PN Fundamentals of Nursing Evolve HESI | LPN HESI Fundamentals 2026/2027
OBJECTIVE ASSESSMENT - EXAM
PN Fundamentals of Nursing
Evolve HESI Real Exams
A+ Verified Questions & Answers
2026/2027 Official Exam
A+ Verified Edition: 2026/2027 Pass: 75%
COVER PAGE - 1
PN Fundamentals of Nursing Evolve HESI Real Exams Questions Review Latest 2026/2027 | E... Page 1 of 109
, SECTIONS COVERED
Section 1: Patient Safety & Infection Control
Section 2: Vital Signs & Patient Assessment
Section 3: Basic Nursing Skills & Procedures
Section 4: Pharmacology & Medication Administration
Section 5: Nutrition & Elimination
Section 6: Mobility & Skin Integrity
Section 7: Communication & Patient Education
Section 8: Legal, Ethical & LPN Scope of Clinical Care
Introduction
This comprehensive test bank for PN Fundamentals of Nursing Evolve HESI contains verified questions and correct
answers for the 2026/2027 examination period. All questions are multiple-choice with four options (A through D). Each
question includes a rationale explaining the correct answer and why the best distractor is incorrect. The passing score is
75%. Review each question carefully and refer to the answer key at the end of the document for verification.
Section 1: Patient Safety & Infection Control
Q1.
A nurse is preparing to perform a dressing change on a patient with a surgical wound. The nurse has just
assisted another patient to the bathroom and has not yet performed hand hygiene. This action is essential to
prevent transmission of microorganisms from one patient to another. The nurse must understand the most
critical reason for performing hand hygiene before touching the new patient.
A. To remove transient microorganisms acquired from the previous patient encounter
B. To protect the nurse from acquiring an infection from the patient
C. To reduce the resident flora on the nurse's hands
D. To satisfy hospital policy and accreditation requirements
Correct Answer: A
Rationale:
Hand hygiene between patient contacts primarily targets transient flora picked up from the environment or previous patient.
Resident flora are normal skin organisms that are harder to remove and less likely to cause cross-transmission. The primary
purpose is protecting patients, not the nurse.
PN Fundamentals of Nursing Evolve HESI Real Exams Questions Review Latest 2026/2027 | E... Page 2 of 109
, Q2.
A patient diagnosed with Clostridioides difficile infection is being transferred from the emergency department to a
medical-surgical unit. C. difficile spores are highly resistant to common disinfectants and require specific
measures to prevent spread. The receiving nurse must implement the appropriate transmission-based
precautions.
A. Place the patient in a negative-pressure airborne infection isolation room
B. Initiate contact precautions and ensure hand hygiene is performed with soap and water
C. Use standard precautions only since C. difficile is not considered highly contagious
D. Apply droplet precautions and wear a surgical mask within three feet of the patient
Correct Answer: B
Rationale:
C. difficile requires contact precautions because it spreads via spores on surfaces and hands. Alcohol-based hand rubs are
ineffective against C. difficile spores, so soap and water is required. Airborne and droplet precautions are not indicated for this
organism.
Q3.
A nurse is donning personal protective equipment before entering the room of a patient on contact and droplet
precautions. The nurse has already performed hand hygiene and must now apply the PPE in the correct
sequence. Proper donning order ensures that contaminated items do not contact clean areas during the process.
A. Mask, gown, gloves
B. Gloves, gown, mask
C. Gown, mask, gloves
D. Gown, gloves, mask
Correct Answer: C
Rationale:
The correct donning sequence is gown first, then mask or respirator, then gloves. This order prevents contamination of the gown
and mask when putting on gloves last. Gloves are always donned last so they can be pulled over gown cuffs.
Q4.
After completing care for a patient on contact precautions, the nurse is ready to remove personal protective
equipment. Removing PPE in the wrong order can expose the nurse to infectious organisms. The nurse must
follow the correct doffing sequence to avoid self-contamination.
A. Gown, gloves, mask, hand hygiene
B. Mask, gloves, gown, hand hygiene
C. Gloves, mask, gown, hand hygiene
D. Gloves, gown, mask, hand hygiene
Correct Answer: D
Rationale:
The doffing sequence is gloves first (most contaminated), then gown, then mask or respirator, followed by hand hygiene. Gloves
are removed first because they have had the most direct contact with the patient. Hand hygiene must always be performed
immediately after all PPE is removed.
PN Fundamentals of Nursing Evolve HESI Real Exams Questions Review Latest 2026/2027 | E... Page 3 of 109
, Q5.
