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EVOLVE FUNDAMENTALS HESI EXAM
QUESTION BANK | {LATEST 2026/ 2027
UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
At the time of the first dressing change, the client refuses to look at
her mastectomy incision. The nurse tells the client that the incision is
healing well, but the client refuses to talk about it. What would be an
appropriate response to this client's silence?
A. "It is normal to feel angry and depressed, but the sooner you deal
with this surgery, the better you will feel."
B. "Looking at your incision can be frightening, but facing this fear is a
necessary part of your recovery."
C. "It is OK if you don't want to talk about your surgery. I will be
available when you are ready."
D. "I will ask a woman who has had a mastectomy to come by and
share her experiences with you."
(C) displays sensitivity and understanding without judging the client.
(A) is judgmental in that it is telling the client how she feels and is also
insensitive. (B) would give the client a chance to talk, but is also
demanding and demeaning. (D) displays a positive action, but,
because the nurse's personal support is not offered, this response
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could be interpreted as dismissing the client and avoiding the
problem.
Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them
determine the safest way to transfer an elderly client with left-sided
weakness from the bed to the chair. What method describes the
correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side
before moving.
B. Assist the client to a standing position, then place the right hand on
the armrest.
C. Have the client place the left foot next to the chair and pivot to the
left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the
client on the right foot.
(D) uses the client's stronger side, the right side, for weight-bearing
during the transfer, and is the safest approach to take. (A, B, and C)
are unsafe methods of transfer and include the use of poor body
mechanics by the caregiver.
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Correct Answer: D
An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction
should the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse
Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C. Reposition in a Sim's position with the client's weight on the
anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to
waist level.
The left sided Sims' position allows the enema solution to follow the
anatomical course of the intestines and allows the best overall results,
so the UAP should reposition the client in the Sims' position, which
distributes the client's weight to the anterior ilium (C). (A) is
inaccurate. (B and D) should be implemented once the client is
positioned.
Correct Answer: C
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A client who is a Jehovah's Witness is admitted to the nursing unit.
Which concern should the nurse have for planning care in terms of the
client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Blood transfusions are forbidden (B) in the Jehovah's Witness religion.
Judaism prohibits (A). Buddhism forbids the use of (C) and drugs.
Many of these sects are vegetarian (D), but the direct impact on
nursing care is (B).
Correct Answer: B
The nurse observes that a male client has removed the covering from
an ice pack applied to his knee. What action should the nurse take
first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
EVOLVE FUNDAMENTALS HESI EXAM
QUESTION BANK | {LATEST 2026/ 2027
UPDATE} COMPLETE ACTUAL AND AUTHENTIC
EXAM | BRAND NEW!
At the time of the first dressing change, the client refuses to look at
her mastectomy incision. The nurse tells the client that the incision is
healing well, but the client refuses to talk about it. What would be an
appropriate response to this client's silence?
A. "It is normal to feel angry and depressed, but the sooner you deal
with this surgery, the better you will feel."
B. "Looking at your incision can be frightening, but facing this fear is a
necessary part of your recovery."
C. "It is OK if you don't want to talk about your surgery. I will be
available when you are ready."
D. "I will ask a woman who has had a mastectomy to come by and
share her experiences with you."
(C) displays sensitivity and understanding without judging the client.
(A) is judgmental in that it is telling the client how she feels and is also
insensitive. (B) would give the client a chance to talk, but is also
demanding and demeaning. (D) displays a positive action, but,
because the nurse's personal support is not offered, this response
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could be interpreted as dismissing the client and avoiding the
problem.
Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them
determine the safest way to transfer an elderly client with left-sided
weakness from the bed to the chair. What method describes the
correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side
before moving.
B. Assist the client to a standing position, then place the right hand on
the armrest.
C. Have the client place the left foot next to the chair and pivot to the
left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the
client on the right foot.
(D) uses the client's stronger side, the right side, for weight-bearing
during the transfer, and is the safest approach to take. (A, B, and C)
are unsafe methods of transfer and include the use of poor body
mechanics by the caregiver.
,Page 3 of 127
Correct Answer: D
An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction
should the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse
Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C. Reposition in a Sim's position with the client's weight on the
anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to
waist level.
The left sided Sims' position allows the enema solution to follow the
anatomical course of the intestines and allows the best overall results,
so the UAP should reposition the client in the Sims' position, which
distributes the client's weight to the anterior ilium (C). (A) is
inaccurate. (B and D) should be implemented once the client is
positioned.
Correct Answer: C
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A client who is a Jehovah's Witness is admitted to the nursing unit.
Which concern should the nurse have for planning care in terms of the
client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Blood transfusions are forbidden (B) in the Jehovah's Witness religion.
Judaism prohibits (A). Buddhism forbids the use of (C) and drugs.
Many of these sects are vegetarian (D), but the direct impact on
nursing care is (B).
Correct Answer: B
The nurse observes that a male client has removed the covering from
an ice pack applied to his knee. What action should the nurse take
first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
