HESI FUNDAMENTALS EVOLVE EXAM (NEWEST
EXAM 2025) | ALL QUESTIONS AND CORRECT
ANSWERSWITH EXPLANATIONS | ALREADY
GRADED A+ | PROFESSOR VERIFIED | JUST
RELEASED
While reviewing the side effects of a newly prescribed medication, a 72-
year-old client notes that one of the side effects is a reduction in sexual
drive. Which is the best response by the nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult." ---------CORRECT
ANSWER-----------------Answer: A
(A) offers an open-ended question most relevant to the client's
statement. (B) does not offer the client the opportunity to express
concerns. (C and D) are even less relevant to the client's statement.
The health care provider has changed a client's prescription from the PO to
the IV route of administration. The nurse should anticipate which change in
the pharmacokinetic properties of the medication?
A. The client will experience increased tolerance to the drug's effects and
may need a higher dose.
B. The onset of action of the drug will occur more rapidly, resulting in a
more rapid effect.
C. The medication will be more highly protein-bound, increasing the
duration of action.
D. The therapeutic index will be increased, placing the client at greater risk
for toxicity. ---------CORRECT ANSWER-----------------Answer: B
Because the absorptive process is eliminated when medications are
administered via the IV route, the onset of action is more rapid,
resulting in a more immediate effect (B). Drug tolerance (A), protein
binding (C), and the drug's therapeutic index (D) are not affected by
the change in route from PO to IV. In addition, an increased
therapeutic index reduces the risk of drug toxicity.
,A male client is laughing at a television program with his wife when the
evening nurse enters the room. He says his foot is hurting and he would
like a pain pill. How should the nurse respond?
A. Ask him to rate his pain on a scale of 1 to 10.
B. Encourage him to wait until bedtime so the pill can help him sleep.
C. Attend to an acutely ill client's needs first because this client is laughing.
D. Instruct him in the use of deep breathing exercises for pain control. -------
--CORRECT ANSWER-----------------Answer: A
Obtaining a subjective estimate of the pain experience by asking the
client to rate his pain (A) helps the nurse determine which pain
medication should be administered and also provides a baseline for
evaluating the effectiveness of the medication. Medicating for pain
should not be delayed so that it can be used as a sleep medication
(B). (C) is judgmental. (D) should be used as an adjunct to pain
medication, not instead of medication.
The nurse determines that a postoperative client's respiratory rate has
increased from 18 to 24 breaths/min. Based on this assessment finding,
which intervention is most important for the nurse to implement?
A. Encourage the client to increase ambulation in the room.
B. Offer the client a high-carbohydrate snack for energy.
C. Force fluids to thin the client's pulmonary secretions.
D. Determine if pain is causing the client's tachypnea. ---------CORRECT
ANSWER-----------------Answer: D
Pain, anxiety, and increasing fluid accumulation in the lungs (D) can
cause tachypnea (increased respiratory rate). Encouraging (A) when
the respiratory rate is rising above normal limits puts the client at risk
for further oxygen desaturation. (B) can increase the client's carbon
metabolism, so an alternative source of energy, such as Pulmocare
liquid supplement, should be offered instead. (C) could increase
respiratory congestion in a client with a poorly functioning
cardiopulmonary system, placing the client at risk of fluid overload.
,A 20-year-old female client with a noticeable body odor has refused to
shower for the last 3 days. She states, "I have been told that it is harmful to
bathe during my period." Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the
client. ---------CORRECT ANSWER-----------------Answer: D
Because a shower is most beneficial for the client in terms of hygiene,
the client should receive teaching first (D), respecting any personal
beliefs such as cultural or spiritual values. After client teaching, the
client may still choose (A or B). Brochures reinforce the teaching (C).
Based on the nursing diagnosis of Risk for infection, which intervention is
best for the nurse to implement when providing care for an older
incontinent client?
A. Maintain standard precautions.
B. Initiate contact isolation measures.
C. Insert an indwelling urinary catheter.
D. Instruct client in the use of adult diapers. ---------CORRECT ANSWER----
-------------Answer: A
The best action to decrease the risk of infection in vulnerable clients
is hand washing (A). (B) is not necessary unless the client has an
infection. (C) increases the risk of infection. (D) does not reduce the
risk of infection.
