1
Evolve Comprehensive Exam (Hesi) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the priority nursing action when a client receiving IV morphine becomes difficult to arouse and has a respiratory rate of 6/min?✔✔Administer naloxone immediately.
A client with pneumonia is coughing thick yellow secretions. What nursing action best helps to thin and mobilize the secretions?✔✔Encourage increased oral fluid intake.
A client with cirrhosis has confusion and asterixis. What condition should the nurse suspect?✔✔Hepatic encephalopathy.
What is the priority action when a client’s chest tube suddenly stops draining?✔✔Assess the client immediately for signs of tension pneumothorax.
- / 4
2
A client with COPD is short of breath while lying down. What position should the nurse place the client in?✔✔High Fowler’s with arms supported on pillows.
What is the nurse’s first action when a postpartum client is experiencing heavy vaginal bleeding?✔✔Massage the uterine fundus.
A client with burns over 40% of the body is at highest risk for which complication during the first 24 hours?✔✔Hypovolemic shock.
What laboratory test should the nurse monitor in a client receiving heparin infusion?✔✔Activated partial thromboplastin time (aPTT).
What is the nurse’s immediate action when a client receiving a blood transfusion develops chills, fever, and back pain?✔✔Stop the transfusion at once.
- / 4
3
What electrolyte imbalance is the nurse most concerned about when a client is taking furosemide?✔✔Hypokalemia.
A client with appendicitis reports sudden relief of abdominal pain. What is the nurse’s priority action?✔✔Assess for signs of peritonitis.
A client is prescribed levothyroxine. When should the nurse instruct the client to take the medication?✔✔In the morning on an empty stomach.
What is the best way to prevent aspiration in a client receiving tube feeding?✔✔Keep the head of the bed elevated 30–45 degrees.
What condition should the nurse suspect when a client with hyperthyroidism develops fever, tachycardia, and restlessness?✔✔Thyroid storm.
- / 4
4
What intervention should the nurse take when a client with schizophrenia reports hearing voices telling them to harm themselves?✔✔Ensure client safety and notify the healthcare provider immediately.
What is the priority assessment after administering IV potassium?✔✔Monitor cardiac rhythm.
What is the first action when a client with heart failure reports sudden weight gain of 3 pounds in 24 hours?✔✔Notify the healthcare provider.
What complication should the nurse suspect if a client with a chest tube develops sudden shortness of breath and tracheal deviation?✔✔Tension pneumothorax.
What action should the nurse take when caring for a client with tuberculosis?✔✔Place the client in airborne isolation with N95 respirator.
- / 4