EVOLVE HESI FUNDAMENTALS WITH
VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+|| LATEST VERSION
2026
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-35)
1. The nurse is preparing to perform hand hygiene before caring for a
client. Which action demonstrates proper technique?
A. Rubbing hands together for 5 seconds after applying soap
B. Using an alcohol-based hand rub when hands are visibly soiled
C. Washing hands for at least 15-20 seconds with soap and water
D. Drying hands on the nurse's uniform
Answer: C - Hand hygiene requires washing with soap and water for at least
15-20 seconds, especially when hands are visibly soiled. Alcohol-based rubs are
not effective when hands are visibly dirty.
2. 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 bed opposite from the nurse
C. Correctly position and use a turn sheet
D. Lower the head of the client's bed slowly
Answer: B - 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.
3. The nurse identifies a potential for infection in a client with partial-
thickness and full-thickness burns. What intervention has the highest
priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns
,Answer: B - Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients.
4. The nurse is wearing personal protective equipment (PPE) while caring
for a patient. When exiting the room, which PPE should be removed first?
A. Mask
B. Gown
C. Gloves
D. Eye protection
Answer: C - Gloves are considered the most contaminated piece of PPE and
should be removed first to avoid contaminating other items or surfaces during
doffing. The order of removal is typically: gloves, eye protection, gown, mask.
5. A client is on contact precautions for MRSA. Which action should the
nurse take?
A. Place the client in a negative pressure room
B. Wear a mask when entering the room
C. Wear gloves and a gown when entering the room
D. Keep the door closed at all times
Answer: C - MRSA is spread by direct contact, requiring contact precautions
which include gloves and gown.
6. The nurse is preparing to insert an indwelling urinary catheter. Which
technique is correct for maintaining sterility?
A. Open the catheter package and place it on the sterile field after donning
sterile gloves
B. Use clean gloves to open the outer package, then sterile gloves to handle the
catheter
C. Place the sterile drape over the patient's legs before applying sterile gloves
D. Wipe the meatus with antiseptic solution from outer to inner labia
Answer: B - Open the outer package using clean technique, then apply sterile
gloves before handling any sterile supplies.
7. A patient on contact precautions for C. difficile asks to walk in the
hallway. What should the nurse do?
A. Allow the patient to walk with a mask
B. Restrict the patient to the room to prevent spread
C. Allow the patient to walk only if they wear a gown and gloves
D. Allow the patient to walk with a companion
,Answer: B - Patients on contact precautions should remain in their room to
prevent the spread of infection to other patients.
8. The nurse observes an unlicensed assistive personnel (UAP) taking a
client's blood pressure with a cuff that is too small. 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 - The nurse should immediately reassess the client's blood pressure
using a correctly sized cuff to ensure accurate readings.
9. A client with a history of falls is admitted. What is the most important
intervention for the nurse to implement?
A. Place the client in a room near the nurses' station
B. Complete a fall risk assessment
C. Apply restraints to prevent falls
D. Keep the client in bed at all times
Answer: B - Completing a fall risk assessment is the first and most important
step in preventing falls. History of falls, age >65, and medications causing
hypotension are major fall risk factors.
10. The nurse is preparing to insert an indwelling urinary catheter. Which
technique requires sterile gloves?
A. Donning sterile gloves after opening the outer package
B. Using clean gloves to handle the drainage bag
C. Wearing clean gloves for perineal cleaning
D. Wearing sterile gloves for the catheter insertion procedure
Answer: D - Catheter insertion is a sterile procedure. Clean gloves are used for
peri-care; sterile gloves are donned immediately before handling the sterile
catheter and supplies.
11. A nurse delegates ambulation of a stable client to a UAP. What is the
nurse's responsibility?
A. Document the distance ambulated
B. Supervise the UAP
C. Assess the client before ambulation
D. Allow UAP to determine safety
, Answer: C - The nurse must assess the client before delegating ambulation to
ensure it is safe.
12. Which finding requires immediate intervention?
A. BP 138/88 mmHg
B. HR 58 bpm
C. Respiratory rate of 28 breaths/min
D. Temperature of 37.2°C
Answer: C - Tachypnea (RR >20) may indicate respiratory distress and
requires immediate intervention.
13. The nurse is caring for a client with Clostridioides difficile (C. diff).
Which action is correct?
A. Use an alcohol-based hand sanitizer before leaving the room
B. Wear a mask when entering the room
C. Use soap and water for hand hygiene
D. Place the client in a negative pressure room
Answer: C - Alcohol-based hand sanitizers are not effective against C. diff
spores; soap and water must be used.
14. A client is placed in restraints. Which action by the nurse demonstrates
correct practice?
A. Apply restraints tightly to prevent movement
B. Tie restraints to the bed frame
C. Remove restraints every 2 hours for assessment
D. Document the reason for restraints only if they are used for 24 hours
Answer: C - Restraints must be removed every 2 hours for assessment, skin
care, and range of motion exercises.
15. The nurse is preparing a sterile field. Which action would contaminate
the field?
A. Opening the sterile package away from the body
B. Placing sterile items in the center of the field
C. Reaching over the sterile field
D. Using sterile gloves to arrange items
Answer: C - Reaching over a sterile field contaminates it. The nurse should
work from the sides of the field.
