1|Page
EVOLVE HESI COMPREHENSIVE EXAM LATEST 2025
ACTUAL EXAM TEST BANK| COMPLETE 250 REAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+| EVOLVE COMPREHENSIVE HESI EXAM 2025
(BRAND NEW!!)
Which information should the nurse give a client with chronic kidney
disease (CKD)?
a. Restrict calcium-rich foods.
b. Obtain monthly B12 injections.
c. Avoid salt substitutes.
d. Increase daily intake of fiber. - Correct Answer - C
The nurse is assessing a client who complains of weight loss, racing
heart rate, and difficulty sleeping. The nurse determines the client has
moist skin with fine hair, prominent eyes, lid retraction, and a staring
expression. These findings are consistent with which disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease. - Correct Answer - A
A client with asthma receives a prescription for high blood pressure
during a clinic visit. Which prescription should the nurse anticipate the
client to receive that is at least likely to exacerbate asthma?
pg. 1
,2|Page
A. Pindolol (Visken).
B. Carteolol (Ocupress).
C. Metoprolol tartrate (Lopressor).
D. Propranolol hydrochloride (Inderal). - Correct Answer - Metoprolol
Tartrate( Lopressor)
The best antihypertensive agent for clients with asthma is metoprolol
(Lopressor) (C), a beta2 blocking agent which is also cardioselective and
less likely to cause bronchoconstriction.
-Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and
increase asthmatic symptoms.
-Although carteolol (B) is a beta blocking agent and an effective
antihypertensive agent used in managing angina, it can increase a client's
risk for bronchoconstriction due to its nonselective beta blocker action.
-Propranolol (D) also blocks the beta2 receptors in the lungs, causing
bronchoconstriction, and is not indicated in clients with asthma and
other obstructive pulmonary disorders.
The nurse is assessing an older client and determines that the client's left
upper eyelid droops, covering more of the iris than the right eyelid.
Which description should the nurse use to document this finding?
a. Ptosis on the left eyelid.
b. A nystagmus on the left.
c. Astigmatism on the right.
d. Exophthalmos on the right. - Correct Answer - A
pg. 2
,3|Page
The nurse is caring for a client who is unable to void. The plan of care
establishes an objective for the client to ingest at least 1000 ml of fluid
between 7:00 am and 3:30 pm. Which client response should the nurse
document that indicates a successful outcome?
a. Demonstrates adequate fluid intake and output.
b. Voids at least 1000 ml between 7am and 3 pm.
c. Verbalizes abdominal comfort without pressure.
d. Drinks 240 ml of fluid five times during the shift. - Correct Answer -
D
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior
to administering a scheduled dose of verapamil (Calan) for a client with
atrial flutter. Which action should the nurse implement?
a. Administer the dose as prescribed.
b. Withhold the drug and notify the healthcare provider.
c. Give intravenous (IV) calcium gluconate.
d. Recheck the vital signs in 30 minutes and then administer the dose. -
Correct Answer - A
A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol) for pain. Which organ function is most
important for the nurse to monitor?
a. Liver.
b. Kidney.
c. Sensory.
d. Cardiorespiratory. - Correct Answer - A
pg. 3
, 4|Page
Two hours after the vaginal delivery of a 7-pound, 3-ounce infant, a
client's fundus is 3 cm above the umbilicus, boggy, and located to the
right of midline. Which action should the nurse take first?
a. Massage the uterine fundus.
b. Palpate above the symphysis for the bladder.
c. Perform bi-manual massage.
d. Inspect the perineum for excessive bleeding. - Correct Answer - B
After one month of short-term corticosteroid therapy, a client with an
acute exacerbation of rheumatoid arthritis returns to the clinic for a
follow-up visit. Which laboratory finding should the nurse review for a
therapeutic response?
a. Fasting serum glucose.
b. Serum liver function test.
c. Serum electrolyte levels.
d. Erythrocyte sedimentation rate. - Correct Answer - D
The clinic nurse identifies an elevation in the results of the triple marker
screening test for a client who is in the first trimester of pregnancy.
