Page 1 of 215
EVOLVE HESI FUNDAMENTALS EXAM {3
VERSIONS (VERSIONS 1, 2 & 3) EACH VERSION
CONSISTS OF 150 Q & A} | QUESTIONS AND
VERIFIED ANSWERS | ALREADY GRADED A+ |
Plus RATIONALES
EVOLVE HESI FUNDAMENTALS EXAM – VERSION 1
Course Name: Nursing Fundamentals
Subject: Health Sciences / Pre-Licensure Nursing
Section 1: Questions 1–50
1. The nurse is providing discharge teaching to a client prescribed
warfarin. Which dietary instruction is most important to include in the
teaching plan?
A. "Increase your intake of leafy green vegetables."
B. "Maintain a consistent daily intake of vitamin K-rich foods."
C. "Avoid all foods containing vitamin K."
D. "Supplement your diet with vitamin E."
,Page 2 of 215
B. Maintain a consistent daily intake of vitamin K-rich foods. Warfarin
therapy requires a consistent intake of vitamin K to maintain a
therapeutic International Normalized Ratio (INR). Sudden increases or
decreases in vitamin K intake can alter the drug's effectiveness, leading
to bleeding or clotting complications. Education should focus on
consistency rather than complete avoidance of vitamin K-containing
foods .
2. A client with limited mobility is being discharged with home health
services. The client asks the home health nurse what can be done to
reduce swelling in the lower extremities. Which instruction is most
effective for this client?
A. "Elevate your feet above the level of your heart for 30 minutes
several times a day."
B. "Flex both of your feet several times a day."
C. "Wear compression stockings at all times."
D. "Limit your fluid intake to decrease swelling."
A. Elevate your feet above the level of your heart for 30 minutes
several times a day. Elevating the lower extremities above the heart
promotes venous return and reduces dependent edema through gravity-
assisted drainage. Foot exercises (B) promote circulation but are less
effective for reducing existing swelling. Compression stockings (C)
require a prescription and proper fitting. Fluid restriction (D) is not
indicated for localized edema and could cause dehydration .
3. While assessing a client with chronic obstructive pulmonary disease
(COPD), the pulse oximeter alarm is flashing without displaying an
,Page 3 of 215
oxygen saturation percentage. What is the nurse's priority action?
A. Prepare equipment for intubation.
B. Assess the client's lung sounds and capillary refill.
C. Exchange the pulse oximeter for another monitor.
D. Discontinue pulse oximetry readings.
B. Assess the client's lung sounds and capillary refill. The priority is to
assess the client's clinical status rather than relying solely on equipment.
Capillary refill and lung sounds provide important data about perfusion
and ventilation. If the client shows no signs of distress, the nurse can
then troubleshoot the equipment. Preparing for intubation (A) is
premature without further assessment .
4. A client who is 2 days post-operative for thoracic surgery is
complaining of incisional pain 2 hours after receiving pain medication.
He rates his pain as 5 on a scale of 1 to 10. After placing a call to the
healthcare provider, what action should the nurse implement?
A. Instruct the client to use guided imagery and slow rhythmic
breathing.
B. Provide at least 20 minutes of back massage and gentle effleurage.
C. Tune to a TV show or easy listening music to provide distraction.
D. Place a hot water circulation device such as an Aqua K pad to the
operative site.
A. Instruct the client to use guided imagery and slow rhythmic
breathing. Guided imagery and slow rhythmic breathing are effective
non-pharmacological pain management techniques that can be
implemented independently by the nurse. Back massage (B) requires
repositioning which may aggravate surgical pain. Distraction (C) may be
, Page 4 of 215
less effective for moderate pain. Heat application (D) is not indicated for
a surgical incision and could increase bleeding or inflammation .
5. The nurse is preparing to insert a nasogastric (NG) tube. Which
technique provides the most definitive confirmation of correct
placement?
A. Auscultation of air injected through the tube.
B. Radiographic confirmation of tube tip position.
C. Aspiration of gastric contents with pH less than 5.5.
D. Observation of coughing and respiratory distress.
B. Radiographic confirmation of tube tip position. Radiographic
confirmation is the gold standard for verifying NG tube placement
before initial use. While pH testing (C) is a reliable bedside indicator, an
X-ray provides the most definitive evidence. Auscultation (A) is no longer
recommended due to unreliability. Coughing (D) may indicate
respiratory placement but is not a confirmatory test .
6. A nurse is becoming increasingly frustrated by family members'
efforts to participate in the care of a hospitalized client. What action
should the nurse implement to cope with these feelings of
frustration?
A. Allow the situation to continue until a family member's action may
harm the client.
B. Explain to the family that multiple visitors are exhausting to the
client.
C. Explain one's own culturally based values, beliefs, attitudes, and
practices.
