FUNDAMENTALS OF NURSING EVOLVE
HESI REAL EXAMS QUESTIONS BANK
REVIEW LATEST EVOLVE HESI
FUNDAMENTALS | 350 PRACTICE
QUESTIONS WITH RATIONALES
|ALREADY GRADED A+ [MOST
RECENT!!]
Question 1
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 the bed opposite from the nurse.
C) Correctly position and use a turn sheet.
D) Lower the head of the client's bed slowly.
Correct Answer: B
Rationale: Because the nurse can only stand on one side of the bed, bed rails should
be up on the opposite side to ensure that the client does not fall out of bed. Option
A can cause client injury to the skin or joint. Options C and D are useful techniques
but have less priority in terms of safety than the use of bed rails .
Question 2
A client receiving a blood transfusion develops chills, fever, and low back pain.
Which action should the nurse take first?
A) Slow the infusion rate.
B) Administer an antihistamine.
C) Stop the transfusion immediately.
D) Notify the healthcare provider.
,Correct Answer: C
Rationale: These symptoms indicate a possible hemolytic transfusion reaction, which
requires immediate discontinuation of the transfusion to prevent further
complications. The healthcare provider should be notified after stopping the
transfusion .
Question 3
The nurse is performing a sterile dressing change. Which action breaks sterile
technique?
A) Opening the sterile package away from the body.
B) Placing sterile items within the 1-inch border of the sterile field.
C) Reaching across the sterile field to obtain an item.
D) Keeping sterile objects above waist level.
Correct Answer: C
Rationale: Reaching across the sterile field contaminates the field; the nurse should
reach around the edges. The 1-inch border of the sterile field is considered
contaminated .
Question 4
A client with chronic obstructive pulmonary disease (COPD) has an oxygen
saturation of 88%. Which oxygen delivery device should the nurse use?
A) Simple face mask.
B) Non-rebreather mask.
C) Nasal cannula.
D) Venturi mask.
Correct Answer: D
Rationale: The Venturi mask delivers the most precise oxygen concentration and is
preferred for clients with COPD who are at risk for carbon dioxide retention .
,Question 5
The nurse is preparing to insert a Foley catheter in a female client. Which
position is most appropriate?
A) Supine with legs extended.
B) Dorsal recumbent.
C) Lateral recumbent.
D) Sim's position.
Correct Answer: B
Rationale: The dorsal recumbent position (supine with knees flexed and feet flat)
provides optimal visualization of the urethral meatus for catheter insertion .
Question 6
A client who is postoperative day 1 following abdominal surgery has not had a
bowel movement. Which assessment finding should the nurse prioritize?
A) Abdominal distention.
B) Nausea and vomiting.
C) Absence of bowel sounds.
D) Client report of constipation.
Correct Answer: C
Rationale: Absence of bowel sounds may indicate paralytic ileus, a serious
postoperative complication that requires prompt intervention. Abdominal distention
and nausea/vomiting are important findings but should be evaluated in conjunction
with bowel sounds .
Question 7
The nurse is assessing a client's peripheral IV site. Which finding requires
immediate intervention?
A) Slight redness at the insertion site.
B) Warmth around the IV site.
, C) Infusion rate of 125 mL/hour.
D) Blood return when flushing the site.
Correct Answer: B
Rationale: Warmth around the IV site indicates possible phlebitis or infection and
requires immediate attention. Slight redness may be normal but should be
monitored .
Question 8
A client with terminal cancer tells the nurse, "I'm afraid of dying in pain."
Which response is most therapeutic?
A) "Don't worry, we'll control your pain."
B) "Tell me more about your fears."
C) "You shouldn't be afraid."
D) "Most people don't die in pain."
Correct Answer: B
Rationale: This open-ended response encourages the client to express feelings and
validates their concerns. False reassurance (A, C, D) blocks therapeutic
communication .
Question 9
The nurse is teaching a client about self-administration of insulin. Which site
has the fastest absorption rate?
A) Abdomen.
B) Thigh.
C) Upper arm.
D) Buttocks.
Correct Answer: A
Rationale: The abdomen has the fastest insulin absorption rate due to increased
blood flow and consistent subcutaneous tissue .
