EVOLVE HESI FUNDAMENTALS TEST BANK 2025–2026: PRACTICE
QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+
CORE DOMAINS
Safe and Effective Care Environment – Management of Care and Safety/Infection Control
Health Promotion and Maintenance – Growth and Development, Disease Prevention, and Health Education
Psychosocial Integrity – Coping Mechanisms, Stress Management, and Mental Health Concepts
Physiological Integrity – Basic Care and Comfort, Nutrition, and Elimination
Pharmacological and Parenteral Therapies – Medication Administration, Dosage Calculations, and IV
Therapy
Reduction of Risk Potential – Diagnostic Tests, Therapeutic Procedures, and Monitoring
Physiological Adaptation – Pathophysiology, Fluid and Electrolyte Balance, and Emergency Response
Nursing Process and Critical Thinking – Assessment, Diagnosis, Planning, Implementation, and Evaluation
Legal and Ethical Principles – Patient Rights, Informed Consent, Confidentiality, and Advance Directives
Communication and Interpersonal Skills – Therapeutic Communication, Patient Education, and Collaboration
,The Evolve HESI Fundamentals examination is designed to assess the foundational knowledge and clinical
competencies essential for safe, effective nursing practice. This comprehensive assessment evaluates the
candidate's understanding of core nursing concepts, including patient safety, health promotion, psychosocial
support, physiological integrity, pharmacological principles, and the nursing process. The examination features
scenario-based multiple-choice questions that require critical thinking, clinical judgment, and the application of
evidence-based practices in diverse healthcare settings. Candidates are expected to demonstrate professional
decision-making, ethical reasoning, and the ability to prioritize patient care in both routine and emergent
situations. This test bank reflects current guidelines and provides rigorous preparation for certification and
licensing examinations.
SECTION ONE
QUESTIONS 1–100
Question 1
A nurse is caring for a patient who is postoperative following abdominal surgery. Which assessment finding
would indicate the need for immediate intervention?
A. Heart rate of 88 beats per minute
B. Respiratory rate of 16 breaths per minute
,C. Blood pressure of 148/92 mmHg
D. Temperature of 99.2°F (37.3°C)
🟢 Correct Answer:
C. Blood pressure of 148/92 mmHg
🔴 RATIONALE:
A blood pressure of 148/92 mmHg indicates hypertension, which may be a sign of pain, stress, or a more
serious complication such as hemorrhage or fluid overload. The other vital signs are within normal limits and do
not indicate an immediate concern. The nurse should assess the patient's pain level and reassess blood
pressure, as elevated readings warrant further evaluation and intervention.
Question 2
A nurse is preparing to administer oral medications to a patient with dysphagia. Which action should the nurse
take?
A. Place the tablet under the patient's tongue
B. Crush all medications and mix with applesauce
C. Consult the pharmacist or prescriber for alternative formulations
D. Dilute the medication with 100 mL of water
🟢 Correct Answer:
C. Consult the pharmacist or prescriber for alternative formulations
🔴 RATIONALE:
Patients with dysphagia require careful medication administration to prevent aspiration and ensure therapeutic
, effectiveness. Not all medications can be safely crushed, and crushing may alter the bioavailability or increase
toxicity. The nurse should consult the pharmacist or prescriber to determine appropriate alternative
formulations such as liquid, dissolvable, or enteral forms. Sublingual administration is specific to certain drugs
and should not be a blanket approach.
Question 3
A patient with diabetes mellitus reports feeling shaky, weak, and diaphoretic. What should the nurse do FIRST?
A. Administer 50% dextrose IV
B. Give the patient 4 ounces of orange juice
C. Check the patient's blood glucose level
D. Provide a meal containing complex carbohydrates
🟢 Correct Answer:
C. Check the patient's blood glucose level
🔴 RATIONALE:
The first priority is to assess the patient's blood glucose level to confirm hypoglycemia, as the symptoms
described are consistent with this condition. While 50% dextrose IV and orange juice are appropriate
interventions for hypoglycemia, the nurse must first verify the blood glucose level before implementing
treatment. Providing food without confirmation could be dangerous if the patient is actually hyperglycemic, and
immediate IV dextrose is reserved for severe hypoglycemia in unconscious patients.
QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+
CORE DOMAINS
Safe and Effective Care Environment – Management of Care and Safety/Infection Control
Health Promotion and Maintenance – Growth and Development, Disease Prevention, and Health Education
Psychosocial Integrity – Coping Mechanisms, Stress Management, and Mental Health Concepts
Physiological Integrity – Basic Care and Comfort, Nutrition, and Elimination
Pharmacological and Parenteral Therapies – Medication Administration, Dosage Calculations, and IV
Therapy
Reduction of Risk Potential – Diagnostic Tests, Therapeutic Procedures, and Monitoring
Physiological Adaptation – Pathophysiology, Fluid and Electrolyte Balance, and Emergency Response
Nursing Process and Critical Thinking – Assessment, Diagnosis, Planning, Implementation, and Evaluation
Legal and Ethical Principles – Patient Rights, Informed Consent, Confidentiality, and Advance Directives
Communication and Interpersonal Skills – Therapeutic Communication, Patient Education, and Collaboration
,The Evolve HESI Fundamentals examination is designed to assess the foundational knowledge and clinical
competencies essential for safe, effective nursing practice. This comprehensive assessment evaluates the
candidate's understanding of core nursing concepts, including patient safety, health promotion, psychosocial
support, physiological integrity, pharmacological principles, and the nursing process. The examination features
scenario-based multiple-choice questions that require critical thinking, clinical judgment, and the application of
evidence-based practices in diverse healthcare settings. Candidates are expected to demonstrate professional
decision-making, ethical reasoning, and the ability to prioritize patient care in both routine and emergent
situations. This test bank reflects current guidelines and provides rigorous preparation for certification and
licensing examinations.
SECTION ONE
QUESTIONS 1–100
Question 1
A nurse is caring for a patient who is postoperative following abdominal surgery. Which assessment finding
would indicate the need for immediate intervention?
A. Heart rate of 88 beats per minute
B. Respiratory rate of 16 breaths per minute
,C. Blood pressure of 148/92 mmHg
D. Temperature of 99.2°F (37.3°C)
🟢 Correct Answer:
C. Blood pressure of 148/92 mmHg
🔴 RATIONALE:
A blood pressure of 148/92 mmHg indicates hypertension, which may be a sign of pain, stress, or a more
serious complication such as hemorrhage or fluid overload. The other vital signs are within normal limits and do
not indicate an immediate concern. The nurse should assess the patient's pain level and reassess blood
pressure, as elevated readings warrant further evaluation and intervention.
Question 2
A nurse is preparing to administer oral medications to a patient with dysphagia. Which action should the nurse
take?
A. Place the tablet under the patient's tongue
B. Crush all medications and mix with applesauce
C. Consult the pharmacist or prescriber for alternative formulations
D. Dilute the medication with 100 mL of water
🟢 Correct Answer:
C. Consult the pharmacist or prescriber for alternative formulations
🔴 RATIONALE:
Patients with dysphagia require careful medication administration to prevent aspiration and ensure therapeutic
, effectiveness. Not all medications can be safely crushed, and crushing may alter the bioavailability or increase
toxicity. The nurse should consult the pharmacist or prescriber to determine appropriate alternative
formulations such as liquid, dissolvable, or enteral forms. Sublingual administration is specific to certain drugs
and should not be a blanket approach.
Question 3
A patient with diabetes mellitus reports feeling shaky, weak, and diaphoretic. What should the nurse do FIRST?
A. Administer 50% dextrose IV
B. Give the patient 4 ounces of orange juice
C. Check the patient's blood glucose level
D. Provide a meal containing complex carbohydrates
🟢 Correct Answer:
C. Check the patient's blood glucose level
🔴 RATIONALE:
The first priority is to assess the patient's blood glucose level to confirm hypoglycemia, as the symptoms
described are consistent with this condition. While 50% dextrose IV and orange juice are appropriate
interventions for hypoglycemia, the nurse must first verify the blood glucose level before implementing
treatment. Providing food without confirmation could be dangerous if the patient is actually hyperglycemic, and
immediate IV dextrose is reserved for severe hypoglycemia in unconscious patients.
