EVOLVE HESI FUNDAMENTALS TEST BANK 2025–2026: PRACTICE QUESTIONS AND ANSWERS ALREADY
GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Foundational Nursing Concepts and Theories
Health Assessment and Physical Examination
Basic Care and Comfort
Pharmacology and Medication Administration
Safety and Infection Control
Professional Standards and Legal/Ethical Issues
Communication and Therapeutic Relationships
Nutrition and Elimination
Mobility and Immobility
Psychosocial Integrity
Introduction:
This comprehensive practice test bank is designed to prepare nursing students for the HESI Fundamentals
examination. It assesses foundational nursing knowledge in health assessment, basic care, pharmacology, safety,
and professional standards. The exam employs multiple-choice and scenario-based questions that challenge
students to apply critical thinking, prioritize patient care, and make sound clinical judgments. Emphasis is placed
on real-world application, evidence-based practice, and the integration of core nursing principles necessary for
,safe, competent, and compassionate patient care. This resource is essential for building confidence and exam
readiness.
Section One: Questions 1–100
1. A nurse is preparing to administer an oral medication to a patient. The medication is supplied as a scored
tablet. Which action by the nurse is correct?
A. Crush the tablet and mix it with applesauce.
B. Split the tablet along the score line if a partial dose is ordered.
C. Dissolve the tablet in water before administration.
D. Administer the tablet whole regardless of the dose.
🟢 B. Split the tablet along the score line if a partial dose is ordered.
🔴 RATIONALE: A scored tablet is designed to be safely split to provide a partial dose if ordered. Crushing,
dissolving, or administering whole when a partial dose is ordered are incorrect actions unless specified by the
healthcare provider.
2. A patient with a history of falls is at risk for injury. Which nursing intervention is most appropriate to
prevent falls?
,A. Keep the bed in the lowest position with side rails up.
B. Place the call light within reach and encourage its use.
C. Apply wrist restraints to prevent the patient from getting up.
D. Ambulate the patient without assistance to maintain independence.
🟢 B. Place the call light within reach and encourage its use.
🔴 RATIONALE: Keeping the call light within reach encourages the patient to call for assistance, reducing the
risk of falls. Side rails up can be a restraint, wrist restraints should be a last resort, and ambulating without
assistance increases fall risk.
3. The nurse is assessing a patient's pain using a 0-10 numeric rating scale. The patient reports a pain level of
8. Which action should the nurse take first?
A. Administer prescribed pain medication.
B. Reassess the pain in 30 minutes.
C. Non-pharmacological interventions.
D. Notify the healthcare provider.
🟢 A. Administer prescribed pain medication.
🔴 RATIONALE: A pain level of 8 indicates severe pain, and the priority is to administer prescribed analgesic
medication promptly. Reassessment and non-pharmacological interventions are important but should occur
after medication administration.
, 4. A nurse is providing education to a patient about a low-sodium diet. Which food choice by the patient
indicates understanding?
A. Canned vegetable soup.
B. Fresh baked chicken breast.
C. Salted pretzels.
D. Processed cheese slices.
🟢 B. Fresh baked chicken breast.
🔴 RATIONALE: Fresh baked chicken breast is naturally low in sodium. Canned soups, salted pretzels, and
processed cheeses are high in sodium and should be avoided on a low-sodium diet.
5. A patient is prescribed digoxin. Which finding by the nurse indicates a potential adverse effect of this
medication?
A. Heart rate of 60 beats per minute.
B. Serum potassium level of 3.5 mEq/L.
C. Visual disturbances, such as yellow halos.
D. Blood pressure of 130/80 mmHg.
🟢 C. Visual disturbances, such as yellow halos.
GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Foundational Nursing Concepts and Theories
Health Assessment and Physical Examination
Basic Care and Comfort
Pharmacology and Medication Administration
Safety and Infection Control
Professional Standards and Legal/Ethical Issues
Communication and Therapeutic Relationships
Nutrition and Elimination
Mobility and Immobility
Psychosocial Integrity
Introduction:
This comprehensive practice test bank is designed to prepare nursing students for the HESI Fundamentals
examination. It assesses foundational nursing knowledge in health assessment, basic care, pharmacology, safety,
and professional standards. The exam employs multiple-choice and scenario-based questions that challenge
students to apply critical thinking, prioritize patient care, and make sound clinical judgments. Emphasis is placed
on real-world application, evidence-based practice, and the integration of core nursing principles necessary for
,safe, competent, and compassionate patient care. This resource is essential for building confidence and exam
readiness.
Section One: Questions 1–100
1. A nurse is preparing to administer an oral medication to a patient. The medication is supplied as a scored
tablet. Which action by the nurse is correct?
A. Crush the tablet and mix it with applesauce.
B. Split the tablet along the score line if a partial dose is ordered.
C. Dissolve the tablet in water before administration.
D. Administer the tablet whole regardless of the dose.
🟢 B. Split the tablet along the score line if a partial dose is ordered.
🔴 RATIONALE: A scored tablet is designed to be safely split to provide a partial dose if ordered. Crushing,
dissolving, or administering whole when a partial dose is ordered are incorrect actions unless specified by the
healthcare provider.
2. A patient with a history of falls is at risk for injury. Which nursing intervention is most appropriate to
prevent falls?
,A. Keep the bed in the lowest position with side rails up.
B. Place the call light within reach and encourage its use.
C. Apply wrist restraints to prevent the patient from getting up.
D. Ambulate the patient without assistance to maintain independence.
🟢 B. Place the call light within reach and encourage its use.
🔴 RATIONALE: Keeping the call light within reach encourages the patient to call for assistance, reducing the
risk of falls. Side rails up can be a restraint, wrist restraints should be a last resort, and ambulating without
assistance increases fall risk.
3. The nurse is assessing a patient's pain using a 0-10 numeric rating scale. The patient reports a pain level of
8. Which action should the nurse take first?
A. Administer prescribed pain medication.
B. Reassess the pain in 30 minutes.
C. Non-pharmacological interventions.
D. Notify the healthcare provider.
🟢 A. Administer prescribed pain medication.
🔴 RATIONALE: A pain level of 8 indicates severe pain, and the priority is to administer prescribed analgesic
medication promptly. Reassessment and non-pharmacological interventions are important but should occur
after medication administration.
, 4. A nurse is providing education to a patient about a low-sodium diet. Which food choice by the patient
indicates understanding?
A. Canned vegetable soup.
B. Fresh baked chicken breast.
C. Salted pretzels.
D. Processed cheese slices.
🟢 B. Fresh baked chicken breast.
🔴 RATIONALE: Fresh baked chicken breast is naturally low in sodium. Canned soups, salted pretzels, and
processed cheeses are high in sodium and should be avoided on a low-sodium diet.
5. A patient is prescribed digoxin. Which finding by the nurse indicates a potential adverse effect of this
medication?
A. Heart rate of 60 beats per minute.
B. Serum potassium level of 3.5 mEq/L.
C. Visual disturbances, such as yellow halos.
D. Blood pressure of 130/80 mmHg.
🟢 C. Visual disturbances, such as yellow halos.
