, but have a 50% chance of being a carrier.
While the nurse obtains a male client's history, review of systems, and physical examination, the client
tells the nurse that his breast drains fluid secretions from the nipple. The nurse should seek further
evaluation of which endocrine gland function?
Posterior pituitary and testes.
Adrenal medulla and adrenal cortex.
Hypothalamus and anterior pituitary.
Parathyroid and islets of Langerhans.
Hypothalamus and anterior pituitary.
Rationale
Breast fluid and milk production are induced by the presence of prolactin secreted from the anterior
pituitary gland, which is regulated by the hypothalamus' secretion of prolactin-inhibiting hormone in
both men and women. Further evaluation of the hypothalamus and the anterior pituitary gland should
provide additional information about the secretions or lactation. Evaluation of the other options are
not supportive of physiologic mechanism or pathology related to mammary discharge.
Which rationale best supports an older client's risk of complications related to a dysrhythmia?
-An older client usually lives alone and cannot summon help when symptoms appear.
-An older clients is more likely to eat high-fat diets which predisposes to heart disease.
-Cardiac symptoms, such as confusion, are more difficult to recognize in an older client.
P a g e 3 | 77
, Evolve Hesi Pharm Actual Complete Exam P a g e |
4
-An older client is intolerant of decreased cardiac output which may cause dizziness and falls.
An older client is intolerant of decreased cardiac output which may cause dizziness and falls.
Rationale
In an older client, cardiac output is decreased and a loss of contractility and elasticity reduces systemic
and cerebral blood flow, so dysrhythmias, such as bradycardia or tachycardia is poorly tolerated, and
increases the client's risk for syncope, falls, transient ischemic attacks, and possibly dementia.
A male client who has never smoked but has had COPD for the past 5 years is now being assessed for
cancer of the lung. The nurse knows that he is most likely to develop which type of lung cancer?
Adenocarcinoma.
Oat-cell carcinoma.
Malignant melanoma.
Squamous-cell carcinoma.
Adenocarcinoma.
Rationale
Adenocarcinoma is the only lung cancer not related to cigarette smoking. It has been found to be
directly related to lung scarring and fibrosis from preexisting pulmonary disease such as TB or COPD.
Muscular Dystrophy is characterized by which pathophysiological condition?
Stressed induced tremor and trembling.
Cardiac damage.
Seizure activity.
Skeletal muscle degeneration.
Skeletal muscle degeneration.
P a g e 4 | 77
1
Evolve Hesi Pharm Actual Complete Exam
Version 2,3 And 4 2025 Test Bank with 350
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED
A client is brought to the Emergency Center after a snow-skiing accident. Which intervention is most
important for the nurse to implement?
Review the electrocardiogram tracing.
Obtain blood for coagulation studies.
Apply a warming blanket.
Provide heated PO fluids.
P a g e 1 | 77
, Evolve Hesi Pharm Actual Complete Exam P a g e |
2
Review the electrocardiogram tracing.
Rationale
While airway, breathing, and circulation are priorities in client assessment and treatment,continuous
cardiac monitoring is also indicated because hypothermic clients have an increased risk for
dysrhythmias.
A 26-year-old male client with Hodgkin's disease is scheduled to undergo radiation therapy. The client
expresses concern about the effect of radiation on his ability to have children. What information
should the nurse provide?
-The radiation therapy causes the inability to have an erection.
-Radiation therapy with chemotherapy causes temporary infertility.
-Permanent sterility occurs in male clients who receive radiation.
-The client should restrict sexual activity during radiotherapy.
Permanent sterility occurs in male clients who receive radiation.
Rationale
Low sperm count and loss of motility are seen in males with Hodgkin's disease before any therapy.
Radiotherapy often results in permanent aspermia, or sterility.The other options are inaccurate.
The parents of a child with hemophilia A ask the nurse about their probability of having another child
with hemophilia A. Which information is the basis for the nurse's response? (Select all that apply.)
-Autosomal dominance occurs with this disorder.
-Sons of female carriers have a 50% chance of inheriting hemophilia.
-Men with hemophilia have sons who also manifest the disease.
-The disease occurs in daughters of men with hemophilia.
-Hemophilia is an X-linked recessive disorder.
-Sons of female carriers have a 50% chance of inheriting hemophilia
P a g e 2 | 77
, Evolve Hesi Pharm Actual Complete Exam P a g e |
3
-Hemophilia is an X-linked recessive disorder.
Rationale
Hemophilia is an inherited disease that manifests in male children whose mother is a carrier. With each
pregnancy there is a 50% chance that a male child will inherit the defective gene and manifest
hemophilia A, which is an X-linked recessive disorder. Hemophilia A is not an autosomal dominance
disorder and it is inherited by male offspring of female carriers . Daughters do not manifest the
disease, but have a 50% chance of being a carrier.
While the nurse obtains a male client's history, review of systems, and physical examination, the client
tells the nurse that his breast drains fluid secretions from the nipple. The nurse should seek further
evaluation of which endocrine gland function?
Posterior pituitary and testes.
Adrenal medulla and adrenal cortex.
Hypothalamus and anterior pituitary.
Parathyroid and islets of Langerhans.
Hypothalamus and anterior pituitary.
Rationale
Breast fluid and milk production are induced by the presence of prolactin secreted from the anterior
pituitary gland, which is regulated by the hypothalamus' secretion of prolactin-inhibiting hormone in
both men and women. Further evaluation of the hypothalamus and the anterior pituitary gland should
provide additional information about the secretions or lactation. Evaluation of the other options are
not supportive of physiologic mechanism or pathology related to mammary discharge.
Which rationale best supports an older client's risk of complications related to a dysrhythmia?
-An older client usually lives alone and cannot summon help when symptoms appear.
-An older clients is more likely to eat high-fat diets which predisposes to heart disease.
-Cardiac symptoms, such as confusion, are more difficult to recognize in an older client.
P a g e 3 | 77
, Evolve Hesi Pharm Actual Complete Exam P a g e |
4
-An older client is intolerant of decreased cardiac output which may cause dizziness and falls.
An older client is intolerant of decreased cardiac output which may cause dizziness and falls.
Rationale
In an older client, cardiac output is decreased and a loss of contractility and elasticity reduces systemic
and cerebral blood flow, so dysrhythmias, such as bradycardia or tachycardia is poorly tolerated, and
increases the client's risk for syncope, falls, transient ischemic attacks, and possibly dementia.
A male client who has never smoked but has had COPD for the past 5 years is now being assessed for
cancer of the lung. The nurse knows that he is most likely to develop which type of lung cancer?
Adenocarcinoma.
Oat-cell carcinoma.
Malignant melanoma.
Squamous-cell carcinoma.
Adenocarcinoma.
Rationale
Adenocarcinoma is the only lung cancer not related to cigarette smoking. It has been found to be
directly related to lung scarring and fibrosis from preexisting pulmonary disease such as TB or COPD.
Muscular Dystrophy is characterized by which pathophysiological condition?
Stressed induced tremor and trembling.
Cardiac damage.
Seizure activity.
Skeletal muscle degeneration.
Skeletal muscle degeneration.
P a g e 4 | 77
