HESI EVOLVE QUESTIONS (IV THERAPY, PAIN
MANAGEMENT, PHYSIOLOGICAL QUESTIONS, & IMMUNE
SYSTEM) | LATEST 2026 | QUESTIONS AND 100% VERIFIED
ANSWERS | GRADED A+
According to priority, in which order would the nurse perform care activities for a client
with complete partial seizures?
- maintaining airway
- assessing vital signs
- performing neurological checks
- recording the time and duration of seizure
- ANSWER: - maintaining airway
- recording the time and duration of seizure
- assessing vital signs
- performing neurological checks
(24% nationwide answered correctly)
Which action would the nurse perform immediately according to priority of care for a
client with tonic-clonic seizures?
- ensuring patent airway
- administering intravenous (IV) fluids
- monitoring level of consciousness
- protecting the client from injury during seizures
- ANSWER: ensuring patent airway
(rationale: the priority of the nurse because a client may lose consciousness during a
seizure)
(60% nationwide answered correctly)
A client develops bacterial meningitis. Which action is the priority nursing care?
- monitoring for signs of intracranial pressure
- adding pads to the side of the bed
- administering prescribed antibiotics
, - administering glucocorticoids
- ANSWER: administering prescribed antibiotics
(48% nationwide answered correctly)
Which finding from cerebral spinal fluid would lead the nurse to associate with a
diagnosis of bacterial meningitis?
- increased protein
- increased glucose
- decreased specific gravity
- decreased white blood cell count
- ANSWER: decreased specific gravity
(rationale: bacterial meningitis causes increased permeability of the blood-CSF barrier,
resulting in increased protein in CSF)
(54% nationwide answered correctly)
The nurse is suctioning a client's airway. Which nursing action will limit hypoxia?
- limit suctioning with catheter to 30 seconds
- apply suction only after the catheter is inserted
- lubricate the catheter with saline before insertion
- use a sterile suction catheter for each suctioning episode
- ANSWER: apply suction only after the catheter is inserted
(rationale: the negative pressure from suctioning removes O2 and secretions. it should
only be applied only after the catheter is inserted and is being withdrawn)
(56% nationwide answered correctly)
The nursing team is involved in providing effective pain management. Which task would
be performed by the registered nurse (RN) in this case?
- hygiene
- taking and reporting of vital signs
- administering oral pain medications
- developing a treatment plan for the client's pain
- ANSWER: developing a treatment plan for the client's pain
MANAGEMENT, PHYSIOLOGICAL QUESTIONS, & IMMUNE
SYSTEM) | LATEST 2026 | QUESTIONS AND 100% VERIFIED
ANSWERS | GRADED A+
According to priority, in which order would the nurse perform care activities for a client
with complete partial seizures?
- maintaining airway
- assessing vital signs
- performing neurological checks
- recording the time and duration of seizure
- ANSWER: - maintaining airway
- recording the time and duration of seizure
- assessing vital signs
- performing neurological checks
(24% nationwide answered correctly)
Which action would the nurse perform immediately according to priority of care for a
client with tonic-clonic seizures?
- ensuring patent airway
- administering intravenous (IV) fluids
- monitoring level of consciousness
- protecting the client from injury during seizures
- ANSWER: ensuring patent airway
(rationale: the priority of the nurse because a client may lose consciousness during a
seizure)
(60% nationwide answered correctly)
A client develops bacterial meningitis. Which action is the priority nursing care?
- monitoring for signs of intracranial pressure
- adding pads to the side of the bed
- administering prescribed antibiotics
, - administering glucocorticoids
- ANSWER: administering prescribed antibiotics
(48% nationwide answered correctly)
Which finding from cerebral spinal fluid would lead the nurse to associate with a
diagnosis of bacterial meningitis?
- increased protein
- increased glucose
- decreased specific gravity
- decreased white blood cell count
- ANSWER: decreased specific gravity
(rationale: bacterial meningitis causes increased permeability of the blood-CSF barrier,
resulting in increased protein in CSF)
(54% nationwide answered correctly)
The nurse is suctioning a client's airway. Which nursing action will limit hypoxia?
- limit suctioning with catheter to 30 seconds
- apply suction only after the catheter is inserted
- lubricate the catheter with saline before insertion
- use a sterile suction catheter for each suctioning episode
- ANSWER: apply suction only after the catheter is inserted
(rationale: the negative pressure from suctioning removes O2 and secretions. it should
only be applied only after the catheter is inserted and is being withdrawn)
(56% nationwide answered correctly)
The nursing team is involved in providing effective pain management. Which task would
be performed by the registered nurse (RN) in this case?
- hygiene
- taking and reporting of vital signs
- administering oral pain medications
- developing a treatment plan for the client's pain
- ANSWER: developing a treatment plan for the client's pain