EVOLVE HESI FUNDAMENTALS EXAM {3
VERSIONS (VERSIONS 1, 2 & 3) EACH VERSION
CONSISTS OF 150 Q & A} | QUESTIONS AND
VERIFIED ANSWERS | ALREADY GRADED A+ |
Plus RATIONALES
EVOLVE HESI FUNDAMENTALS EXAM – VERSION 1
Course Name: Nursing Fundamentals
Subject: Health Sciences / Pre-Licensure Nursing
Section 1: Questions 1–50
1. The nurse is providing discharge teaching to a client prescribed
warfarin. Which dietary instruction is most important to include in the
teaching plan?
A. "Increase your intake of leafy green vegetables."
B. "Maintain a consistent daily intake of vitamin K-rich foods."
C. "Avoid all foods containing vitamin K."
D. "Supplement your diet with vitamin E."
,Page 2 of 215
B. Maintain a consistent daily intake of vitamin K-rich foods. Warfarin
therapy requires a consistent intake of vitamin K to maintain a
therapeutic International Normalized Ratio (INR). Sudden increases or
decreases in vitamin K intake can alter the drug's effectiveness, leading
to bleeding or clotting complications. Education should focus on
consistency rather than complete avoidance of vitamin K-containing
foods .
2. A client with limited mobility is being discharged with home health
services. The client asks the home health nurse what can be done to
reduce swelling in the lower extremities. Which instruction is most
effective for this client?
A. "Elevate your feet above the level of your heart for 30 minutes
several times a day."
B. "Flex both of your feet several times a day."
C. "Wear compression stockings at all times."
D. "Limit your fluid intake to decrease swelling."
A. Elevate your feet above the level of your heart for 30 minutes
several times a day. Elevating the lower extremities above the heart
promotes venous return and reduces dependent edema through gravity-
assisted drainage. Foot exercises (B) promote circulation but are less
effective for reducing existing swelling. Compression stockings (C)
require a prescription and proper fitting. Fluid restriction (D) is not
indicated for localized edema and could cause dehydration .
3. While assessing a client with chronic obstructive pulmonary disease
(COPD), the pulse oximeter alarm is flashing without displaying an
,Page 3 of 215
oxygen saturation percentage. What is the nurse's priority action?
A. Prepare equipment for intubation.
B. Assess the client's lung sounds and capillary refill.
C. Exchange the pulse oximeter for another monitor.
D. Discontinue pulse oximetry readings.
B. Assess the client's lung sounds and capillary refill. The priority is to
assess the client's clinical status rather than relying solely on equipment.
Capillary refill and lung sounds provide important data about perfusion
and ventilation. If the client shows no signs of distress, the nurse can
then troubleshoot the equipment. Preparing for intubation (A) is
premature without further assessment .
4. A client who is 2 days post-operative for thoracic surgery is
complaining of incisional pain 2 hours after receiving pain medication.
He rates his pain as 5 on a scale of 1 to 10. After placing a call to the
healthcare provider, what action should the nurse implement?
A. Instruct the client to use guided imagery and slow rhythmic
breathing.
B. Provide at least 20 minutes of back massage and gentle effleurage.
C. Tune to a TV show or easy listening music to provide distraction.
D. Place a hot water circulation device such as an Aqua K pad to the
operative site.
A. Instruct the client to use guided imagery and slow rhythmic
breathing. Guided imagery and slow rhythmic breathing are effective
non-pharmacological pain management techniques that can be
implemented independently by the nurse. Back massage (B) requires
repositioning which may aggravate surgical pain. Distraction (C) may be
, Page 4 of 215
less effective for moderate pain. Heat application (D) is not indicated for
a surgical incision and could increase bleeding or inflammation .
5. The nurse is preparing to insert a nasogastric (NG) tube. Which
technique provides the most definitive confirmation of correct
placement?
A. Auscultation of air injected through the tube.
B. Radiographic confirmation of tube tip position.
C. Aspiration of gastric contents with pH less than 5.5.
D. Observation of coughing and respiratory distress.
B. Radiographic confirmation of tube tip position. Radiographic
confirmation is the gold standard for verifying NG tube placement
before initial use. While pH testing (C) is a reliable bedside indicator, an
X-ray provides the most definitive evidence. Auscultation (A) is no longer
recommended due to unreliability. Coughing (D) may indicate
respiratory placement but is not a confirmatory test .
6. A nurse is becoming increasingly frustrated by family members'
efforts to participate in the care of a hospitalized client. What action
should the nurse implement to cope with these feelings of
frustration?
A. Allow the situation to continue until a family member's action may
harm the client.
B. Explain to the family that multiple visitors are exhausting to the
client.
C. Explain one's own culturally based values, beliefs, attitudes, and
practices.
