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EVOLVE HESI FUNDAMENTALS EXAM NEWEST 2026/2027
ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||JUST OUT!!!
50.The nurse assesses an immobile, elderly male client and
determines that his blood pressure is 138/60, his temperature
is 95.8° F, and his output is 100 ml of concentrated urine during
the last hour. He has wet-sounding lung sounds, and increased
respiratory secretions. Based on these assessment findings,
what nursing action is most important for the nurse to
implement?
A. Administer a PRN antihypertensive prescription.
B. Provide the client with an additional blanket.
C. Encourage additional fluid intake.
D. Turn the client q2h. - ANSWER-(D) will help to move and
drain respiratory secretions and prevent pneumonia from
occurring, so this intervention has the highest priority. Older
adults often have an increased BP, and a PRN antihypertensive
medication is usually prescribed for a BP over 140 systolic and
90 diastolic (A). Older adults often run a lower temperature,
particularly in the morning, and (B) does not have the priority
of (D). Even though the client has adequate output, (C) might
be encouraged because the urine is concentrated, but this
intervention does not have the priority of (D).
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Correct Answer: D
51.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
care?
A. The husband, who is the caregiver, begins to weep when the
nurse asks how he is doing.
B. The client tells the nurse that she does not have much of an
appetite today.
C. The nurse notes that there are numerous scatter rugs
throughout the house.
D. The client's pulse rate is 10 beats higher than it was at the
last visit one week ago. - ANSWER-Scatter rugs (C) pose a safety
hazard because the client can trip on them when ambulating,
so this finding has the greatest significance in planning this
client's care. Psychological support of the caregiver (A) is a less
acute need than that of client safety. The nurse needs to obtain
more information about (B), but this is not a safety issue. (D) is
not a significant increase, and additional assessment might
provide information about the reason for the increase (anxiety,
exercise, etc.).
Correct Answer: C
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52.The nurse removes the dressing on a client's heel that is
covering a pressure sore one-inch in diameter and finds that
there is straw-colored drainage seeping from the wound. What
description of this finding should the nurse include in the
client's record?
A. Stage 1 pressure sore draining sero-sanguineous drainage.
B. Pressure sore at bony prominence with exudate noted.
C. One-inch pressure sore draining serous fluid.
D. Pressure sore on heel with a small amount of purulent
drainage. - ANSWER-Serous drainage is clear watery plasma, so
(C) provides accurate documentation based on the information
provided. Information to stage this pressure score (A) is not
provided, and sero-sanguineous drainage is pale and watery
with a combination of plasma and red cells, and may be blood-
streaked. Exudate (B) is fluid such as pus and serum. Purulent
drainage (D) is thick, yellow, green, or brown indicating the
presence of dead or living organisms and white blood cells.
Correct Answer: C
53.A medication is prescribed to be given QID. What schedule
should the nurse use to administer this prescription?
A. 0800, 1200, 1600, 2000.
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B. 800.
C. Every other day at 0800.
D. 0800, 1200, 1600, 2000, 0000, 0400. - ANSWER-(A) provides
the best schedule, because QID means four times per day. (B, C,
and D) provide incorrect dosages.
Correct Answer: A
54.The nurse working in the emergency department is
assessing four clients' ability to tolerate pain. Which client is
likely to tolerate a higher level of pain?
A. A 10-year-old who was burned by a camp fire earlier today.
B. A 70-year-old who has a postoperative infection from a
surgery one week ago.
C. A 23-year-old woman who sprained her knee while bicycling.
D. A 55-year-old woman who has had moderate low back pain
for three months. - ANSWER-Experiences with the same type of
pain that has successfully been relieved makes it easier for a
client to interpret the pain sensation, and as a result, the client
is better prepared to take steps to relieve the pain (D). (A, B,
and C) are having new experiences with pain.
Correct Answer: D
EVOLVE HESI FUNDAMENTALS EXAM NEWEST 2026/2027
ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||JUST OUT!!!
50.The nurse assesses an immobile, elderly male client and
determines that his blood pressure is 138/60, his temperature
is 95.8° F, and his output is 100 ml of concentrated urine during
the last hour. He has wet-sounding lung sounds, and increased
respiratory secretions. Based on these assessment findings,
what nursing action is most important for the nurse to
implement?
A. Administer a PRN antihypertensive prescription.
B. Provide the client with an additional blanket.
C. Encourage additional fluid intake.
D. Turn the client q2h. - ANSWER-(D) will help to move and
drain respiratory secretions and prevent pneumonia from
occurring, so this intervention has the highest priority. Older
adults often have an increased BP, and a PRN antihypertensive
medication is usually prescribed for a BP over 140 systolic and
90 diastolic (A). Older adults often run a lower temperature,
particularly in the morning, and (B) does not have the priority
of (D). Even though the client has adequate output, (C) might
be encouraged because the urine is concentrated, but this
intervention does not have the priority of (D).
,2|Page
Correct Answer: D
51.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
care?
A. The husband, who is the caregiver, begins to weep when the
nurse asks how he is doing.
B. The client tells the nurse that she does not have much of an
appetite today.
C. The nurse notes that there are numerous scatter rugs
throughout the house.
D. The client's pulse rate is 10 beats higher than it was at the
last visit one week ago. - ANSWER-Scatter rugs (C) pose a safety
hazard because the client can trip on them when ambulating,
so this finding has the greatest significance in planning this
client's care. Psychological support of the caregiver (A) is a less
acute need than that of client safety. The nurse needs to obtain
more information about (B), but this is not a safety issue. (D) is
not a significant increase, and additional assessment might
provide information about the reason for the increase (anxiety,
exercise, etc.).
Correct Answer: C
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52.The nurse removes the dressing on a client's heel that is
covering a pressure sore one-inch in diameter and finds that
there is straw-colored drainage seeping from the wound. What
description of this finding should the nurse include in the
client's record?
A. Stage 1 pressure sore draining sero-sanguineous drainage.
B. Pressure sore at bony prominence with exudate noted.
C. One-inch pressure sore draining serous fluid.
D. Pressure sore on heel with a small amount of purulent
drainage. - ANSWER-Serous drainage is clear watery plasma, so
(C) provides accurate documentation based on the information
provided. Information to stage this pressure score (A) is not
provided, and sero-sanguineous drainage is pale and watery
with a combination of plasma and red cells, and may be blood-
streaked. Exudate (B) is fluid such as pus and serum. Purulent
drainage (D) is thick, yellow, green, or brown indicating the
presence of dead or living organisms and white blood cells.
Correct Answer: C
53.A medication is prescribed to be given QID. What schedule
should the nurse use to administer this prescription?
A. 0800, 1200, 1600, 2000.
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B. 800.
C. Every other day at 0800.
D. 0800, 1200, 1600, 2000, 0000, 0400. - ANSWER-(A) provides
the best schedule, because QID means four times per day. (B, C,
and D) provide incorrect dosages.
Correct Answer: A
54.The nurse working in the emergency department is
assessing four clients' ability to tolerate pain. Which client is
likely to tolerate a higher level of pain?
A. A 10-year-old who was burned by a camp fire earlier today.
B. A 70-year-old who has a postoperative infection from a
surgery one week ago.
C. A 23-year-old woman who sprained her knee while bicycling.
D. A 55-year-old woman who has had moderate low back pain
for three months. - ANSWER-Experiences with the same type of
pain that has successfully been relieved makes it easier for a
client to interpret the pain sensation, and as a result, the client
is better prepared to take steps to relieve the pain (D). (A, B,
and C) are having new experiences with pain.
Correct Answer: D
