Evolve HESI 1 Exam Questions With Accurate
Answers 2025\2026 A+ Grade
Which condition is contraindicated for St. John's Wort herbal therapy?
- accurate answers-Dementia (St. John's Wort is used to treat anxiety)
other contraindicated for St. johns: schizophrenia, bipolar depression,
Alzheimer's
Which condition is contraindicated for Bupropion?
- accurate answers-Seizures
Which condition is contraindicated for Valerian?
- accurate answers-Cardiac Disease
Which condition is contraindicated for ginseng herbal therapy?
- accurate answers-Pregnancy
Which antidepressant medication is a selective monoamine oxidase-B
inhibitor?
a. Selegiline
b. Phenelzine
c. Isocarboxazid
d. Tranylcypromine
- accurate answers-Selegiline is a a selective monoamine oxidase-B inhibitor.
The other medications are nonselective monoamine oxidase-A and B
inhibitors.
Which response identified by the nurse is unrelated to an extrapyramidal
tract effect?
- accurate answers-opisthotonos, oculogyric crisis, akathisia are all examples.
Hypertension is unrelated.
Extrapyramidal tracts: Originate in the brainstem, carrying motor fibres to the
spinal cord. They are responsible for the unconscious, reflexive or responsive
control of musculature, eg muscle tone, balance, posture and locomotion.
,Zolipidem (Ambien)
- accurate answers-Sedative/hypnotic; short use for INSOMNIA
o Can cause daytime sleepiness
o schedule 4 drug; risk for dependence
o avoid ETOH, barbiturates, opioids and other CNS depressants when taking
Semi-Fowler's Position
- accurate answers-the head of the bed is raised 30 degrees; or the head of the
bed is raised 30 degrees and the knee portion is raised 15 degrees
Which body region is most at risk for pressure injury when the client is in
semi-fowlers position?
- accurate answers-Sacrum
Which body region is most at risk for pressure injury when the client is in
upright sitting position?
- accurate answers-Ischial spine
Which body region is most at risk for pressure injury when the client is in side
lying position?
- accurate answers-Greater trochanter
What do neuroleptics do?
- accurate answers-o it blocks dopamine
o treats schizophrenia, does not treat Parkinson's
o increases serotonin at post synaptic sites
Clozapine is used for what and poses a risk for what?
- accurate answers-o antipsychotic medication
o risk for development of agranulocytosis, especially when combined with
SSRI (such as prozac)
o monitor WBC
In adolescents, the volume of solution required for an enema is:
- accurate answers-500-750 mL
In infants, the volume of solution required for an enema is:
- accurate answers-150-250 mL warmed solution
, Second generation antipsychotics may cause:
- accurate answers-metabolic side effects such as diabetes and dyslipiemia
clozapine is more effective than others
first generation antipsychotics may cause
- accurate answers-extrapyramidal side effects
Which medication may lead to bruxism?
- accurate answers-levomilnacipran
Which age related effects occur in the older client?
- accurate answers-increased autoantibodies
Which age related effects DECREASE in the older client?
- accurate answers-expression of IL-2 receptors, delayed hypersensitivity
reaction, and primary/secondary antibody responses
Autoantibodies
- accurate answers-Antibodies produced by B cells that mistakenly attack and
destroy "self" cells belonging to the patient; autoantibodies are the
pathophysiologic agent of most autoimmune disorders
which blood glucose levels would the nurse identify as hypoglycemia?
- accurate answers-72 - 108 in adults is normal
less than 72 = hypoglycemia
tracheostomy
- accurate answers-surgical creation of an opening into the trachea through
the neck to establish an airway
cordectomy
- accurate answers-Surgical removal of the vocal cords/ a vocal cord
total laryngectomy
- accurate answers-Surgical removal of the entire larynx/hyoid bone/strap
muscles and tracheal rings
Answers 2025\2026 A+ Grade
Which condition is contraindicated for St. John's Wort herbal therapy?
- accurate answers-Dementia (St. John's Wort is used to treat anxiety)
other contraindicated for St. johns: schizophrenia, bipolar depression,
Alzheimer's
Which condition is contraindicated for Bupropion?
- accurate answers-Seizures
Which condition is contraindicated for Valerian?
- accurate answers-Cardiac Disease
Which condition is contraindicated for ginseng herbal therapy?
- accurate answers-Pregnancy
Which antidepressant medication is a selective monoamine oxidase-B
inhibitor?
a. Selegiline
b. Phenelzine
c. Isocarboxazid
d. Tranylcypromine
- accurate answers-Selegiline is a a selective monoamine oxidase-B inhibitor.
The other medications are nonselective monoamine oxidase-A and B
inhibitors.
Which response identified by the nurse is unrelated to an extrapyramidal
tract effect?
- accurate answers-opisthotonos, oculogyric crisis, akathisia are all examples.
Hypertension is unrelated.
Extrapyramidal tracts: Originate in the brainstem, carrying motor fibres to the
spinal cord. They are responsible for the unconscious, reflexive or responsive
control of musculature, eg muscle tone, balance, posture and locomotion.
,Zolipidem (Ambien)
- accurate answers-Sedative/hypnotic; short use for INSOMNIA
o Can cause daytime sleepiness
o schedule 4 drug; risk for dependence
o avoid ETOH, barbiturates, opioids and other CNS depressants when taking
Semi-Fowler's Position
- accurate answers-the head of the bed is raised 30 degrees; or the head of the
bed is raised 30 degrees and the knee portion is raised 15 degrees
Which body region is most at risk for pressure injury when the client is in
semi-fowlers position?
- accurate answers-Sacrum
Which body region is most at risk for pressure injury when the client is in
upright sitting position?
- accurate answers-Ischial spine
Which body region is most at risk for pressure injury when the client is in side
lying position?
- accurate answers-Greater trochanter
What do neuroleptics do?
- accurate answers-o it blocks dopamine
o treats schizophrenia, does not treat Parkinson's
o increases serotonin at post synaptic sites
Clozapine is used for what and poses a risk for what?
- accurate answers-o antipsychotic medication
o risk for development of agranulocytosis, especially when combined with
SSRI (such as prozac)
o monitor WBC
In adolescents, the volume of solution required for an enema is:
- accurate answers-500-750 mL
In infants, the volume of solution required for an enema is:
- accurate answers-150-250 mL warmed solution
, Second generation antipsychotics may cause:
- accurate answers-metabolic side effects such as diabetes and dyslipiemia
clozapine is more effective than others
first generation antipsychotics may cause
- accurate answers-extrapyramidal side effects
Which medication may lead to bruxism?
- accurate answers-levomilnacipran
Which age related effects occur in the older client?
- accurate answers-increased autoantibodies
Which age related effects DECREASE in the older client?
- accurate answers-expression of IL-2 receptors, delayed hypersensitivity
reaction, and primary/secondary antibody responses
Autoantibodies
- accurate answers-Antibodies produced by B cells that mistakenly attack and
destroy "self" cells belonging to the patient; autoantibodies are the
pathophysiologic agent of most autoimmune disorders
which blood glucose levels would the nurse identify as hypoglycemia?
- accurate answers-72 - 108 in adults is normal
less than 72 = hypoglycemia
tracheostomy
- accurate answers-surgical creation of an opening into the trachea through
the neck to establish an airway
cordectomy
- accurate answers-Surgical removal of the vocal cords/ a vocal cord
total laryngectomy
- accurate answers-Surgical removal of the entire larynx/hyoid bone/strap
muscles and tracheal rings
