EVOLVE HESI FUNDAMENTALS EXAM PREP
TEST BANK 2026 UPDATED QUESTIONS
AND SOLUTIONS
◉ A resident in a skilled nursing facility for short-term rehabilitation
after a hip replacement tells the nurse, "I don't want any more blood
taken for those useless tests." Which narrative documentation
should the nurse enter in the client's medical record?
A. Healthcare provider notified of failure to collect specimens for
prescribed blood studies.
B. Blood specimens not collected because client no longer wants
blood tests performed.
C. Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
D. Client irritable, uncooperative, and refuses to have blood
collected. Healthcare provider notified.
Answer: When a client refuses a treatment, the exact words of the
client regarding the client's refusal of care should be documented in
a narrative format (C). (A, B, and D) do not address the concepts of
informatics and legal issues.
Correct
,Answer: C
◉ 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.
TEST BANK 2026 UPDATED QUESTIONS
AND SOLUTIONS
◉ A resident in a skilled nursing facility for short-term rehabilitation
after a hip replacement tells the nurse, "I don't want any more blood
taken for those useless tests." Which narrative documentation
should the nurse enter in the client's medical record?
A. Healthcare provider notified of failure to collect specimens for
prescribed blood studies.
B. Blood specimens not collected because client no longer wants
blood tests performed.
C. Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
D. Client irritable, uncooperative, and refuses to have blood
collected. Healthcare provider notified.
Answer: When a client refuses a treatment, the exact words of the
client regarding the client's refusal of care should be documented in
a narrative format (C). (A, B, and D) do not address the concepts of
informatics and legal issues.
Correct
,Answer: C
◉ 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.