HESI REAL EXAMS QUESTIONS BANK
REVIEW LATEST EVOLVE HESI
FUNDAMENTALS | 350 PRACTICE
QUESTIONS WITH RATIONALES
|ALREADY GRADED A+ [MOST
RECENT!!]
Question 1
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 the bed opposite from the nurse.
C) Correctly position and use a turn sheet.
D) Lower the head of the client's bed slowly.
Correct Answer: B
Rationale: Because the nurse can only stand on one side of the bed, bed rails should
be up on the opposite side to ensure that the client does not fall out of bed. Option
A can cause client injury to the skin or joint. Options C and D are useful techniques
but have less priority in terms of safety than the use of bed rails .
Question 2
A client receiving a blood transfusion develops chills, fever, and low back pain.
Which action should the nurse take first?
A) Slow the infusion rate.
B) Administer an antihistamine.
C) Stop the transfusion immediately.
D) Notify the healthcare provider.
,Correct Answer: C
Rationale: These symptoms indicate a possible hemolytic transfusion reaction, which
requires immediate discontinuation of the transfusion to prevent further
complications. The healthcare provider should be notified after stopping the
transfusion .
Question 3
The nurse is performing a sterile dressing change. Which action breaks sterile
technique?
A) Opening the sterile package away from the body.
B) Placing sterile items within the 1-inch border of the sterile field.
C) Reaching across the sterile field to obtain an item.
D) Keeping sterile objects above waist level.
Correct Answer: C
Rationale: Reaching across the sterile field contaminates the field; the nurse should
reach around the edges. The 1-inch border of the sterile field is considered
contaminated .
Question 4
A client with chronic obstructive pulmonary disease (COPD) has an oxygen
saturation of 88%. Which oxygen delivery device should the nurse use?
A) Simple face mask.
B) Non-rebreather mask.
C) Nasal cannula.
D) Venturi mask.
Correct Answer: D
Rationale: The Venturi mask delivers the most precise oxygen concentration and is
preferred for clients with COPD who are at risk for carbon dioxide retention .
,Question 5
The nurse is preparing to insert a Foley catheter in a female client. Which
position is most appropriate?
A) Supine with legs extended.
B) Dorsal recumbent.
C) Lateral recumbent.
D) Sim's position.
Correct Answer: B
Rationale: The dorsal recumbent position (supine with knees flexed and feet flat)
provides optimal visualization of the urethral meatus for catheter insertion .
Question 6
A client who is postoperative day 1 following abdominal surgery has not had a
bowel movement. Which assessment finding should the nurse prioritize?
A) Abdominal distention.
B) Nausea and vomiting.
C) Absence of bowel sounds.
D) Client report of constipation.
Correct Answer: C
Rationale: Absence of bowel sounds may indicate paralytic ileus, a serious
postoperative complication that requires prompt intervention. Abdominal distention
and nausea/vomiting are important findings but should be evaluated in conjunction
with bowel sounds .
Question 7
The nurse is assessing a client's peripheral IV site. Which finding requires
immediate intervention?
A) Slight redness at the insertion site.
B) Warmth around the IV site.
, C) Infusion rate of 125 mL/hour.
D) Blood return when flushing the site.
Correct Answer: B
Rationale: Warmth around the IV site indicates possible phlebitis or infection and
requires immediate attention. Slight redness may be normal but should be
monitored .
Question 8
A client with terminal cancer tells the nurse, "I'm afraid of dying in pain."
Which response is most therapeutic?
A) "Don't worry, we'll control your pain."
B) "Tell me more about your fears."
C) "You shouldn't be afraid."
D) "Most people don't die in pain."
Correct Answer: B
Rationale: This open-ended response encourages the client to express feelings and
validates their concerns. False reassurance (A, C, D) blocks therapeutic
communication .
Question 9
The nurse is teaching a client about self-administration of insulin. Which site
has the fastest absorption rate?
A) Abdomen.
B) Thigh.
C) Upper arm.
D) Buttocks.
Correct Answer: A
Rationale: The abdomen has the fastest insulin absorption rate due to increased
blood flow and consistent subcutaneous tissue .
