EVOLVE HESI Fundamentals Exit Exam
Actual 2026/2027 – Complete Exam-
Style Questions | 100% Verified – Pass
Guaranteed Graded A+
1. Infection Control & Safety
The nurse is providing care to a client receiving high doses of
chemotherapy. Which situation will cause the nurse to intervene
for this client?
A. Co-workers walk into the room with a large get-well card.
B. A neighbor stops by with a box of chocolate candy.
C. A clergy member places a book of prayers at the client's
bedside.
D. The florist delivers an arrangement of fresh flowers.
Rationale: A common side effect of chemotherapy is neutropenia,
which impairs the client's ability to fight infection. Fresh flowers
are a potential source of infection and must be avoided for these
clients.
2. Basic Care & Comfort
A 20-year-old female client with a noticeable body odor has
refused to shower for the last 3 days. She states, "I have been told
that it is harmful to bathe during my period." Which action should
the nurse take first?
, A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the
client.
D. Teach the importance of personal hygiene during
menstruation with the client.
Rationale: The nurse should first provide client education,
respecting any personal or cultural beliefs. After teaching, the
client may still choose to refrain from bathing, but education is
the priority to ensure informed decision-making.
3. Therapeutic Communication
While reviewing the side effects of a newly prescribed medication,
a 72-year-old client notes that one of the side effects is a
reduction in sexual drive. Which is the best response by the
nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult."
Rationale: Option A is an open-ended question that is most
relevant to the client's specific statement, allowing the client to
express concerns about how the medication's side effect will
impact their personal life.
4. Nutrition & Fluid Balance
For the client with a serum sodium level of 128 mEq/L
(hyponatremia), which meal selections should the nurse suggest?
(Select all that apply)
, A. Bacon, egg, and cheese biscuit
B. Chinese chicken and vegetables, with rice and soy sauce
C. Strawberry spinach salad with yogurt-based blue cheese
dressing
D. Chicken salad stuffed fresh tomato with a side of celery sticks
E. Grilled tilapia with a fresh green side salad
F. Grilled hot dog on a bun with ketchup and mustard
Rationale: The client is hyponatremic and requires additional salt
in the diet. Processed foods like bacon, soy sauce, and hot dogs
are high in sodium, whereas fresh fruits and vegetables are low in
sodium.
5. Medication Administration
When preparing to administer an intravenous medication through
a central venous catheter, the nurse aspirates a blood return in
one of the lumens of the triple lumen catheter. Which action
should the nurse implement?
A. Discard the lumen and use a different one for medication.
B. Withhold the medication and notify the healthcare provider.
C. Flush the lumen with the saline solution and administer the
medication through the lumen.
D. Aspirate the blood return further to ensure patency.
Rationale: A blood return confirms that the catheter lumen is in
the correct position (intravascular) and patent. Flushing with saline
is appropriate, and the medication can then be administered
through the lumen.
, 6. Mobility & Safety
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.
Rationale: Since the nurse can only stand on one side, bed rails
should be up on the opposite side to prevent the client from
falling out of bed. This is the most direct safety measure.
7. Nursing Process & Legal/Ethical
Ten minutes after signing an operative permit for a fractured hip,
an older client states, "The aliens will be coming to get me soon!"
and falls asleep. Which action should the nurse implement next?
A. Make the client comfortable and allow the client to sleep.
B. Assess the client's neurologic status.
C. Notify the surgeon about the comment.
D. Ask the client's family to co-sign the operative permit.
Rationale: The client's statement may indicate confusion.
Informed consent requires mental competency. The nurse must
first assess the client's ne
8. Pain Management
A postoperative client is receiving morphine sulfate via a patient-
controlled analgesia (PCA) pump. The client's respiratory rate
Actual 2026/2027 – Complete Exam-
Style Questions | 100% Verified – Pass
Guaranteed Graded A+
1. Infection Control & Safety
The nurse is providing care to a client receiving high doses of
chemotherapy. Which situation will cause the nurse to intervene
for this client?
A. Co-workers walk into the room with a large get-well card.
B. A neighbor stops by with a box of chocolate candy.
C. A clergy member places a book of prayers at the client's
bedside.
D. The florist delivers an arrangement of fresh flowers.
Rationale: A common side effect of chemotherapy is neutropenia,
which impairs the client's ability to fight infection. Fresh flowers
are a potential source of infection and must be avoided for these
clients.
2. Basic Care & Comfort
A 20-year-old female client with a noticeable body odor has
refused to shower for the last 3 days. She states, "I have been told
that it is harmful to bathe during my period." Which action should
the nurse take first?
, A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the
client.
D. Teach the importance of personal hygiene during
menstruation with the client.
Rationale: The nurse should first provide client education,
respecting any personal or cultural beliefs. After teaching, the
client may still choose to refrain from bathing, but education is
the priority to ensure informed decision-making.
3. Therapeutic Communication
While reviewing the side effects of a newly prescribed medication,
a 72-year-old client notes that one of the side effects is a
reduction in sexual drive. Which is the best response by the
nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult."
Rationale: Option A is an open-ended question that is most
relevant to the client's specific statement, allowing the client to
express concerns about how the medication's side effect will
impact their personal life.
4. Nutrition & Fluid Balance
For the client with a serum sodium level of 128 mEq/L
(hyponatremia), which meal selections should the nurse suggest?
(Select all that apply)
, A. Bacon, egg, and cheese biscuit
B. Chinese chicken and vegetables, with rice and soy sauce
C. Strawberry spinach salad with yogurt-based blue cheese
dressing
D. Chicken salad stuffed fresh tomato with a side of celery sticks
E. Grilled tilapia with a fresh green side salad
F. Grilled hot dog on a bun with ketchup and mustard
Rationale: The client is hyponatremic and requires additional salt
in the diet. Processed foods like bacon, soy sauce, and hot dogs
are high in sodium, whereas fresh fruits and vegetables are low in
sodium.
5. Medication Administration
When preparing to administer an intravenous medication through
a central venous catheter, the nurse aspirates a blood return in
one of the lumens of the triple lumen catheter. Which action
should the nurse implement?
A. Discard the lumen and use a different one for medication.
B. Withhold the medication and notify the healthcare provider.
C. Flush the lumen with the saline solution and administer the
medication through the lumen.
D. Aspirate the blood return further to ensure patency.
Rationale: A blood return confirms that the catheter lumen is in
the correct position (intravascular) and patent. Flushing with saline
is appropriate, and the medication can then be administered
through the lumen.
, 6. Mobility & Safety
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.
Rationale: Since the nurse can only stand on one side, bed rails
should be up on the opposite side to prevent the client from
falling out of bed. This is the most direct safety measure.
7. Nursing Process & Legal/Ethical
Ten minutes after signing an operative permit for a fractured hip,
an older client states, "The aliens will be coming to get me soon!"
and falls asleep. Which action should the nurse implement next?
A. Make the client comfortable and allow the client to sleep.
B. Assess the client's neurologic status.
C. Notify the surgeon about the comment.
D. Ask the client's family to co-sign the operative permit.
Rationale: The client's statement may indicate confusion.
Informed consent requires mental competency. The nurse must
first assess the client's ne
8. Pain Management
A postoperative client is receiving morphine sulfate via a patient-
controlled analgesia (PCA) pump. The client's respiratory rate