The nurse is counting a client's respiratory rate. During a 30-second
interval, the nurse counts six respirations and the client coughs three times.
In repeating the count for a second 30-second interval, the nurse counts
eight respirations. Which respiratory rate should the nurse document?
A. 14
B. 16
C. 17
D. 28 ---------CORRECT ANSWER-----------------Answer: B
The most accurate respiratory rate is the second count obtained by
the nurse, which was not interrupted by coughing. Because it was
, counted for 30 seconds, the rate should be doubled (B). (A, C, and D)
are inaccurate recordings.
The nurse prepares to insert a nasogastric tube in a client with
hyperemesis who is awake and alert. Which intervention(s) is(are) correct?
(Select all that apply.)
A. Place the client in a high Fowler's position.
B. Help the patient assume a left side-lying position.
C. Measure the tube from the tip of the nose to the umbilicus.
D. Instruct the client to swallow after the tube has passed the pharynx.
E. Assist the client in extending the neck back so the tube may enter the
larynx. ---------CORRECT ANSWER-----------------Answer: A, D
(A and D) are the correct steps to follow during nasogastric
intubation. Only the unconscious or obtunded client should be placed
in a left side-lying position (B). The tube should be measured from the
tip of the nose to behind the ear and then from behind the ear to the
xiphoid process (C). The neck should only be extended back prior to
the tube passing the pharynx and then the client should be instructed
to position the neck forward (E).
During a routine assessment, an obese 50-year-old female client
expresses concern about her sexual relationship with her husband. Which
is the best response by the nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by
obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns. ---------CORRECT
ANSWER-----------------Answer: D
(D) provides an opportunity for the client to verbalize her concerns
and provides the nurse with more assessment data. (A and B) may
not be related to her current concern, assume that obesity is the
problem, and are communication blocks. (C) may be appropriate after
discussing the concerns she is having.
EXAM 2025) | ALL QUESTIONS AND CORRECT
ANSWERSWITH EXPLANATIONS | ALREADY
GRADED A+ | PROFESSOR VERIFIED | JUST
RELEASED
While reviewing the side effects of a newly prescribed medication, a 72-
year-old client notes that one of the side effects is a reduction in sexual
drive. Which is the best response by the nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult." ---------CORRECT
ANSWER-----------------Answer: A
(A) offers an open-ended question most relevant to the client's
statement. (B) does not offer the client the opportunity to express
concerns. (C and D) are even less relevant to the client's statement.
The health care provider has changed a client's prescription from the PO to
the IV route of administration. The nurse should anticipate which change in
the pharmacokinetic properties of the medication?
A. The client will experience increased tolerance to the drug's effects and
may need a higher dose.
B. The onset of action of the drug will occur more rapidly, resulting in a
more rapid effect.
C. The medication will be more highly protein-bound, increasing the
duration of action.
D. The therapeutic index will be increased, placing the client at greater risk
for toxicity. ---------CORRECT ANSWER-----------------Answer: B
Because the absorptive process is eliminated when medications are
administered via the IV route, the onset of action is more rapid,
resulting in a more immediate effect (B). Drug tolerance (A), protein
binding (C), and the drug's therapeutic index (D) are not affected by
the change in route from PO to IV. In addition, an increased
therapeutic index reduces the risk of drug toxicity.
,A male client is laughing at a television program with his wife when the
evening nurse enters the room. He says his foot is hurting and he would
like a pain pill. How should the nurse respond?
A. Ask him to rate his pain on a scale of 1 to 10.
B. Encourage him to wait until bedtime so the pill can help him sleep.
C. Attend to an acutely ill client's needs first because this client is laughing.
D. Instruct him in the use of deep breathing exercises for pain control. -------
--CORRECT ANSWER-----------------Answer: A
Obtaining a subjective estimate of the pain experience by asking the
client to rate his pain (A) helps the nurse determine which pain
medication should be administered and also provides a baseline for
evaluating the effectiveness of the medication. Medicating for pain
should not be delayed so that it can be used as a sleep medication
(B). (C) is judgmental. (D) should be used as an adjunct to pain
medication, not instead of medication.