Which action should the nurse prepare the client for?
a. Repeating the triple marker test.
b. Preparing for other diagnostic testing.
c. Counseling about possible fetal defects.
d. Securing permission for pregnancy termination. - Correct Answer - B
pg. 4
EVOLVE HESI COMPREHENSIVE EXAM LATEST 2025
ACTUAL EXAM TEST BANK| COMPLETE 250 REAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+| EVOLVE COMPREHENSIVE HESI EXAM 2025
(BRAND NEW!!)
Which information should the nurse give a client with chronic kidney
disease (CKD)?
a. Restrict calcium-rich foods.
b. Obtain monthly B12 injections.
c. Avoid salt substitutes.
d. Increase daily intake of fiber. - Correct Answer - C
The nurse is assessing a client who complains of weight loss, racing
heart rate, and difficulty sleeping. The nurse determines the client has
moist skin with fine hair, prominent eyes, lid retraction, and a staring
expression. These findings are consistent with which disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease. - Correct Answer - A
A client with asthma receives a prescription for high blood pressure
during a clinic visit. Which prescription should the nurse anticipate the
client to receive that is at least likely to exacerbate asthma?
pg. 1
,2|Page
A. Pindolol (Visken).
B. Carteolol (Ocupress).
C. Metoprolol tartrate (Lopressor).
D. Propranolol hydrochloride (Inderal). - Correct Answer - Metoprolol
Tartrate( Lopressor)
The best antihypertensive agent for clients with asthma is metoprolol
(Lopressor) (C), a beta2 blocking agent which is also cardioselective and
less likely to cause bronchoconstriction.
-Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and
increase asthmatic symptoms.
-Although carteolol (B) is a beta blocking agent and an effective
antihypertensive agent used in managing angina, it can increase a client's
risk for bronchoconstriction due to its nonselective beta blocker action.
-Propranolol (D) also blocks the beta2 receptors in the lungs, causing
bronchoconstriction, and is not indicated in clients with asthma and
other obstructive pulmonary disorders.
The nurse is assessing an older client and determines that the client's left
upper eyelid droops, covering more of the iris than the right eyelid.
Which description should the nurse use to document this finding?
a. Ptosis on the left eyelid.
b. A nystagmus on the left.
c. Astigmatism on the right.
d. Exophthalmos on the right. - Correct Answer - A
pg. 2
,3|Page
The nurse is caring for a client who is unable to void. The plan of care
establishes an objective for the client to ingest at least 1000 ml of fluid
between 7:00 am and 3:30 pm. Which client response should the nurse
document that indicates a successful outcome?
a. Demonstrates adequate fluid intake and output.
b. Voids at least 1000 ml between 7am and 3 pm.
c. Verbalizes abdominal comfort without pressure.
d. Drinks 240 ml of fluid five times during the shift. - Correct Answer -
D
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior
to administering a scheduled dose of verapamil (Calan) for a client with
atrial flutter. Which action should the nurse implement?
a. Administer the dose as prescribed.
b. Withhold the drug and notify the healthcare provider.
c. Give intravenous (IV) calcium gluconate.
d. Recheck the vital signs in 30 minutes and then administer the dose. -
Correct Answer - A
A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol) for pain. Which organ function is most
important for the nurse to monitor?
a. Liver.
b. Kidney.
c. Sensory.
d. Cardiorespiratory. - Correct Answer - A
pg. 3
, 4|Page
Two hours after the vaginal delivery of a 7-pound, 3-ounce infant, a
client's fundus is 3 cm above the umbilicus, boggy, and located to the
right of midline. Which action should the nurse take first?
a. Massage the uterine fundus.
b. Palpate above the symphysis for the bladder.
c. Perform bi-manual massage.
d. Inspect the perineum for excessive bleeding. - Correct Answer - B
After one month of short-term corticosteroid therapy, a client with an
acute exacerbation of rheumatoid arthritis returns to the clinic for a
follow-up visit. Which laboratory finding should the nurse review for a
therapeutic response?
a. Fasting serum glucose.
b. Serum liver function test.
c. Serum electrolyte levels.
d. Erythrocyte sedimentation rate. - Correct Answer - D
The clinic nurse identifies an elevation in the results of the triple marker
screening test for a client who is in the first trimester of pregnancy.
Which action should the nurse prepare the client for?
a. Repeating the triple marker test.
b. Preparing for other diagnostic testing.
c. Counseling about possible fetal defects.
d. Securing permission for pregnancy termination. - Correct Answer - B
pg. 4
