EVOLVE HESI Fundamentals Exit Exam (2026/2027) |
Latest Updated Questions & 100% Correct Verified
Answers | Grade A+ | Assured Pass
Question 1
A nurse is preparing to administer medications to a patient. The patient's wristband is
missing. What is the priority nursing action?
A) Administer the medications after verifying the patient's identity with the patient's
roommate
B) Ask the patient to state their name and date of birth before administering
medications
C) Obtain a new wristband and apply it to the patient before administering medications
D) Administer the medications and document that the wristband was missing
Correct Answer: C) Obtain a new wristband and apply it to the patient before
administering medications
Rationale: Patient identification using two identifiers (name, date of birth, medical record
number) is essential before any procedure or medication administration. A missing
wristband compromises patient identification and safety. The wristband must be replaced
before proceeding.
Question 2
A nurse is caring for a client who requires a sterile dressing change. Which action by the
nurse maintains the sterile field?
A) Placing the sterile field at the edge of the bedside table
B) Reaching over the sterile field to obtain additional supplies
C) Keeping the sterile field within the nurse's line of sight
D) Allowing a family member to hold a sterile item over the field
Correct Answer: C) Keeping the sterile field within the nurse's line of sight
Rationale: The sterile field must be kept within the nurse's line of sight to maintain
sterility. The field should be placed on a clean, dry surface, not at the edge of a table.
,Reaching over the field and allowing non-sterile persons to reach over the field can
contaminate it.
Question 3
Which action by the nurse represents the correct use of restraints?
A) Applying wrist restraints to prevent a patient from pulling out their IV line
B) Using restraints as a first-line intervention for an agitated patient
C) Documenting the patient's behavior and the type of restraint used every 15 minutes
D) Applying restraints and checking for proper fit every 4 hours
Correct Answer: C) Documenting the patient's behavior and the type of restraint
used every 15 minutes
Rationale: Restraints should be used only as a last resort when less restrictive measures
have failed. The patient must be assessed every 15 minutes, and documentation must
include the type of restraint used, the patient's behavior, and neurovascular checks.
Restraints should not be used for staff convenience or as punishment.
Question 4
A nurse is caring for a patient who has a prescription for a wheelchair. The nurse should
ensure which safety measure is in place?
A) Position the wheelchair with the brakes unlocked
B) Place the patient's feet on the floor before transfer
C) Lock the wheelchair brakes before assisting the patient to transfer
D) Position the wheelchair at a 45-degree angle to the bed
Correct Answer: C) Lock the wheelchair brakes before assisting the patient to
transfer
Rationale: Wheelchair brakes must be locked before transferring a patient to prevent the
chair from moving during the transfer. This is a critical safety measure to prevent falls.
,Question 5
A nurse is preparing a patient for surgery. Which action is a priority before the patient is
transported to the operating room?
A) Verify that the consent form is signed and placed in the chart
B) Remove all jewelry and piercings from the patient
C) Administer preoperative antibiotics
D) Apply a warming blanket
Correct Answer: A) Verify that the consent form is signed and placed in the chart
Rationale: Ensuring that the surgical consent form is signed is a priority before any
invasive procedure. The nurse must verify that the patient understands the procedure and
has given informed consent.
Question 6
A nurse is completing an incident report after a patient falls. Which of the following is
appropriate documentation in the incident report?
A) "The patient was trying to get out of bed without assistance."
B) "The patient fell because the call light was not answered promptly."
C) "The patient's bed was in the highest position."
D) "The patient's fall was caused by a faulty bed alarm."
Correct Answer: A) "The patient was trying to get out of bed without assistance."
Rationale: Incident reports should contain factual, objective information about what
happened. Blaming others, speculating, or assigning fault is not appropriate. The nurse
should describe the event without judgment or assumption.
Question 7
A nurse is caring for a patient who is on contact precautions. Which personal protective
equipment (PPE) should the nurse wear?
A) Gloves only
B) Gloves, gown, and mask
, C) Gloves and gown
D) Gloves, gown, mask, and eye protection
Correct Answer: C) Gloves and gown
Rationale: Contact precautions require the use of gloves and gown when entering the
patient's room. The gown and gloves prevent the transmission of microorganisms through
direct contact with the patient or contaminated surfaces.
Question 8
A nurse is teaching a patient about fall prevention at home. Which instruction should
the nurse include?
A) "Use scatter rugs to prevent slips."
B) "Keep the floors clear of clutter."
C) "Walk barefoot to improve grip."
D) "Turn off all lights at night."
Correct Answer: B) "Keep the floors clear of clutter."
Rationale: Keeping floors clear of clutter reduces trip hazards. Scatter rugs should be
avoided as they increase fall risk. Non-slip footwear is recommended, and adequate
lighting should be maintained, especially at night.
Question 9
A nurse is preparing to insert a urinary catheter. What is the priority action before
beginning the procedure?
A) Apply sterile gloves
B) Open the sterile kit
C) Verify the provider's order
D) Position the patient
Correct Answer: C) Verify the provider's order
Rationale: The nurse must verify the provider's order before performing any invasive
procedure. This ensures that the procedure is indicated and authorized.