16. Which client is at highest risk for falls?
A. 45-year-old with hypertension
B. 72-year-old taking antihypertensive medications
VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+|| LATEST VERSION
2026
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-35)
1. The nurse is preparing to perform hand hygiene before caring for a
client. Which action demonstrates proper technique?
A. Rubbing hands together for 5 seconds after applying soap
B. Using an alcohol-based hand rub when hands are visibly soiled
C. Washing hands for at least 15-20 seconds with soap and water
D. Drying hands on the nurse's uniform
Answer: C - Hand hygiene requires washing with soap and water for at least
15-20 seconds, especially when hands are visibly soiled. Alcohol-based rubs are
not effective when hands are visibly dirty.
2. 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 bed opposite from the nurse
C. Correctly position and use a turn sheet
D. Lower the head of the client's bed slowly
Answer: B - 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.
3. The nurse identifies a potential for infection in a client with partial-
thickness and full-thickness burns. What intervention has the highest
priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns
,Answer: B - Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients.
4. The nurse is wearing personal protective equipment (PPE) while caring
for a patient. When exiting the room, which PPE should be removed first?
A. Mask
B. Gown
C. Gloves
D. Eye protection
Answer: C - Gloves are considered the most contaminated piece of PPE and
should be removed first to avoid contaminating other items or surfaces during
doffing. The order of removal is typically: gloves, eye protection, gown, mask.
5. A client is on contact precautions for MRSA. Which action should the
nurse take?
A. Place the client in a negative pressure room
B. Wear a mask when entering the room
C. Wear gloves and a gown when entering the room
D. Keep the door closed at all times
Answer: C - MRSA is spread by direct contact, requiring contact precautions
which include gloves and gown.
6. The nurse is preparing to insert an indwelling urinary catheter. Which
technique is correct for maintaining sterility?
A. Open the catheter package and place it on the sterile field after donning
sterile gloves
B. Use clean gloves to open the outer package, then sterile gloves to handle the
catheter
C. Place the sterile drape over the patient's legs before applying sterile gloves
D. Wipe the meatus with antiseptic solution from outer to inner labia
Answer: B - Open the outer package using clean technique, then apply sterile
gloves before handling any sterile supplies.
7. A patient on contact precautions for C. difficile asks to walk in the
hallway. What should the nurse do?
A. Allow the patient to walk with a mask
B. Restrict the patient to the room to prevent spread
C. Allow the patient to walk only if they wear a gown and gloves
D. Allow the patient to walk with a companion
,Answer: B - Patients on contact precautions should remain in their room to
prevent the spread of infection to other patients.
8. The nurse observes an unlicensed assistive personnel (UAP) taking a
client's blood pressure with a cuff that is too small. 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 - The nurse should immediately reassess the client's blood pressure
using a correctly sized cuff to ensure accurate readings.
9. A client with a history of falls is admitted. What is the most important
intervention for the nurse to implement?
A. Place the client in a room near the nurses' station
B. Complete a fall risk assessment
C. Apply restraints to prevent falls
D. Keep the client in bed at all times
Answer: B - Completing a fall risk assessment is the first and most important
step in preventing falls. History of falls, age >65, and medications causing
hypotension are major fall risk factors.
10. The nurse is preparing to insert an indwelling urinary catheter. Which
technique requires sterile gloves?
A. Donning sterile gloves after opening the outer package
B. Using clean gloves to handle the drainage bag
C. Wearing clean gloves for perineal cleaning
D. Wearing sterile gloves for the catheter insertion procedure
Answer: D - Catheter insertion is a sterile procedure. Clean gloves are used for
peri-care; sterile gloves are donned immediately before handling the sterile
catheter and supplies.
11. A nurse delegates ambulation of a stable client to a UAP. What is the
nurse's responsibility?
A. Document the distance ambulated
B. Supervise the UAP
C. Assess the client before ambulation
D. Allow UAP to determine safety
, Answer: C - The nurse must assess the client before delegating ambulation to
ensure it is safe.
12. Which finding requires immediate intervention?
A. BP 138/88 mmHg
B. HR 58 bpm
C. Respiratory rate of 28 breaths/min
D. Temperature of 37.2°C
Answer: C - Tachypnea (RR >20) may indicate respiratory distress and
requires immediate intervention.
13. The nurse is caring for a client with Clostridioides difficile (C. diff).
Which action is correct?
A. Use an alcohol-based hand sanitizer before leaving the room
B. Wear a mask when entering the room
C. Use soap and water for hand hygiene
D. Place the client in a negative pressure room
Answer: C - Alcohol-based hand sanitizers are not effective against C. diff
spores; soap and water must be used.
14. A client is placed in restraints. Which action by the nurse demonstrates
correct practice?
A. Apply restraints tightly to prevent movement
B. Tie restraints to the bed frame
C. Remove restraints every 2 hours for assessment
D. Document the reason for restraints only if they are used for 24 hours
Answer: C - Restraints must be removed every 2 hours for assessment, skin
care, and range of motion exercises.
15. The nurse is preparing a sterile field. Which action would contaminate
the field?
A. Opening the sterile package away from the body
B. Placing sterile items in the center of the field
C. Reaching over the sterile field
D. Using sterile gloves to arrange items
Answer: C - Reaching over a sterile field contaminates it. The nurse should
work from the sides of the field.
16. Which client is at highest risk for falls?
A. 45-year-old with hypertension
B. 72-year-old taking antihypertensive medications