An elderly patient admitted with a history of two falls in the past month is being assessed for fall risk. The nurse
applies the Morse Fall Scale and identifies several risk factors present. Implementing targeted interventions is
crucial to prevent injury during hospitalization.
A. Placing the bed in the lowest position with wheels locked and call light within reach
B. Keeping all four side rails raised at all times
C. Applying a vest restraint whenever the patient is alone in the room
D. Assigning the patient to a room distant from the nurses' station for privacy
Correct Answer: A
Rationale:
The bed in lowest position with wheels locked reduces fall height and prevents rolling. The call light within reach allows the
patient to request help. Four-side-rail use may be considered a restraint and does not prevent climbing over rails. Restraints are
a last resort and require a physician order.
Q6.
A fire breaks out in the hospital corridor near the nurses' station. Quick and organized action during a fire
emergency can save lives and minimize damage. The nurse must recall the RACE acronym to respond
appropriately and protect patients and staff.
A. Report, Assess, Contain, Evacuate
B. Rescue, Alarm, Contain, Extinguish/Evacuate
C. Rescue, Alert, Confine, Extinguish
D. Respond, Alarm, Control, Exit
Correct Answer: B
Rationale:
RACE stands for Rescue patients in immediate danger, Alarm by activating the fire alarm, Contain the fire by closing doors, and
Extinguish if possible or Evacuate. This acronym provides a systematic approach to fire emergencies in healthcare facilities. The
sequence prioritizes life safety above all else.
Q7.
A nurse discovers a small wastebasket fire in a patient's room. After activating the alarm and containing the fire
by closing the door, the nurse decides to attempt extinguishing the fire using the PASS method with a portable
extinguisher. The nurse must execute each step correctly to operate the extinguisher effectively.
A. Pull the hose, Aim at the top, Squeeze the handle, Sweep upward
B. Push the lever, Aim at the flames, Squeeze the trigger, Stand still
C. Pull the pin, Aim at the base, Squeeze the handle, Sweep side to side
D. Press the button, Aim at the center, Squeeze the grip, Sweep in a circle
Correct Answer: C
Rationale:
PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle, and Sweep from side to side. Aiming at the base
rather than the flames addresses the fuel source directly. This method is the standard for operating portable fire extinguishers.
PN Fundamentals of Nursing Evolve HESI Real Exams Questions Review Latest 2026/2027 | E... Page 4 of 109
OBJECTIVE ASSESSMENT - EXAM
PN Fundamentals of Nursing
Evolve HESI Real Exams
A+ Verified Questions & Answers
2026/2027 Official Exam
A+ Verified Edition: 2026/2027 Pass: 75%
COVER PAGE - 1
PN Fundamentals of Nursing Evolve HESI Real Exams Questions Review Latest 2026/2027 | E... Page 1 of 109
, SECTIONS COVERED
Section 1: Patient Safety & Infection Control
Section 2: Vital Signs & Patient Assessment
Section 3: Basic Nursing Skills & Procedures
Section 4: Pharmacology & Medication Administration
Section 5: Nutrition & Elimination
Section 6: Mobility & Skin Integrity
Section 7: Communication & Patient Education
Section 8: Legal, Ethical & LPN Scope of Clinical Care
Introduction
This comprehensive test bank for PN Fundamentals of Nursing Evolve HESI contains verified questions and correct
answers for the 2026/2027 examination period. All questions are multiple-choice with four options (A through D). Each
question includes a rationale explaining the correct answer and why the best distractor is incorrect. The passing score is
75%. Review each question carefully and refer to the answer key at the end of the document for verification.
Section 1: Patient Safety & Infection Control
Q1.
A nurse is preparing to perform a dressing change on a patient with a surgical wound. The nurse has just
assisted another patient to the bathroom and has not yet performed hand hygiene. This action is essential to
prevent transmission of microorganisms from one patient to another. The nurse must understand the most
critical reason for performing hand hygiene before touching the new patient.
A. To remove transient microorganisms acquired from the previous patient encounter
B. To protect the nurse from acquiring an infection from the patient
C. To reduce the resident flora on the nurse's hands
D. To satisfy hospital policy and accreditation requirements
Correct Answer: A
Rationale:
Hand hygiene between patient contacts primarily targets transient flora picked up from the environment or previous patient.
Resident flora are normal skin organisms that are harder to remove and less likely to cause cross-transmission. The primary
purpose is protecting patients, not the nurse.
PN Fundamentals of Nursing Evolve HESI Real Exams Questions Review Latest 2026/2027 | E... Page 2 of 109
, Q2.
