NURSING FUNDAMENTALS
EVOLVE HESI FUNDAMENTALS EXAM
A+
2026/2027 Official Exam
Safety & Infection Control | Medications | Assessment | Mobility & Hygiene | Nutrition & Comfort
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ 1. Safety, Infection Control & Asepsis
■ 2. Medication Administration & Dosage Calculation
■ 3. Vital Signs, Assessment & Documentation
■ 4. Mobility, Hygiene, Elimination & Skin Integrity
■ 5. Nutrition, Fluid/Electrolytes, Pain & Comfort
STUVIAACTUALEXAM
Original practice examination aligned to Evolve HESI Fundamentals competencies. Not affiliated with Elsevier or HESI.
, SECTION 1 — Safety, Infection Control & Asepsis
Q1. A nurse is preparing to enter the room of a client on airborne precautions for suspected tuberculosis. The correct respiratory protection is:
A. No mask if the client is wearing a mask
B. A cloth mask washed daily
C. A surgical mask only
D. A fit-tested N95 respirator or higher-level particulate respirator
Correct Answer: D
Rationale: Airborne precautions for TB require a particulate respirator that filters small particles; surgical masks do not provide adequate protection against droplet
nuclei.
Q2. While performing a sterile procedure, the nurse’s sterile glove touches the edge of the sterile field. The correct action is to:
A. Consider the glove contaminated, remove both gloves, perform hand hygiene, and apply new sterile gloves
B. Ask a colleague to adjust the field without changing gloves
C. Wipe the glove with alcohol and continue
D. Continue the procedure because the edge is still sterile
Correct Answer: A
Rationale: Contact with the one-inch border or any non-sterile surface contaminates the glove; the entire sterile barrier must be re-established.
Q3. A client with C. difficile diarrhea requires hand hygiene after care. The nurse should:
A. Wash hands with soap and water because alcohol-based gels do not reliably eliminate spores
B. Use alcohol-based hand rub exclusively
C. Rinse with sterile water only
D. Skip hand hygiene if gloves were worn throughout
Correct Answer: A
Rationale: Mechanical removal with soap and water is required for C. difficile spores; alcohol-based products are not reliably sporicidal.
Q4. A fire alarm sounds and smoke is visible in a client’s room. Using the RACE sequence, the nurse’s first action is to:
A. Attempt to extinguish the fire first
B. Confine the fire by closing doors before moving anyone
C. Rescue the client from the immediate area of danger
D. Activate the fire alarm while leaving the client in place
Correct Answer: C
Rationale: RACE begins with Rescue—removing anyone in immediate danger—before Alarm, Confine, and Extinguish.
Q5. When applying wrist restraints, the nurse must ensure that:
A. Restraints are left in place continuously for 24 hours without release
B. Only one extremity is restrained at a time in all situations
C. The restraint is applied as tightly as possible to prevent removal
D. Two fingers can fit between the restraint and the client’s wrist and that circulation, sensation, and mobility are assessed frequently
Correct Answer: D
Rationale: Proper fit prevents circulatory compromise; frequent assessment and periodic release are required by standards of care.
Q6. A nurse is teaching a nursing assistant about standard precautions. The key principle is that standard precautions:
A. Require full isolation gowns for every client interaction
B. Are used only for clients with known infections
C. Apply to all clients regardless of diagnosis and include hand hygiene and appropriate PPE based on anticipated exposure
D. Eliminate the need for hand hygiene when gloves are worn
Correct Answer: C
Rationale: Standard precautions are the foundation of infection control and are applied universally based on the nature of the exposure, not the diagnosis.
Q7. Before transferring a client with left-sided weakness from bed to chair, the nurse positions the chair:
A. At the foot of the bed only
B. On the weaker side to strengthen the affected leg
C. On the client’s stronger (right) side so the client pivots toward the strong side
D. Directly behind the client
Correct Answer: C
Rationale: Pivoting toward the stronger side maximizes safety and allows the client to use intact extremities for support.
Q8. A nurse finds a client on the floor beside the bed. After determining the client is responsive, the priority is to:
A. Assess for injury, obtain vital signs, and notify the appropriate personnel while ensuring safety
B. Call a code blue for every fall
C. Immediately assist the client back into bed without assessment
D. Document the incident and leave the room
Correct Answer: A
Rationale: Post-fall assessment for injury and vital-sign changes guides further care; notification and documentation complete the response.
