EVOLVE HESI Fundamentals Exit Exam 2026 | 180
Verified Questions with Detailed Rationales |
Complete Test Bank | Latest NGN-Style | RN & PN
Fundamentals | Grade A+ | Assured Pass
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1–35)
Safety, Infection Control, Delegation, Legal/Ethical Issues, Prioritization
1. The nurse observes an unlicensed assistive personnel (UAP) taking a client's
blood pressure with a cuff that is too small, but the blood pressure reading
obtained is within the client's usual range. What action is most important for
the nurse to implement?
- A) Tell the UAP to use a larger cuff at the next scheduled assessment
- B) Reassess the client's blood pressure using a larger cuff
- C) Have the unit educator review this procedure with the UAPs
- D) Teach the UAP the correct technique for assessing blood pressure
Answer: B) Reassess the client's blood pressure using a larger cuff
Rationale: Using a cuff that is too small can yield a falsely elevated blood
pressure reading. Even if the reading seems "usual," the nurse must
immediately obtain an accurate assessment with the correct equipment to
ensure client safety and data reliability. Immediate reassessment takes
priority over future teaching or process reviews.
,2. The nurse is evaluating the chart of a client scheduled for surgery in 1 hour.
When viewing the consent form, the nurse notes the surgeon's signature, but
not the client's signature. What steps must the nurse take? (Select all that
apply.)
- A) Call the surgeon
- B) Ask the client, "Did your surgeon explain the procedure to you?"
- C) Have the client's spouse sign the form
- D) Ask the client, "Do you have any questions?"
- E) Witness the signature
- F) Obtain the consent
Answer: B, D, E
Rationale: It is the surgeon's responsibility to review the procedure with the
client until the client has no further questions. The nurse can verify the review
by the surgeon and ask if the client has any further questions. If the client has
questions, the nurse must call in the surgeon. When the nurse signs the
consent form, the nurse is witnessing the signature only. The client's spouse
cannot sign for a competent adult (C), and the nurse cannot obtain consent (F)
— this is the surgeon's responsibility.
,3. An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
- A) Massage any reddened areas for at least five minutes
- B) Encourage active range of motion exercises on extremities
- C) Position the client laterally, prone, and dorsally in sequence
- D) Gently lift the client when moving into a desired position
Answer: D) Gently lift the client when moving into a desired position
Rationale: To avoid shearing forces when repositioning, the client should be
lifted gently across a surface. Reddened areas should not be massaged (A)
since this may increase damage to already traumatized skin. To control pain
and muscle spasms, active range of motion (B) may be limited on the affected
leg. The position described in (C) is contraindicated for a client with a
fractured left hip.
4. A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
- A) Give an around-the-clock schedule for administration of analgesics
- B) Administer analgesic medication as needed when the pain is severe
- C) Provide medication to keep the client sedated and unaware of stimuli
- D) Offer a medication-free period so that the client can do daily activities
, Answer: A) Give an around-the-clock schedule for administration of analgesics
Rationale: The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a regular
basis and in a timely manner. Analgesics are less effective if pain persists until
it is severe (B). Sedation that impairs the client's ability to interact should be
minimized (C). Offering a medication-free period allows the serum drug level
to fall (D).
5. The nurse prepares a 1,000 mL IV of 5% dextrose and water to be infused
over 8 hours. The infusion set delivers 10 drops per milliliter. The nurse should
regulate the IV to administer approximately how many drops per minute?**
- A) 80
- B) 8
- C) 21
- D) 25
Answer: C) 21
Rationale: Formula: (Total volume in mL × Drop factor) / Total time in
minutes. (1,000 mL × 10 gtt/mL) / (8 hours × 60 minutes) = 10, = 20.8
≈ 21 gtt/min.
Verified Questions with Detailed Rationales |
Complete Test Bank | Latest NGN-Style | RN & PN
Fundamentals | Grade A+ | Assured Pass
SECTION 1: SAFE & EFFECTIVE CARE ENVIRONMENT (Questions 1–35)
Safety, Infection Control, Delegation, Legal/Ethical Issues, Prioritization
1. The nurse observes an unlicensed assistive personnel (UAP) taking a client's
blood pressure with a cuff that is too small, but the blood pressure reading
obtained is within the client's usual range. What action is most important for
the nurse to implement?
- A) Tell the UAP to use a larger cuff at the next scheduled assessment
- B) Reassess the client's blood pressure using a larger cuff
- C) Have the unit educator review this procedure with the UAPs
- D) Teach the UAP the correct technique for assessing blood pressure
Answer: B) Reassess the client's blood pressure using a larger cuff
Rationale: Using a cuff that is too small can yield a falsely elevated blood
pressure reading. Even if the reading seems "usual," the nurse must
immediately obtain an accurate assessment with the correct equipment to
ensure client safety and data reliability. Immediate reassessment takes
priority over future teaching or process reviews.
,2. The nurse is evaluating the chart of a client scheduled for surgery in 1 hour.
When viewing the consent form, the nurse notes the surgeon's signature, but
not the client's signature. What steps must the nurse take? (Select all that
apply.)
- A) Call the surgeon
- B) Ask the client, "Did your surgeon explain the procedure to you?"
- C) Have the client's spouse sign the form
- D) Ask the client, "Do you have any questions?"
- E) Witness the signature
- F) Obtain the consent
Answer: B, D, E
Rationale: It is the surgeon's responsibility to review the procedure with the
client until the client has no further questions. The nurse can verify the review
by the surgeon and ask if the client has any further questions. If the client has
questions, the nurse must call in the surgeon. When the nurse signs the
consent form, the nurse is witnessing the signature only. The client's spouse
cannot sign for a competent adult (C), and the nurse cannot obtain consent (F)
— this is the surgeon's responsibility.
,3. An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
- A) Massage any reddened areas for at least five minutes
- B) Encourage active range of motion exercises on extremities
- C) Position the client laterally, prone, and dorsally in sequence
- D) Gently lift the client when moving into a desired position
Answer: D) Gently lift the client when moving into a desired position
Rationale: To avoid shearing forces when repositioning, the client should be
lifted gently across a surface. Reddened areas should not be massaged (A)
since this may increase damage to already traumatized skin. To control pain
and muscle spasms, active range of motion (B) may be limited on the affected
leg. The position described in (C) is contraindicated for a client with a
fractured left hip.
4. A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
- A) Give an around-the-clock schedule for administration of analgesics
- B) Administer analgesic medication as needed when the pain is severe
- C) Provide medication to keep the client sedated and unaware of stimuli
- D) Offer a medication-free period so that the client can do daily activities
, Answer: A) Give an around-the-clock schedule for administration of analgesics
Rationale: The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a regular
basis and in a timely manner. Analgesics are less effective if pain persists until
it is severe (B). Sedation that impairs the client's ability to interact should be
minimized (C). Offering a medication-free period allows the serum drug level
to fall (D).
5. The nurse prepares a 1,000 mL IV of 5% dextrose and water to be infused
over 8 hours. The infusion set delivers 10 drops per milliliter. The nurse should
regulate the IV to administer approximately how many drops per minute?**
- A) 80
- B) 8
- C) 21
- D) 25
Answer: C) 21
Rationale: Formula: (Total volume in mL × Drop factor) / Total time in
minutes. (1,000 mL × 10 gtt/mL) / (8 hours × 60 minutes) = 10, = 20.8
≈ 21 gtt/min.
