HESI PRACTICE EXAM EVOLVE LATEST
REAL QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY GRADED
A+
An adult patient who is hospitalized after surgery reports sudden onset of chest pain and
dyspnea. The patient appears anxious, restless, and mildly cyanotic. The nurse should
further assess the patient for which condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis -ANSWER- pulmonary embolism
Which information should the nurse obtain when performing an initial assessment of a
patient who presents to the emergency department with a painful ankle injury? (Select
all that apply.)
- quality of the pain
- signs of inflammation
- ankle range of motion
- muscle strength testing
- visible deformities of the joint -ANSWER- - quality of the pain
- signs of inflammation
- ankle range of motion
- visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
- joint pain is worse in the morning and involves symmetric joints
- joint pain is better in the morning and worsens throughout the day
- joint pain is consistent throughout the day and is relieved by pain medication
- joint pain is worse during the day and involves unilateral joints -ANSWER- joint pain
is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a patient with long-
term gastroesophagealreflux disease (GERD)?
- hoarseness
- dry mouth
- mouth ulcers
- weight loss -ANSWER- hoarseness
A patient presents with chronic venous insufficiency. Which assessment finding should
the nurse anticipate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
,- intermittent claudication
- peripheral cyanosis -ANSWER- bilateral lower leg stasis dermatitis
A patient has been hospitalized with a femur fracture and is being treated with traction.
Which action by the nurse is the priority when caring for this patient?
- assess neurovascular status
- change the patient's position
- inspect the traction equipment
- review pain medication orders -ANSWER- assess neurovascular status
Which statement made by a patient with chronic pancreatitis indicates that further
education is needed?
- I will cut back on smoking cigarettes daily
- I will avoid drinking caffeinated beverages
- I will rest frequently and avoid vigorous exercise
- I will eat a bland, low-fat, high-protein diet -ANSWER- I will cut back on smoking
cigarettes daily
(*avoid nicotine entirely)
The nurse is teaching a female patient who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the nurse
include? (Select all that apply.)
- remove the diaphragm immediately after intercourse
- wash the diaphragm with an alcohol solution
- use the diaphragm to prevent conception during the menstrual cycle
- do not leave the diaphragm in place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months -ANSWER- - do not leave the diaphragm in
place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months
A male patient who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. What information is best for the nurse to provide? (Select all that apply.)
- marijuana cigarettes do not affect sperm count
- alcohol consumption can cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
- obesity has no effect on sperm production -ANSWER- - alcohol consumption can cause
erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
Twenty four hours after a patient returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister.
Which assessment finding should the RN report as early signs of hypovolemic shock?
- faint pedal pulses
, - decrease in blood pressure
- lethargy
- slow breathing -ANSWER- lethargy
The registered nurse (RN) is assessing a male patient who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers that
the patient has had 14 to 20 loose stools with rectal bleeding. When taking the patient's
medical history, which information is most for the nurse to obtain?
- irritable bowel syndrome
- diverticulitis
- crohn's disease
- ulcerative colitis -ANSWER- ulcerative colitis
A patient is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing
the patient's basic knowledge about the disease process. Which statement by the patient
conveys an understanding of the etiology of diverticula?
- over use of laxatives for bowel regularity result in loss of peristaltic tone
- inflammation of the colon mucosa cause growths that protrude into the colon lumen
- diverticulosis is the result of high fiber diet and sedentary life style
- chronic constipation causes weakening of colon wall which result in out-pouching sacs
-ANSWER- chronic constipation causes weakening of colon wall which result in out-
pouching sacs
The registered nurse (RN) is assessing a patient who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
patient to use at home?
- exercise bicycle
- sphygmomanometer
- blood glucose monitor
- weekly medication box -ANSWER- sphygmomanometer
young adult male is diagnosed with Stage 4 Hodgkin's lymphoma in the abdominopelvic
region and is scheduled for radiation therapy (RT). The patient expresses concern about
becoming infertile. How should the nurse respond?
- propose sperm banking before RT then artificial insemination is an option
- suggest adoption when the patient is in remission or ready for parenting
- tell the patient that infertility is a non-reversible side effect of radiotherapy
- explain that sperm production will be suppressed after radiotherapy is over -
ANSWER- propose sperm banking before RT then artificial insemination is an option
A patient's susceptibility to ulcerative colitis is most likely due to which aspect in the
patient's history?
- Jewish European ancestry
- H. pylori bowel infection
- family history of irritable bowel syndrome
- age between 25 and 55 years -ANSWER- Jewish European ancestry
REAL QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY GRADED
A+
An adult patient who is hospitalized after surgery reports sudden onset of chest pain and
dyspnea. The patient appears anxious, restless, and mildly cyanotic. The nurse should
further assess the patient for which condition?