The nurse determines that a postoperative client's respiratory rate has
increased from 18 to 24 breaths/min. Based on this assessment finding,
which intervention is most important for the nurse to implement?
A. Encourage the client to increase ambulation in the room.
B. Offer the client a high-carbohydrate snack for energy.
C. Force fluids to thin the client's pulmonary secretions.
D. Determine if pain is causing the client's tachypnea. ---------CORRECT
ANSWER-----------------Answer: D
Pain, anxiety, and increasing fluid accumulation in the lungs (D) can
cause tachypnea (increased respiratory rate). Encouraging (A) when
the respiratory rate is rising above normal limits puts the client at risk
for further oxygen desaturation. (B) can increase the client's carbon
metabolism, so an alternative source of energy, such as Pulmocare
liquid supplement, should be offered instead. (C) could increase
respiratory congestion in a client with a poorly functioning
cardiopulmonary system, placing the client at risk of fluid overload.
,A 20-year-old female client with a noticeable body odor has refused to
shower for the last 3 days. She states, "I have been told that it is harmful to
bathe during my period." Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the
client. ---------CORRECT ANSWER-----------------Answer: D
Because a shower is most beneficial for the client in terms of hygiene,
the client should receive teaching first (D), respecting any personal
beliefs such as cultural or spiritual values. After client teaching, the
client may still choose (A or B). Brochures reinforce the teaching (C).
Based on the nursing diagnosis of Risk for infection, which intervention is
best for the nurse to implement when providing care for an older
incontinent client?
A. Maintain standard precautions.
B. Initiate contact isolation measures.
C. Insert an indwelling urinary catheter.
D. Instruct client in the use of adult diapers. ---------CORRECT ANSWER----
-------------Answer: A
The best action to decrease the risk of infection in vulnerable clients
is hand washing (A). (B) is not necessary unless the client has an
infection. (C) increases the risk of infection. (D) does not reduce the
risk of infection.
The nurse is counting a client's respiratory rate. During a 30-second
interval, the nurse counts six respirations and the client coughs three times.
In repeating the count for a second 30-second interval, the nurse counts
eight respirations. Which respiratory rate should the nurse document?
A. 14
B. 16
C. 17
D. 28 ---------CORRECT ANSWER-----------------Answer: B
The most accurate respiratory rate is the second count obtained by
the nurse, which was not interrupted by coughing. Because it was
, counted for 30 seconds, the rate should be doubled (B). (A, C, and D)
are inaccurate recordings.
The nurse prepares to insert a nasogastric tube in a client with
hyperemesis who is awake and alert. Which intervention(s) is(are) correct?
(Select all that apply.)
A. Place the client in a high Fowler's position.
B. Help the patient assume a left side-lying position.
C. Measure the tube from the tip of the nose to the umbilicus.
D. Instruct the client to swallow after the tube has passed the pharynx.
E. Assist the client in extending the neck back so the tube may enter the
larynx. ---------CORRECT ANSWER-----------------Answer: A, D
(A and D) are the correct steps to follow during nasogastric
intubation. Only the unconscious or obtunded client should be placed
in a left side-lying position (B). The tube should be measured from the
tip of the nose to behind the ear and then from behind the ear to the
xiphoid process (C). The neck should only be extended back prior to
the tube passing the pharynx and then the client should be instructed
to position the neck forward (E).
During a routine assessment, an obese 50-year-old female client
expresses concern about her sexual relationship with her husband. Which
is the best response by the nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by
obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns. ---------CORRECT
ANSWER-----------------Answer: D
(D) provides an opportunity for the client to verbalize her concerns
and provides the nurse with more assessment data. (A and B) may
not be related to her current concern, assume that obesity is the
problem, and are communication blocks. (C) may be appropriate after
discussing the concerns she is having.
