EVOLVE HESI FUNDAMENTALS PRACTICE
QUESTIONS STUDY GUIDE 2026 UPDATED
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
⩥ At the beginning of the shift, the nurse assesses a client who is
admitted from the post-anesthesia care unit (PACU). When should the
nurse document the client's findings?
A. A the beginning, middle, and end of the shift.
B. After client priorities are identified for the development of the nursing
care plan.
C. At the end of the shift so full attention can be given to the client's
needs.
D. Immediately after the assessments are completed.
Answer: Documentation should occur immediately after any component
of the nursing process, so assessments should be entered in the client's
medical record as readily as findings are obtained (D). (A, B, and C) do
not address the concepts of legal recommendations for information
management and informatics.
Correct
Answer: D
,⩥ A Sub-Saharan African widowed immigrant woman lives with her
deceased husband's brother and his family, which includes the brother-
in-law's children and the widow's adult children. Each family member
speaks fluent English. Surgery was recommended for the client. What is
the best plan to obtain consent for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client.
B. Encourage the client to make her own decision regarding surgery.
C. Ask the family members to provide a clarification of the surgeon's
explanation to the client.
D. Tell the surgeon that the brother-in-law will decide after explanation
of the proposed surgery is provided to him and the widow.
Answer: Customary law in some rural sub-Saharan countries
encompasses wife inheritance and polygamy; the widow becomes the
inherited wife of her husband's brother. In those rural areas women live
in a patriarchal family where decisions are made by men. Most likely,
the brother-in-law will make the decision for his inherited wife, so (D)
provides the surgeon with culturally sensitive information. (A) all family
members speak fluent English therefore there is no need for translation.
It is culturally insensitive to encourage the woman to go against her
wishes and her cultural worldview, as in (B). Family members are more
likely to misinterpret medical information (C).
Correct
Answer: D
,⩥ Which response by a client with a nursing diagnosis of "Spiritual
distress," indicates to the nurse that a desired outcome measure has been
met?
A. Express concern about the meaning and importance of life.
B. Remains angry at God for the continuation of the illness.
C. Accepts that punishment from God is not related to illness.
D. Refuses to participate in religious rituals that have no meaning.
Answer: Acceptance that she is not being punished by God indicates a
desired outcome (C) for some degree of resolution of spiritual distress.
(A, B, and D) do not support the concept of grief, loss, and
cultural/spiritual acceptance.
Correct
Answer: C
⩥ During shift change report, the nurse receives report that a client has
abnormal heart sounds. Which placement of the stethoscope should the
nurse use to hear the client's hear sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest,
D. Position the diaphragm of the stethoscope at Erb's point on the chest.
, Answer: Abdominal heart sounds are best heard with the bell of the
stethoscope, which picks up lower-pitched sounds, that is placed at
points on the anterior chest (B). (A, C, and D) do not provide the best
assessment of abdominal heart valve sounds.
Correct
Answer: B
⩥ A nurse is preparing to give medications through a nasogastric feeding
tube. Which nursing action should prevent complications during
administration?
A. Mix each medication individually.
B. Use sterile gloves for the procedure.
C. Monitor vital signs before giving medications.
D. Mix all medications together to facilitate administration.
Answer: Medications should be mixed separately (A) to prevent
clumping. (B, C, and D) are not indicated.
Correct
Answer: A
QUESTIONS STUDY GUIDE 2026 UPDATED
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
⩥ At the beginning of the shift, the nurse assesses a client who is
admitted from the post-anesthesia care unit (PACU). When should the
nurse document the client's findings?
A. A the beginning, middle, and end of the shift.
B. After client priorities are identified for the development of the nursing
care plan.
C. At the end of the shift so full attention can be given to the client's
needs.
D. Immediately after the assessments are completed.
Answer: Documentation should occur immediately after any component
of the nursing process, so assessments should be entered in the client's
medical record as readily as findings are obtained (D). (A, B, and C) do
not address the concepts of legal recommendations for information
management and informatics.
Correct
Answer: D
,⩥ A Sub-Saharan African widowed immigrant woman lives with her
deceased husband's brother and his family, which includes the brother-
in-law's children and the widow's adult children. Each family member
speaks fluent English. Surgery was recommended for the client. What is
the best plan to obtain consent for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client.
B. Encourage the client to make her own decision regarding surgery.
C. Ask the family members to provide a clarification of the surgeon's
explanation to the client.
D. Tell the surgeon that the brother-in-law will decide after explanation
of the proposed surgery is provided to him and the widow.
Answer: Customary law in some rural sub-Saharan countries
encompasses wife inheritance and polygamy; the widow becomes the
inherited wife of her husband's brother. In those rural areas women live
in a patriarchal family where decisions are made by men. Most likely,
the brother-in-law will make the decision for his inherited wife, so (D)
provides the surgeon with culturally sensitive information. (A) all family
members speak fluent English therefore there is no need for translation.
It is culturally insensitive to encourage the woman to go against her
wishes and her cultural worldview, as in (B). Family members are more
likely to misinterpret medical information (C).
Correct
Answer: D
,⩥ Which response by a client with a nursing diagnosis of "Spiritual
distress," indicates to the nurse that a desired outcome measure has been
met?
A. Express concern about the meaning and importance of life.
B. Remains angry at God for the continuation of the illness.
C. Accepts that punishment from God is not related to illness.
D. Refuses to participate in religious rituals that have no meaning.
Answer: Acceptance that she is not being punished by God indicates a
desired outcome (C) for some degree of resolution of spiritual distress.
(A, B, and D) do not support the concept of grief, loss, and
cultural/spiritual acceptance.
Correct
Answer: C
⩥ During shift change report, the nurse receives report that a client has
abnormal heart sounds. Which placement of the stethoscope should the
nurse use to hear the client's hear sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest,
D. Position the diaphragm of the stethoscope at Erb's point on the chest.
, Answer: Abdominal heart sounds are best heard with the bell of the
stethoscope, which picks up lower-pitched sounds, that is placed at
points on the anterior chest (B). (A, C, and D) do not provide the best
assessment of abdominal heart valve sounds.
Correct
Answer: B
⩥ A nurse is preparing to give medications through a nasogastric feeding
tube. Which nursing action should prevent complications during
administration?
A. Mix each medication individually.
B. Use sterile gloves for the procedure.
C. Monitor vital signs before giving medications.
D. Mix all medications together to facilitate administration.
Answer: Medications should be mixed separately (A) to prevent
clumping. (B, C, and D) are not indicated.
Correct
Answer: A