STUVIAACTUALEXAM | Evolve HESI Fundamentals 2026/2027 | Page 2
EVOLVE HESI FUNDAMENTALS EXAM
A+
2026/2027 Official Exam
Safety & Infection Control | Medications | Assessment | Mobility & Hygiene | Nutrition & Comfort
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ 1. Safety, Infection Control & Asepsis
■ 2. Medication Administration & Dosage Calculation
■ 3. Vital Signs, Assessment & Documentation
■ 4. Mobility, Hygiene, Elimination & Skin Integrity
■ 5. Nutrition, Fluid/Electrolytes, Pain & Comfort
STUVIAACTUALEXAM
Original practice examination aligned to Evolve HESI Fundamentals competencies. Not affiliated with Elsevier or HESI.
, SECTION 1 — Safety, Infection Control & Asepsis
Q1. A nurse is preparing to enter the room of a client on airborne precautions for suspected tuberculosis. The correct respiratory protection is:
A. No mask if the client is wearing a mask
B. A cloth mask washed daily
C. A surgical mask only
D. A fit-tested N95 respirator or higher-level particulate respirator
Correct Answer: D
Rationale: Airborne precautions for TB require a particulate respirator that filters small particles; surgical masks do not provide adequate protection against droplet
nuclei.
Q2. While performing a sterile procedure, the nurse’s sterile glove touches the edge of the sterile field. The correct action is to:
A. Consider the glove contaminated, remove both gloves, perform hand hygiene, and apply new sterile gloves
B. Ask a colleague to adjust the field without changing gloves
C. Wipe the glove with alcohol and continue
D. Continue the procedure because the edge is still sterile
Correct Answer: A
Rationale: Contact with the one-inch border or any non-sterile surface contaminates the glove; the entire sterile barrier must be re-established.
Q3. A client with C. difficile diarrhea requires hand hygiene after care. The nurse should:
A. Wash hands with soap and water because alcohol-based gels do not reliably eliminate spores
B. Use alcohol-based hand rub exclusively
C. Rinse with sterile water only
D. Skip hand hygiene if gloves were worn throughout
Correct Answer: A
Rationale: Mechanical removal with soap and water is required for C. difficile spores; alcohol-based products are not reliably sporicidal.
Q4. A fire alarm sounds and smoke is visible in a client’s room. Using the RACE sequence, the nurse’s first action is to:
A. Attempt to extinguish the fire first
B. Confine the fire by closing doors before moving anyone
C. Rescue the client from the immediate area of danger
D. Activate the fire alarm while leaving the client in place
Correct Answer: C
Rationale: RACE begins with Rescue—removing anyone in immediate danger—before Alarm, Confine, and Extinguish.
Q5. When applying wrist restraints, the nurse must ensure that:
A. Restraints are left in place continuously for 24 hours without release
B. Only one extremity is restrained at a time in all situations
C. The restraint is applied as tightly as possible to prevent removal
D. Two fingers can fit between the restraint and the client’s wrist and that circulation, sensation, and mobility are assessed frequently
Correct Answer: D
Rationale: Proper fit prevents circulatory compromise; frequent assessment and periodic release are required by standards of care.
Q6. A nurse is teaching a nursing assistant about standard precautions. The key principle is that standard precautions:
A. Require full isolation gowns for every client interaction
B. Are used only for clients with known infections
C. Apply to all clients regardless of diagnosis and include hand hygiene and appropriate PPE based on anticipated exposure
D. Eliminate the need for hand hygiene when gloves are worn
Correct Answer: C
Rationale: Standard precautions are the foundation of infection control and are applied universally based on the nature of the exposure, not the diagnosis.
Q7. Before transferring a client with left-sided weakness from bed to chair, the nurse positions the chair:
A. At the foot of the bed only
B. On the weaker side to strengthen the affected leg
C. On the client’s stronger (right) side so the client pivots toward the strong side
D. Directly behind the client
Correct Answer: C
Rationale: Pivoting toward the stronger side maximizes safety and allows the client to use intact extremities for support.
Q8. A nurse finds a client on the floor beside the bed. After determining the client is responsive, the priority is to:
A. Assess for injury, obtain vital signs, and notify the appropriate personnel while ensuring safety
B. Call a code blue for every fall
C. Immediately assist the client back into bed without assessment
D. Document the incident and leave the room
Correct Answer: A
Rationale: Post-fall assessment for injury and vital-sign changes guides further care; notification and documentation complete the response.
STUVIAACTUALEXAM | Evolve HESI Fundamentals 2026/2027 | Page 2
