1|Page
Evolve HESI Fundamentals Exit Exam 2026/2027
||Verified Exam!!!|| Elsevier Evolve & NCSBN
Standards Alignment | 220 Questions with Detailed
Rationales for RN Licensure Readiness
The nurse observes a UAP taking a client's blood pressure
in the lower extremity. Which observation of this procedure
requires the nurse to intervene with the UAP's approach? -
Answer-The UAP auscultates the popliteal pulse with the
cuff on the lower leg.
During a clinic visit, the mother of a 7-year-old reports to
the nurse that her child is often awake until midnight
playing and is then very difficult to awaken in the morning
for school. Which assessment data should the nurse
obtain in response to the mother's concern? - Answer-
Description of the family's home environment
The nurse identifies a potential for infection in a client with
partial-thickness (second-degree) and full-thickness (third-
degree) burns. What action has the highest priority in
decreasing the client's risk of infection? - Answer-Use of
careful handwashing technique
,2|Page
The nurse assesses a 2-year-old who is admitted for
dehydration and finds that the peripheral IV rate by gravity
has slowed, even though the venous access site is
healthy. What should the nurse do next? - Answer-Check
for kinks in the tubing and raise the IV pole.
The nurse manager of a skilled nursing (chronic care) unit
is instructing UAPs on ways to prevent complications of
immobility. Which action should be included in this
instruction? - Answer-Perform range-of-motion exercises
to prevent contractures.
The nurse administered 10 mg of diazepam to the
preoperative client. What steps will the nurse take next?
(Select all that apply.) - Answer-Instruct the client not to
get out of bed.
Place the call bell within the client's reach.
Place the side rails up, according to institutional policy.
A terminally ill client tells the nurse, "I am so tired and in so
much pain! Please help me to die." Which is the best
,3|Page
response for the nurse to provide? - Answer-Talk with the
client about thoughts and feelings about death.
A nurse stops at a motor vehicle collision site to render aid
until the emergency personnel arrive and applies pressure
to a groin wound that is bleeding profusely. Later the client
has to have the leg amputated and sues the nurse for
malpractice. Which statement reflects the likely outcome
for the nurse? - Answer-There will be no judgment against
the nurse, whose actions are protected under the Good
Samaritan Act.
An older client who had abdominal surgery 3 days earlier
was given a barbiturate for sleep and is now requesting to
go to the bathroom. What is the priority nursing action for
this client? - Answer-Assist the client to walk to the
bathroom and do not leave the client alone.
The nurse is planning care for a client with an indwelling
urinary catheter. Which nursing action has the highest
priority? - Answer-Assist the client with daily cleansing
, 4|Page
When bathing an uncircumcised boy older than 3 years,
which action should the nurse take? - Answer-Retract the
foreskin gently to cleanse the penis.
A nurse is assigned to care for a close friend in the
hospital setting. Which action should the nurse take first
when given the assignment? - Answer-Explain the
relationship to the charge nurse and ask for reassignment.
The nurse selects the best site for insertion of an IV
catheter in the client's right arm. Which documentation
should the nurse use to identify placement of the IV
access? - Answer-Right cephalic vein
The nurse transcribes the postoperative prescriptions for a
client who returns to the unit following surgery and notes
that an antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the nurse
take? - Answer-Contact the health care provider to renew
the prescription for the medication.
When emptying 350 mL of pale yellow urine from a client's
urinal, the nurse notes that this is the first time the client
has voided in 4 hours. Which action should the nurse take
Evolve HESI Fundamentals Exit Exam 2026/2027
||Verified Exam!!!|| Elsevier Evolve & NCSBN
Standards Alignment | 220 Questions with Detailed
Rationales for RN Licensure Readiness
The nurse observes a UAP taking a client's blood pressure
in the lower extremity. Which observation of this procedure
requires the nurse to intervene with the UAP's approach? -
Answer-The UAP auscultates the popliteal pulse with the
cuff on the lower leg.
During a clinic visit, the mother of a 7-year-old reports to
the nurse that her child is often awake until midnight
playing and is then very difficult to awaken in the morning
for school. Which assessment data should the nurse
obtain in response to the mother's concern? - Answer-
Description of the family's home environment
The nurse identifies a potential for infection in a client with
partial-thickness (second-degree) and full-thickness (third-
degree) burns. What action has the highest priority in
decreasing the client's risk of infection? - Answer-Use of
careful handwashing technique
,2|Page
The nurse assesses a 2-year-old who is admitted for
dehydration and finds that the peripheral IV rate by gravity
has slowed, even though the venous access site is
healthy. What should the nurse do next? - Answer-Check
for kinks in the tubing and raise the IV pole.
The nurse manager of a skilled nursing (chronic care) unit
is instructing UAPs on ways to prevent complications of
immobility. Which action should be included in this
instruction? - Answer-Perform range-of-motion exercises
to prevent contractures.
The nurse administered 10 mg of diazepam to the
preoperative client. What steps will the nurse take next?
(Select all that apply.) - Answer-Instruct the client not to
get out of bed.
Place the call bell within the client's reach.
Place the side rails up, according to institutional policy.
A terminally ill client tells the nurse, "I am so tired and in so
much pain! Please help me to die." Which is the best
,3|Page
response for the nurse to provide? - Answer-Talk with the
client about thoughts and feelings about death.
A nurse stops at a motor vehicle collision site to render aid
until the emergency personnel arrive and applies pressure
to a groin wound that is bleeding profusely. Later the client
has to have the leg amputated and sues the nurse for
malpractice. Which statement reflects the likely outcome
for the nurse? - Answer-There will be no judgment against
the nurse, whose actions are protected under the Good
Samaritan Act.
An older client who had abdominal surgery 3 days earlier
was given a barbiturate for sleep and is now requesting to
go to the bathroom. What is the priority nursing action for
this client? - Answer-Assist the client to walk to the
bathroom and do not leave the client alone.
The nurse is planning care for a client with an indwelling
urinary catheter. Which nursing action has the highest
priority? - Answer-Assist the client with daily cleansing
, 4|Page
When bathing an uncircumcised boy older than 3 years,
which action should the nurse take? - Answer-Retract the
foreskin gently to cleanse the penis.
A nurse is assigned to care for a close friend in the
hospital setting. Which action should the nurse take first
when given the assignment? - Answer-Explain the
relationship to the charge nurse and ask for reassignment.
The nurse selects the best site for insertion of an IV
catheter in the client's right arm. Which documentation
should the nurse use to identify placement of the IV
access? - Answer-Right cephalic vein
The nurse transcribes the postoperative prescriptions for a
client who returns to the unit following surgery and notes
that an antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the nurse
take? - Answer-Contact the health care provider to renew
the prescription for the medication.
When emptying 350 mL of pale yellow urine from a client's
urinal, the nurse notes that this is the first time the client
has voided in 4 hours. Which action should the nurse take
