EVOLVE HESI FUNDAMENTALS PRACTICE EXAM
2026: COMPREHENSIVE NURSING FUNDAMENTALS
REVIEW | VERIFIED QUESTIONS & ANSWERS,
DETAILED RATIONALES & COMPLETE EXAM
PREPARATION GUIDE
SECTION A: PATIENT SAFETY, MOBILITY, AND POSITIONING
Questions 1-15
1. When turning an immobile bedridden client without assistance, which action by the
nurse best ensures client safety?
A. Securely grasp the client's arm and leg
B. Put bed rails up on the side of bed opposite from the nurse
C. Correctly position and use a turn sheet
D. Lower the head of the client's bed slowly
Answer: B
2. The nurse teaches the use of a gait belt to a male caregiver whose wife has right-sided
weakness and needs assistance with ambulation. The caregiver performs a return
demonstration of the skill. Which observation indicates that the caregiver has learned how
to perform this procedure correctly?
,A. Standing on his wife's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed
B. Standing on his wife's weak side, the caregiver provides security by holding the gait belt
from the back
C. Standing behind his wife, the caregiver provides balance by holding both sides of the gait
belt
D. Standing slightly in front and to the right of his wife, the caregiver guides her forward by
gently pulling on the gait belt
Answer: B
3. When assisting a client from the bed to a chair, which procedure is best for the nurse to
follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed and assist
the client in moving to the chair
B. With the nurse's feet spread apart and knees aligned with the client's knees, stand and
pivot the client into the chair
C. Assist the client to a standing position by gently lifting upward, underneath the axillae
D. Stand beside the client, place the client's arms around the nurse's neck, and gently
move the client to the chair
Answer: B
4. The nurse is assisting a client to the bathroom. When the client is 5 feet from the
bathroom door, he states, "I feel faint." Before the nurse can get the client to a chair, the
client starts to fall. Which is the priority action for the nurse to take?
, A. Check the client's carotid pulse
B. Encourage the client to get to the toilet
C. In a loud voice, call for help
D. Gently lower the client to the floor
Answer: D
5. The home health nurse visits an elderly female client who had a brain attack three
months ago and is now able to ambulate with the assistance of a quad cane. Which
assessment finding has the greatest implications for this client's safety?
A. The client's pulse rate is 10 beats higher than it was at the last visit one week ago
B. The client tells the nurse that she does not have much of an appetite today
C. The husband, who is the caregiver, begins to weep when asked how he is doing
D. The nurse notes that there are numerous scatter rugs throughout the house
Answer: D
6. Which client is at the highest risk for falling?
A. A 45-year-old postoperative client with stable vital signs
B. A 70-year-old client with a history of falls and taking antihypertensives
C. A 30-year-old client with a broken leg using crutches correctly
D. A 50-year-old client with mild arthritis
Answer: B
2026: COMPREHENSIVE NURSING FUNDAMENTALS
REVIEW | VERIFIED QUESTIONS & ANSWERS,
DETAILED RATIONALES & COMPLETE EXAM
PREPARATION GUIDE
SECTION A: PATIENT SAFETY, MOBILITY, AND POSITIONING
Questions 1-15
1. When turning an immobile bedridden client without assistance, which action by the
nurse best ensures client safety?
A. Securely grasp the client's arm and leg
B. Put bed rails up on the side of bed opposite from the nurse
C. Correctly position and use a turn sheet
D. Lower the head of the client's bed slowly
Answer: B
2. The nurse teaches the use of a gait belt to a male caregiver whose wife has right-sided
weakness and needs assistance with ambulation. The caregiver performs a return
demonstration of the skill. Which observation indicates that the caregiver has learned how
to perform this procedure correctly?
,A. Standing on his wife's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed
B. Standing on his wife's weak side, the caregiver provides security by holding the gait belt
from the back
C. Standing behind his wife, the caregiver provides balance by holding both sides of the gait
belt
D. Standing slightly in front and to the right of his wife, the caregiver guides her forward by
gently pulling on the gait belt
Answer: B
3. When assisting a client from the bed to a chair, which procedure is best for the nurse to
follow?
A. Place the chair parallel to the bed, with its back toward the head of the bed and assist
the client in moving to the chair
B. With the nurse's feet spread apart and knees aligned with the client's knees, stand and
pivot the client into the chair
C. Assist the client to a standing position by gently lifting upward, underneath the axillae
D. Stand beside the client, place the client's arms around the nurse's neck, and gently
move the client to the chair
Answer: B
4. The nurse is assisting a client to the bathroom. When the client is 5 feet from the
bathroom door, he states, "I feel faint." Before the nurse can get the client to a chair, the
client starts to fall. Which is the priority action for the nurse to take?
, A. Check the client's carotid pulse
B. Encourage the client to get to the toilet
C. In a loud voice, call for help
D. Gently lower the client to the floor
Answer: D
5. The home health nurse visits an elderly female client who had a brain attack three
months ago and is now able to ambulate with the assistance of a quad cane. Which
assessment finding has the greatest implications for this client's safety?
A. The client's pulse rate is 10 beats higher than it was at the last visit one week ago
B. The client tells the nurse that she does not have much of an appetite today
C. The husband, who is the caregiver, begins to weep when asked how he is doing
D. The nurse notes that there are numerous scatter rugs throughout the house
Answer: D
6. Which client is at the highest risk for falling?
A. A 45-year-old postoperative client with stable vital signs
B. A 70-year-old client with a history of falls and taking antihypertensives
C. A 30-year-old client with a broken leg using crutches correctly
D. A 50-year-old client with mild arthritis
Answer: B
