Exit HESI Comprehensive B Evolve
Practice Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client is admitted with suspected sepsis. Which vital sign change is most concerning?
A. Heart rate 88 bpm
B. Blood pressure 120/80 mmHg
✔✔C. Temperature 39.5°C
D. Respiratory rate 18/min
A nurse is teaching a client about a low-sodium diet. Which food choice demonstrates
understanding?
A. Canned soup
B. Pickles
✔✔C. Fresh apple
D. Processed cheese
A client receiving a blood transfusion reports chills and back pain. What is the nurse’s priority
action?
1
,A. Slow the transfusion
✔✔B. Stop the transfusion immediately
C. Administer acetaminophen
D. Increase IV fluids
A nurse is assessing a postoperative client. Which finding suggests internal bleeding?
A. Blood pressure 120/78 mmHg
B. Heart rate 78 bpm
✔✔C. Heart rate 118 bpm with pale skin
D. Temperature 37°C
A client with chronic kidney disease is prescribed erythropoietin. Which lab result should the
nurse monitor?
A. Sodium
✔✔B. Hemoglobin
C. Glucose
D. Potassium
2
,A nurse is teaching a client about self-administering insulin. Which statement indicates correct
understanding?
A. “I will inject insulin into my thigh only.”
✔✔B. “I will rotate injection sites to prevent tissue damage.”
C. “I should shake the insulin before drawing it up.”
D. “I will inject into a vein for faster absorption.”
A client with heart failure has gained 3 kg in 2 days. What is the nurse’s priority action?
A. Restrict sodium intake
B. Encourage ambulation
✔✔C. Notify the healthcare provider
D. Administer diuretic without checking
A nurse is caring for a client with suspected hypoglycemia. Which finding confirms the
diagnosis?
A. Blood glucose 180 mg/dL
B. Blood pressure 140/90 mmHg
✔✔C. Blood glucose 52 mg/dL
3
, D. Heart rate 88 bpm
A client with pneumonia is receiving oxygen via nasal cannula at 2 L/min. Which finding
requires intervention?
A. SpO₂ 95%
B. Respiratory rate 18/min
✔✔C. SpO₂ 88%
D. Temperature 37.2°C
A nurse is caring for a client who had a mastectomy. Which intervention helps prevent
lymphedema?
A. Encourage heavy lifting
B. Apply tight elastic bandages
✔✔C. Avoid taking blood pressure on the affected arm
D. Massage the affected limb vigorously
A client with cirrhosis has jaundice and confusion. Which lab value is most important for the
nurse to monitor?
A. Glucose
4
Practice Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A client is admitted with suspected sepsis. Which vital sign change is most concerning?
A. Heart rate 88 bpm
B. Blood pressure 120/80 mmHg
✔✔C. Temperature 39.5°C
D. Respiratory rate 18/min
A nurse is teaching a client about a low-sodium diet. Which food choice demonstrates
understanding?
A. Canned soup
B. Pickles
✔✔C. Fresh apple
D. Processed cheese
A client receiving a blood transfusion reports chills and back pain. What is the nurse’s priority
action?
1
,A. Slow the transfusion
✔✔B. Stop the transfusion immediately
C. Administer acetaminophen
D. Increase IV fluids
A nurse is assessing a postoperative client. Which finding suggests internal bleeding?
A. Blood pressure 120/78 mmHg
B. Heart rate 78 bpm
✔✔C. Heart rate 118 bpm with pale skin
D. Temperature 37°C
A client with chronic kidney disease is prescribed erythropoietin. Which lab result should the
nurse monitor?
A. Sodium
✔✔B. Hemoglobin
C. Glucose
D. Potassium
2
,A nurse is teaching a client about self-administering insulin. Which statement indicates correct
understanding?
A. “I will inject insulin into my thigh only.”
✔✔B. “I will rotate injection sites to prevent tissue damage.”
C. “I should shake the insulin before drawing it up.”
D. “I will inject into a vein for faster absorption.”
A client with heart failure has gained 3 kg in 2 days. What is the nurse’s priority action?
A. Restrict sodium intake
B. Encourage ambulation
✔✔C. Notify the healthcare provider
D. Administer diuretic without checking
A nurse is caring for a client with suspected hypoglycemia. Which finding confirms the
diagnosis?
A. Blood glucose 180 mg/dL
B. Blood pressure 140/90 mmHg
✔✔C. Blood glucose 52 mg/dL
3
, D. Heart rate 88 bpm
A client with pneumonia is receiving oxygen via nasal cannula at 2 L/min. Which finding
requires intervention?
A. SpO₂ 95%
B. Respiratory rate 18/min
✔✔C. SpO₂ 88%
D. Temperature 37.2°C
A nurse is caring for a client who had a mastectomy. Which intervention helps prevent
lymphedema?
A. Encourage heavy lifting
B. Apply tight elastic bandages
✔✔C. Avoid taking blood pressure on the affected arm
D. Massage the affected limb vigorously
A client with cirrhosis has jaundice and confusion. Which lab value is most important for the
nurse to monitor?
A. Glucose
4
