Page 1 of 19
Evolve HESI 1 Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT ANSWERS
GRADED A+ 2025-2026 VERIFIED
For the intensive care of cancer clients, for which employment position would
the facility hire a nurse?
clinical nurse specialist
: the clinical nurse specialist is an expert in a specific area of practice/setting, such
as an intensive care unit.
The nurse practitioner has experience in what?
taking care of clients in an outpatient, ambulatory care, or community care setting.
The nurse administrator has experience in what?
managing the care provided to clients within a health care agency
Medicare A
takes care of medical, surgical, and psychiatric costs
Managed Care Organizations MCOs
provide comprehensive preventive and tx services to a specific group of voluntarily
enrolled people
preferred care organizations PCO
narrow down the list of hospitals, pcp, and health care providers available to the
member.
Which RR would the nurse expect for a 2 year old/ toddler?
30 rpm
(25-32 rpm)
Normal RPM for adolescents and adults
20 rpm
Normal RPM for infants and newborns
newborns = 40 rpm
infants = 50 rpm
steps of EBP process (0-6)
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1. ask PICOT question
2. search and collect best/most relevant evidence
3. critically appraise evidence
4. integrate evidence w/ own clinical expertise and patient preferences and values in
making a practice decision or change
5. evaluate outcomes of the change
6. disseminate outcomes of evidence-based change
Where is best to assess for cyanosis?
Lips + nail beds
Sclera and mucous membrane are assessed for what?
Jaundice
Why is the conjunctiva assessed?
presence of pallor
Uniform Anatomical Gift Act (UAGA)
a law permitting a person of legal age and sound mind to give all or any part of
his/her body to take effect upon his/her death or gives the right to another.
= allows the client to donate organs
The Mental Health Parity Act
forbids health plans from placing lifetime or annual limits on mental health coverage
that are less generous than those placed on medical or surgical benefits
National Organ Transplant Act (NOTA)
-forbids the purchase or sale of organs
-protects the donors estate from liability for injury or damage that results from the
use of an organ
Which condition is contraindicated for St. John's Wort herbal therapy?
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?
Seizures
Which condition is contraindicated for Valerian?
Cardiac Disease
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Which condition is contraindicated for ginseng herbal therapy?
Pregnancy
Which antidepressant medication is a selective monoamine oxidase-B
inhibitor?
a. Selegiline
b. Phenelzine
c. Isocarboxazid
d. Tranylcypromine
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?
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)
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
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?
Sacrum
Which body region is most at risk for pressure injury when the client is in
upright sitting position?
Ischial spine
Evolve HESI 1 Exam 2025 Review GRADED A+ QUESTIONS WIT H CORRECT ANSWERS
GRADED A+ 2025-2026 VERIFIED
For the intensive care of cancer clients, for which employment position would
the facility hire a nurse?
clinical nurse specialist
: the clinical nurse specialist is an expert in a specific area of practice/setting, such
as an intensive care unit.
The nurse practitioner has experience in what?
taking care of clients in an outpatient, ambulatory care, or community care setting.
The nurse administrator has experience in what?
managing the care provided to clients within a health care agency
Medicare A
takes care of medical, surgical, and psychiatric costs
Managed Care Organizations MCOs
provide comprehensive preventive and tx services to a specific group of voluntarily
enrolled people
preferred care organizations PCO
narrow down the list of hospitals, pcp, and health care providers available to the
member.
Which RR would the nurse expect for a 2 year old/ toddler?
30 rpm
(25-32 rpm)
Normal RPM for adolescents and adults
20 rpm
Normal RPM for infants and newborns
newborns = 40 rpm
infants = 50 rpm
steps of EBP process (0-6)
, Page 2 of 19
1. ask PICOT question
2. search and collect best/most relevant evidence
3. critically appraise evidence
4. integrate evidence w/ own clinical expertise and patient preferences and values in
making a practice decision or change
5. evaluate outcomes of the change
6. disseminate outcomes of evidence-based change
Where is best to assess for cyanosis?
Lips + nail beds
Sclera and mucous membrane are assessed for what?
Jaundice
Why is the conjunctiva assessed?
presence of pallor
Uniform Anatomical Gift Act (UAGA)
a law permitting a person of legal age and sound mind to give all or any part of
his/her body to take effect upon his/her death or gives the right to another.
= allows the client to donate organs
The Mental Health Parity Act
forbids health plans from placing lifetime or annual limits on mental health coverage
that are less generous than those placed on medical or surgical benefits
National Organ Transplant Act (NOTA)
-forbids the purchase or sale of organs
-protects the donors estate from liability for injury or damage that results from the
use of an organ
Which condition is contraindicated for St. John's Wort herbal therapy?
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?
Seizures
Which condition is contraindicated for Valerian?
Cardiac Disease
, Page 3 of 19
Which condition is contraindicated for ginseng herbal therapy?
Pregnancy
Which antidepressant medication is a selective monoamine oxidase-B
inhibitor?
a. Selegiline
b. Phenelzine
c. Isocarboxazid
d. Tranylcypromine
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?
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)
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
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?
Sacrum
Which body region is most at risk for pressure injury when the client is in
upright sitting position?
Ischial spine
