EVOLVE HESI FUNDAMENTALS
EXAM VERSION 1 2 3 2026 FINAL
PAPER PRACTICE QUESTIONS
ANSWERS ACCURATE A+
◉ A client with cystic fibrosis asks why the percussion procedure is
being performed. The nurse explains that the primary purpose of
percussion is to do what?
Answer: Loosen pulmonary secretions
◉ An older adult in an acute care setting is experiencing emotional
stress because of a recent surgery. Which intervention would be most
appropriate for the client?
Answer: Reality orientation
◉ After abdominal surgery a client reports pain. What action should the
nurse take first?
Answer: Determine the characteristics of the pain
◉ When planning discharge teaching for a young adult, the nurse should
include the potential health problems common in this age group. What
should the nurse include in this teaching plan?
Answer: Accidents, including their prevention
◉ Which statement is true about the nursing model "team nursing"?
,Answer: Hierarchical communication exists from charge nurse to charge
nurse, charge nurse to team leader, and team leader to team members.
◉ A registered nurse instructs a nursing student to use knowledge and
experience to choose proper strategies to use to care for clients. Which
critical-thinking skill does the registered nurse refer to?
Answer: Explanation
◉ Which theories are most relevant to development in adults? Select all
that apply.
Answer: Life Span approach
Stage-Crisis theory
◉ A nurse is assessing a middle-aged client whose children have left
home in search of work. The client is trying to adjust to these family
changes. Which family life-cycle stage is the client going through?
Answer: Launching children and moving on
◉ Which right of delegation refers to the giving of clear, concise
descriptions of a task to the delegatee?
Answer: Right communication
◉ A client admitted to the hospital with a diagnosis of malabsorption
syndrome exhibits signs of tetany. The nurse concludes that the tetany
was precipitated by the inadequate absorption of which electrolyte?
,Answer: Calcium
◉ A client who is dying jokes about the situation even though the client
is becoming sicker and weaker. Which is the most therapeutic response
by the nurse?
Answer: "Does it help to joke about your illness?"
◉ What type of functional health pattern would the nurse explain
describes values and goals?
Answer: Value-belief pattern
◉ A client being treated for influenza A (H1N1) is scheduled for a
computed tomography (CT) scan. To ensure client and visitor safety
during transport, the nurse should take which precaution?
Answer: Place a surgical mask on the client.
◉ How can a nurse best evaluate the effectiveness of communication
with a client?
Answer: Client feedback
◉ Nursing actions for an older adult should include health education and
promotion of self-care. Which is most important when working with an
older adult client?
Answer: Reinforcing the client's strengths and promoting reminiscing
, ◉ A client with a leg prosthesis and a history of syncopal episodes is
being admitted to the hospital. When formulating the plan of care for
this client, the nurse should include that the client is at risk for what?
Answer: Falls
◉ A home health nurse on a first visit checks the client's vital signs and
obtains a blood sample for an international normalized ratio (INR). After
these tasks are completed, the client asks the nurse to straighten the
blankets on the bed. What is the nurse's most appropriate response?
Answer: "Of course. I want to do whatever I can for you."
◉ Which developmental changes should be evaluated in girls around 12
years of age?
Answer: Skeletal Growth
◉ A nurse is reviewing how a hyperglycemic client's blood glucose can
be lowered. The nurse recalls that the chemical that buffers the client's
excessive acetoacetic acid is what?
Answer: Sodium bicarbonate
◉ What principal components are associated with a nurse's time
management skill? Select all that apply.
Answer: Goal setting
Priority setting
EXAM VERSION 1 2 3 2026 FINAL
PAPER PRACTICE QUESTIONS
ANSWERS ACCURATE A+
◉ A client with cystic fibrosis asks why the percussion procedure is
being performed. The nurse explains that the primary purpose of
percussion is to do what?
Answer: Loosen pulmonary secretions
◉ An older adult in an acute care setting is experiencing emotional
stress because of a recent surgery. Which intervention would be most
appropriate for the client?
Answer: Reality orientation
◉ After abdominal surgery a client reports pain. What action should the
nurse take first?
Answer: Determine the characteristics of the pain
◉ When planning discharge teaching for a young adult, the nurse should
include the potential health problems common in this age group. What
should the nurse include in this teaching plan?
Answer: Accidents, including their prevention
◉ Which statement is true about the nursing model "team nursing"?
,Answer: Hierarchical communication exists from charge nurse to charge
nurse, charge nurse to team leader, and team leader to team members.
◉ A registered nurse instructs a nursing student to use knowledge and
experience to choose proper strategies to use to care for clients. Which
critical-thinking skill does the registered nurse refer to?
Answer: Explanation
◉ Which theories are most relevant to development in adults? Select all
that apply.
Answer: Life Span approach
Stage-Crisis theory
◉ A nurse is assessing a middle-aged client whose children have left
home in search of work. The client is trying to adjust to these family
changes. Which family life-cycle stage is the client going through?
Answer: Launching children and moving on
◉ Which right of delegation refers to the giving of clear, concise
descriptions of a task to the delegatee?
Answer: Right communication
◉ A client admitted to the hospital with a diagnosis of malabsorption
syndrome exhibits signs of tetany. The nurse concludes that the tetany
was precipitated by the inadequate absorption of which electrolyte?
,Answer: Calcium
◉ A client who is dying jokes about the situation even though the client
is becoming sicker and weaker. Which is the most therapeutic response
by the nurse?
Answer: "Does it help to joke about your illness?"
◉ What type of functional health pattern would the nurse explain
describes values and goals?
Answer: Value-belief pattern
◉ A client being treated for influenza A (H1N1) is scheduled for a
computed tomography (CT) scan. To ensure client and visitor safety
during transport, the nurse should take which precaution?
Answer: Place a surgical mask on the client.
◉ How can a nurse best evaluate the effectiveness of communication
with a client?
Answer: Client feedback
◉ Nursing actions for an older adult should include health education and
promotion of self-care. Which is most important when working with an
older adult client?
Answer: Reinforcing the client's strengths and promoting reminiscing
, ◉ A client with a leg prosthesis and a history of syncopal episodes is
being admitted to the hospital. When formulating the plan of care for
this client, the nurse should include that the client is at risk for what?
Answer: Falls
◉ A home health nurse on a first visit checks the client's vital signs and
obtains a blood sample for an international normalized ratio (INR). After
these tasks are completed, the client asks the nurse to straighten the
blankets on the bed. What is the nurse's most appropriate response?
Answer: "Of course. I want to do whatever I can for you."
◉ Which developmental changes should be evaluated in girls around 12
years of age?
Answer: Skeletal Growth
◉ A nurse is reviewing how a hyperglycemic client's blood glucose can
be lowered. The nurse recalls that the chemical that buffers the client's
excessive acetoacetic acid is what?
Answer: Sodium bicarbonate
◉ What principal components are associated with a nurse's time
management skill? Select all that apply.
Answer: Goal setting
Priority setting
