HESI EVOLVE FUNDAMENTALS REAL EXAM
HESI EVOLVE FUNDAMENTALS REAL EXAM 2025 LATEST UPDATE
WITH COMPLETE ACCURATE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
The practical nurse (PN) is reinforcing the teaching of diet and weight loss with a client who has
the goal of losing 25 lbs. What is the most common problem that the PN should recognize about
the accuracy of client reporting about daily food intake?
a. over reporting pf food intake
b. under reporting of food intake
c. unawareness of the amount of food eaten
d. unwillingness to change eating habits - ANSWER-b. under reporting of food intake
a client is more likely to under report what has been eaten due to the embarrassment or
inability to comply with the weight loss goal
The practical nurse (PN) receives four new admissions in an assissted living community. After
reviewing the clients' medical histories, which client should the PN evaluate for a high caloric
diet?
a. a client with osteoporosis
b. a client with type 2 diabetes mellitus
c. a client with rheumatoid arthritis
d. a clean with bacterial pneumonia - ANSWER-d. a clean with bacterial pneumonia
a client with an active infection requires an increase in caloric intake to combat the infection
An older client receives a prescription for psylium (Metamucil) for constipation. What
information should the practical nurse (PN) provide the client about taking this supplement?
a. take medication in the evening before bedtime to reduce fullness
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, HESI EVOLVE FUNDAMENTALS REAL EXAM
b. take supplement with 240 ml of liquid and follow with a second glass
c. the supplement with how beverages to help dissolve the powder completely
d. mix supplement with pudding or applesauce to help the taste and texture - ANSWER-b. take
supplement with 240 ml of liquid and follow with a second glass
psylium (Metamucil) is a bulk laxative and should be taken with full glass followed by another
glass of fluid to be effective and decrease the chance of impaction
A Chinese male client who moves into an assisted living community is concerned that the
community will not be able to meet his dietary preferences. What should the practical nurse
include in the diet for this client based on his cultural group?
a. dairy products
b. vegetables
c. pork and beef
d. cakes and pies - ANSWER-b. vegetables
a Chinese diet includes generous amounts of rice and vegetables which are often included in
every meal
The practical nurse (PN) is caring for a client who is receiving total parenteral nutrition (TPN).
Which metabolic change should the PN monitor the client for during administration of TPN?
a. hypercalcemia
b. hypernatremia
c. hyperkalemia
d. hyperglycemia - ANSWER-d. hyperglycemia
2|Page
, HESI EVOLVE FUNDAMENTALS REAL EXAM
The practical nurse (PN) is caring for a client who was recently diagnosed with type 2 diabetes
mellitus. What information is most important for the PN to reinforce with the client about life-
style changes?
a. daily fingerstick glucose monitoring
b. regular exercise program
c. portion-controlled, heart healthy diet selections
d. compliance with oral hypoglycemic medications - ANSWER-c. portion-controlled, heart
healthy diet selections
The practical nurse (PN) suspects that a male client is altering his own diabetic journals to
please his healthcare provider. Which laboratory test should the PN review to evaluate the
client's compliance with self management for type 1 diabetes mellitus?
a. oral glucose tolerance test (GTT)
b. 24-hour urine analysis
c. hemoglobin A1c
d. fasting cholesterol - ANSWER-c. hemoglobin A1c
the A1c measures the average blood glucose level over the past 3-months, including the past 24
hour period, and should be used to compare with the client's diabetic journal
The practical nurse (PN) is evaluating a client for an increased need for B12 after undergoing a
subtotal antrectomy. Which foods should the ON recommend that the client include in the diet?
a. cheese, eggs, and fish
b. lentils, dried fruits, and soy beans
c. potatoes mushrooms, and yogurt
d. nuts, brown rice, and sunflower seeds - ANSWER-a. cheese, eggs, and fish
these foods are rich in B12
3|Page
HESI EVOLVE FUNDAMENTALS REAL EXAM 2025 LATEST UPDATE
WITH COMPLETE ACCURATE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
The practical nurse (PN) is reinforcing the teaching of diet and weight loss with a client who has
the goal of losing 25 lbs. What is the most common problem that the PN should recognize about
the accuracy of client reporting about daily food intake?
a. over reporting pf food intake
b. under reporting of food intake
c. unawareness of the amount of food eaten
d. unwillingness to change eating habits - ANSWER-b. under reporting of food intake
a client is more likely to under report what has been eaten due to the embarrassment or
inability to comply with the weight loss goal
The practical nurse (PN) receives four new admissions in an assissted living community. After
reviewing the clients' medical histories, which client should the PN evaluate for a high caloric
diet?
a. a client with osteoporosis
b. a client with type 2 diabetes mellitus
c. a client with rheumatoid arthritis
d. a clean with bacterial pneumonia - ANSWER-d. a clean with bacterial pneumonia
a client with an active infection requires an increase in caloric intake to combat the infection
An older client receives a prescription for psylium (Metamucil) for constipation. What
information should the practical nurse (PN) provide the client about taking this supplement?
a. take medication in the evening before bedtime to reduce fullness
1|Page
, HESI EVOLVE FUNDAMENTALS REAL EXAM
b. take supplement with 240 ml of liquid and follow with a second glass
c. the supplement with how beverages to help dissolve the powder completely
d. mix supplement with pudding or applesauce to help the taste and texture - ANSWER-b. take
supplement with 240 ml of liquid and follow with a second glass
psylium (Metamucil) is a bulk laxative and should be taken with full glass followed by another
glass of fluid to be effective and decrease the chance of impaction
A Chinese male client who moves into an assisted living community is concerned that the
community will not be able to meet his dietary preferences. What should the practical nurse
include in the diet for this client based on his cultural group?
a. dairy products
b. vegetables
c. pork and beef
d. cakes and pies - ANSWER-b. vegetables
a Chinese diet includes generous amounts of rice and vegetables which are often included in
every meal
The practical nurse (PN) is caring for a client who is receiving total parenteral nutrition (TPN).
Which metabolic change should the PN monitor the client for during administration of TPN?
a. hypercalcemia
b. hypernatremia
c. hyperkalemia
d. hyperglycemia - ANSWER-d. hyperglycemia
2|Page
, HESI EVOLVE FUNDAMENTALS REAL EXAM
The practical nurse (PN) is caring for a client who was recently diagnosed with type 2 diabetes
mellitus. What information is most important for the PN to reinforce with the client about life-
style changes?
a. daily fingerstick glucose monitoring
b. regular exercise program
c. portion-controlled, heart healthy diet selections
d. compliance with oral hypoglycemic medications - ANSWER-c. portion-controlled, heart
healthy diet selections
The practical nurse (PN) suspects that a male client is altering his own diabetic journals to
please his healthcare provider. Which laboratory test should the PN review to evaluate the
client's compliance with self management for type 1 diabetes mellitus?
a. oral glucose tolerance test (GTT)
b. 24-hour urine analysis
c. hemoglobin A1c
d. fasting cholesterol - ANSWER-c. hemoglobin A1c
the A1c measures the average blood glucose level over the past 3-months, including the past 24
hour period, and should be used to compare with the client's diabetic journal
The practical nurse (PN) is evaluating a client for an increased need for B12 after undergoing a
subtotal antrectomy. Which foods should the ON recommend that the client include in the diet?
a. cheese, eggs, and fish
b. lentils, dried fruits, and soy beans
c. potatoes mushrooms, and yogurt
d. nuts, brown rice, and sunflower seeds - ANSWER-a. cheese, eggs, and fish
these foods are rich in B12
3|Page