A patient diagnosed with Clostridioides difficile infection is being transferred from the emergency department to a
medical-surgical unit. C. difficile spores are highly resistant to common disinfectants and require specific
measures to prevent spread. The receiving nurse must implement the appropriate transmission-based
precautions.
A. Place the patient in a negative-pressure airborne infection isolation room
B. Initiate contact precautions and ensure hand hygiene is performed with soap and water
C. Use standard precautions only since C. difficile is not considered highly contagious
D. Apply droplet precautions and wear a surgical mask within three feet of the patient
Correct Answer: B
Rationale:
C. difficile requires contact precautions because it spreads via spores on surfaces and hands. Alcohol-based hand rubs are
ineffective against C. difficile spores, so soap and water is required. Airborne and droplet precautions are not indicated for this
organism.
Q3.
A nurse is donning personal protective equipment before entering the room of a patient on contact and droplet
precautions. The nurse has already performed hand hygiene and must now apply the PPE in the correct
sequence. Proper donning order ensures that contaminated items do not contact clean areas during the process.
A. Mask, gown, gloves
B. Gloves, gown, mask
C. Gown, mask, gloves
D. Gown, gloves, mask
Correct Answer: C
Rationale:
The correct donning sequence is gown first, then mask or respirator, then gloves. This order prevents contamination of the gown
and mask when putting on gloves last. Gloves are always donned last so they can be pulled over gown cuffs.
Q4.
After completing care for a patient on contact precautions, the nurse is ready to remove personal protective
equipment. Removing PPE in the wrong order can expose the nurse to infectious organisms. The nurse must
follow the correct doffing sequence to avoid self-contamination.
A. Gown, gloves, mask, hand hygiene
B. Mask, gloves, gown, hand hygiene
C. Gloves, mask, gown, hand hygiene
D. Gloves, gown, mask, hand hygiene
Correct Answer: D
Rationale:
The doffing sequence is gloves first (most contaminated), then gown, then mask or respirator, followed by hand hygiene. Gloves
are removed first because they have had the most direct contact with the patient. Hand hygiene must always be performed
immediately after all PPE is removed.
PN Fundamentals of Nursing Evolve HESI Real Exams Questions Review Latest 2026/2027 | E... Page 3 of 109
, Q5.
An elderly patient admitted with a history of two falls in the past month is being assessed for fall risk. The nurse
applies the Morse Fall Scale and identifies several risk factors present. Implementing targeted interventions is
crucial to prevent injury during hospitalization.
A. Placing the bed in the lowest position with wheels locked and call light within reach
B. Keeping all four side rails raised at all times
C. Applying a vest restraint whenever the patient is alone in the room
D. Assigning the patient to a room distant from the nurses' station for privacy
Correct Answer: A
Rationale:
The bed in lowest position with wheels locked reduces fall height and prevents rolling. The call light within reach allows the
patient to request help. Four-side-rail use may be considered a restraint and does not prevent climbing over rails. Restraints are
a last resort and require a physician order.
Q6.
A fire breaks out in the hospital corridor near the nurses' station. Quick and organized action during a fire
emergency can save lives and minimize damage. The nurse must recall the RACE acronym to respond
appropriately and protect patients and staff.
A. Report, Assess, Contain, Evacuate
B. Rescue, Alarm, Contain, Extinguish/Evacuate
C. Rescue, Alert, Confine, Extinguish
D. Respond, Alarm, Control, Exit
Correct Answer: B
Rationale:
RACE stands for Rescue patients in immediate danger, Alarm by activating the fire alarm, Contain the fire by closing doors, and
Extinguish if possible or Evacuate. This acronym provides a systematic approach to fire emergencies in healthcare facilities. The
sequence prioritizes life safety above all else.
Q7.
A nurse discovers a small wastebasket fire in a patient's room. After activating the alarm and containing the fire
by closing the door, the nurse decides to attempt extinguishing the fire using the PASS method with a portable
extinguisher. The nurse must execute each step correctly to operate the extinguisher effectively.
A. Pull the hose, Aim at the top, Squeeze the handle, Sweep upward
B. Push the lever, Aim at the flames, Squeeze the trigger, Stand still
C. Pull the pin, Aim at the base, Squeeze the handle, Sweep side to side
D. Press the button, Aim at the center, Squeeze the grip, Sweep in a circle
Correct Answer: C
Rationale:
PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle, and Sweep from side to side. Aiming at the base
rather than the flames addresses the fuel source directly. This method is the standard for operating portable fire extinguishers.
PN Fundamentals of Nursing Evolve HESI Real Exams Questions Review Latest 2026/2027 | E... Page 4 of 109