Latest Updated Questions & 100% Correct Verified
Answers | Grade A+ | Assured Pass
Question 1
A nurse is preparing to administer medications to a patient. The patient's wristband is
missing. What is the priority nursing action?
A) Administer the medications after verifying the patient's identity with the patient's
roommate
B) Ask the patient to state their name and date of birth before administering
medications
C) Obtain a new wristband and apply it to the patient before administering medications
D) Administer the medications and document that the wristband was missing
Correct Answer: C) Obtain a new wristband and apply it to the patient before
administering medications
Rationale: Patient identification using two identifiers (name, date of birth, medical record
number) is essential before any procedure or medication administration. A missing
wristband compromises patient identification and safety. The wristband must be replaced
before proceeding.
Question 2
A nurse is caring for a client who requires a sterile dressing change. Which action by the
nurse maintains the sterile field?
A) Placing the sterile field at the edge of the bedside table
B) Reaching over the sterile field to obtain additional supplies
C) Keeping the sterile field within the nurse's line of sight
D) Allowing a family member to hold a sterile item over the field
Correct Answer: C) Keeping the sterile field within the nurse's line of sight
Rationale: The sterile field must be kept within the nurse's line of sight to maintain
sterility. The field should be placed on a clean, dry surface, not at the edge of a table.
,Reaching over the field and allowing non-sterile persons to reach over the field can
contaminate it.
Question 3
Which action by the nurse represents the correct use of restraints?
A) Applying wrist restraints to prevent a patient from pulling out their IV line
B) Using restraints as a first-line intervention for an agitated patient
C) Documenting the patient's behavior and the type of restraint used every 15 minutes
D) Applying restraints and checking for proper fit every 4 hours
Correct Answer: C) Documenting the patient's behavior and the type of restraint
used every 15 minutes
Rationale: Restraints should be used only as a last resort when less restrictive measures
have failed. The patient must be assessed every 15 minutes, and documentation must
include the type of restraint used, the patient's behavior, and neurovascular checks.
Restraints should not be used for staff convenience or as punishment.
Question 4
A nurse is caring for a patient who has a prescription for a wheelchair. The nurse should
ensure which safety measure is in place?
A) Position the wheelchair with the brakes unlocked
B) Place the patient's feet on the floor before transfer
C) Lock the wheelchair brakes before assisting the patient to transfer
D) Position the wheelchair at a 45-degree angle to the bed
Correct Answer: C) Lock the wheelchair brakes before assisting the patient to
transfer
Rationale: Wheelchair brakes must be locked before transferring a patient to prevent the
chair from moving during the transfer. This is a critical safety measure to prevent falls.
,Question 5
A nurse is preparing a patient for surgery. Which action is a priority before the patient is
transported to the operating room?
A) Verify that the consent form is signed and placed in the chart
B) Remove all jewelry and piercings from the patient
C) Administer preoperative antibiotics
D) Apply a warming blanket
Correct Answer: A) Verify that the consent form is signed and placed in the chart
Rationale: Ensuring that the surgical consent form is signed is a priority before any
invasive procedure. The nurse must verify that the patient understands the procedure and
has given informed consent.
Question 6
A nurse is completing an incident report after a patient falls. Which of the following is
appropriate documentation in the incident report?
A) "The patient was trying to get out of bed without assistance."
B) "The patient fell because the call light was not answered promptly."
C) "The patient's bed was in the highest position."
D) "The patient's fall was caused by a faulty bed alarm."
Correct Answer: A) "The patient was trying to get out of bed without assistance."
Rationale: Incident reports should contain factual, objective information about what
happened. Blaming others, speculating, or assigning fault is not appropriate. The nurse
should describe the event without judgment or assumption.
Question 7
A nurse is caring for a patient who is on contact precautions. Which personal protective
equipment (PPE) should the nurse wear?
A) Gloves only
B) Gloves, gown, and mask
, C) Gloves and gown
D) Gloves, gown, mask, and eye protection
Correct Answer: C) Gloves and gown
Rationale: Contact precautions require the use of gloves and gown when entering the
patient's room. The gown and gloves prevent the transmission of microorganisms through
direct contact with the patient or contaminated surfaces.
Question 8
A nurse is teaching a patient about fall prevention at home. Which instruction should
the nurse include?
A) "Use scatter rugs to prevent slips."
B) "Keep the floors clear of clutter."
C) "Walk barefoot to improve grip."
D) "Turn off all lights at night."
Correct Answer: B) "Keep the floors clear of clutter."
Rationale: Keeping floors clear of clutter reduces trip hazards. Scatter rugs should be
avoided as they increase fall risk. Non-slip footwear is recommended, and adequate
lighting should be maintained, especially at night.
Question 9
A nurse is preparing to insert a urinary catheter. What is the priority action before
beginning the procedure?
A) Apply sterile gloves
B) Open the sterile kit
C) Verify the provider's order
D) Position the patient
Correct Answer: C) Verify the provider's order
Rationale: The nurse must verify the provider's order before performing any invasive
procedure. This ensures that the procedure is indicated and authorized.