- pulmonary embolism
- heart failure
- tuberculosis
- bronchitis -ANSWER- pulmonary embolism
Which information should the nurse obtain when performing an initial assessment of a
patient who presents to the emergency department with a painful ankle injury? (Select
all that apply.)
- quality of the pain
- signs of inflammation
- ankle range of motion
- muscle strength testing
- visible deformities of the joint -ANSWER- - quality of the pain
- signs of inflammation
- ankle range of motion
- visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
- joint pain is worse in the morning and involves symmetric joints
- joint pain is better in the morning and worsens throughout the day
- joint pain is consistent throughout the day and is relieved by pain medication
- joint pain is worse during the day and involves unilateral joints -ANSWER- joint pain
is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a patient with long-
term gastroesophagealreflux disease (GERD)?
- hoarseness
- dry mouth
- mouth ulcers
- weight loss -ANSWER- hoarseness
A patient presents with chronic venous insufficiency. Which assessment finding should
the nurse anticipate?
- bilateral lower leg stasis dermatitis
- clubbing of fingers and toes
,- intermittent claudication
- peripheral cyanosis -ANSWER- bilateral lower leg stasis dermatitis
A patient has been hospitalized with a femur fracture and is being treated with traction.
Which action by the nurse is the priority when caring for this patient?
- assess neurovascular status
- change the patient's position
- inspect the traction equipment
- review pain medication orders -ANSWER- assess neurovascular status
Which statement made by a patient with chronic pancreatitis indicates that further
education is needed?
- I will cut back on smoking cigarettes daily
- I will avoid drinking caffeinated beverages
- I will rest frequently and avoid vigorous exercise
- I will eat a bland, low-fat, high-protein diet -ANSWER- I will cut back on smoking
cigarettes daily
(*avoid nicotine entirely)
The nurse is teaching a female patient who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the nurse
include? (Select all that apply.)
- remove the diaphragm immediately after intercourse
- wash the diaphragm with an alcohol solution
- use the diaphragm to prevent conception during the menstrual cycle
- do not leave the diaphragm in place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months -ANSWER- - do not leave the diaphragm in
place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months
A male patient who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. What information is best for the nurse to provide? (Select all that apply.)
- marijuana cigarettes do not affect sperm count
- alcohol consumption can cause erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
- obesity has no effect on sperm production -ANSWER- - alcohol consumption can cause
erectile dysfunction
- low testosterone levels affect sperm production
- cessation of smoking improves general health and fertility
Twenty four hours after a patient returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister.
Which assessment finding should the RN report as early signs of hypovolemic shock?
- faint pedal pulses
, - decrease in blood pressure
- lethargy
- slow breathing -ANSWER- lethargy
The registered nurse (RN) is assessing a male patient who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers that
the patient has had 14 to 20 loose stools with rectal bleeding. When taking the patient's
medical history, which information is most for the nurse to obtain?
- irritable bowel syndrome
- diverticulitis
- crohn's disease
- ulcerative colitis -ANSWER- ulcerative colitis
A patient is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing
the patient's basic knowledge about the disease process. Which statement by the patient
conveys an understanding of the etiology of diverticula?
- over use of laxatives for bowel regularity result in loss of peristaltic tone
- inflammation of the colon mucosa cause growths that protrude into the colon lumen
- diverticulosis is the result of high fiber diet and sedentary life style
- chronic constipation causes weakening of colon wall which result in out-pouching sacs
-ANSWER- chronic constipation causes weakening of colon wall which result in out-
pouching sacs
The registered nurse (RN) is assessing a patient who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
patient to use at home?
- exercise bicycle
- sphygmomanometer
- blood glucose monitor
- weekly medication box -ANSWER- sphygmomanometer
young adult male is diagnosed with Stage 4 Hodgkin's lymphoma in the abdominopelvic
region and is scheduled for radiation therapy (RT). The patient expresses concern about
becoming infertile. How should the nurse respond?
- propose sperm banking before RT then artificial insemination is an option
- suggest adoption when the patient is in remission or ready for parenting
- tell the patient that infertility is a non-reversible side effect of radiotherapy
- explain that sperm production will be suppressed after radiotherapy is over -
ANSWER- propose sperm banking before RT then artificial insemination is an option
A patient's susceptibility to ulcerative colitis is most likely due to which aspect in the
patient's history?
- Jewish European ancestry
- H. pylori bowel infection
- family history of irritable bowel syndrome
- age between 25 and 55 years -ANSWER- Jewish European ancestry
