Evolve HESI Fundamentals Exam Bundle
(Versions 1, 2 & 3) | Complete Questions &
100% Verified Guide Answers | Graded A+|
2026 Update
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-40)
QUESTION 1
A client is at risk for falls. What should the nurse prioritize?
A) Keep the call light out of reach
B) Raise all bed side rails
C) Assess fall risk using a tool
D) Encourage independent ambulation
ANSWER: C) Assess fall risk using a tool
,RATIONALE: Using a fall risk assessment tool (e.g., Morse Scale) identifies specific risk
factors. Option A prevents the client from calling for help. Option B may be a restraint and
requires assessment. Option D may be unsafe without proper evaluation.
QUESTION 2
A nurse is transferring a client to a wheelchair. What is the first step?
A) Lock the wheelchair brakes
B) Lower the bed to the lowest position
C) Raise the wheelchair footrests
D) Assist the client to stand immediately
ANSWER: A) Lock the wheelchair brakes
RATIONALE: Locking brakes prevents the wheelchair from moving during the transfer.
Option B should be done but is not the first step. Option C should be done before transfer.
Option D should not be done without proper preparation.
QUESTION 3
Which action ensures safe medication administration?
A) Administering without checking allergies
B) Verifying client identity with two identifiers
,C) Using a single identifier
D) Skipping medication reconciliation
*ANSWER: B) Verifying client identity with two identifiers
RATIONALE: Two identifiers (e.g., name, ID band) prevent medication errors. Option A is
unsafe. Option C increases error risk. Option D bypasses a critical safety step.
QUESTION 4
A client has a seizure disorder. What should the nurse do during a seizure?
A) Restrain the client's limbs
B) Place a tongue depressor in the mouth
C) Protect the client's head
D) Administer oxygen immediately
*ANSWER: C) Protect the client's head
RATIONALE: Protecting the head prevents injury during a seizure. Option A can cause
injury. Option B can cause aspiration or airway obstruction. Option D may be needed but
is not the priority action .
, QUESTION 5
What is a priority when using restraints?
A) Apply restraints tightly
B) Check circulation every 2 hours
C) Obtain a provider order
D) Leave restraints on indefinitely
*ANSWER: C) Obtain a provider order
RATIONALE: Restraints require a provider order per safety regulations. Option A can
cause injury. Option B should be done every 15 minutes. Option D is unsafe and violates
regulation.
QUESTION 6
A nurse is preparing to insert an indwelling urinary catheter. Which action demonstrates
proper sterile technique?
A) Opening the sterile kit and placing the catheter on the sterile field before hand
hygiene
B) Using sterile gloves and opening inner packaging without contaminating contents
C) Cleaning the meatus with the same cotton ball twice
D) Placing the drainage bag above the level of the bladder
(Versions 1, 2 & 3) | Complete Questions &
100% Verified Guide Answers | Graded A+|
2026 Update
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-40)
QUESTION 1
A client is at risk for falls. What should the nurse prioritize?
A) Keep the call light out of reach
B) Raise all bed side rails
C) Assess fall risk using a tool
D) Encourage independent ambulation
ANSWER: C) Assess fall risk using a tool
,RATIONALE: Using a fall risk assessment tool (e.g., Morse Scale) identifies specific risk
factors. Option A prevents the client from calling for help. Option B may be a restraint and
requires assessment. Option D may be unsafe without proper evaluation.
QUESTION 2
A nurse is transferring a client to a wheelchair. What is the first step?
A) Lock the wheelchair brakes
B) Lower the bed to the lowest position
C) Raise the wheelchair footrests
D) Assist the client to stand immediately
ANSWER: A) Lock the wheelchair brakes
RATIONALE: Locking brakes prevents the wheelchair from moving during the transfer.
Option B should be done but is not the first step. Option C should be done before transfer.
Option D should not be done without proper preparation.
QUESTION 3
Which action ensures safe medication administration?
A) Administering without checking allergies
B) Verifying client identity with two identifiers
,C) Using a single identifier
D) Skipping medication reconciliation
*ANSWER: B) Verifying client identity with two identifiers
RATIONALE: Two identifiers (e.g., name, ID band) prevent medication errors. Option A is
unsafe. Option C increases error risk. Option D bypasses a critical safety step.
QUESTION 4
A client has a seizure disorder. What should the nurse do during a seizure?
A) Restrain the client's limbs
B) Place a tongue depressor in the mouth
C) Protect the client's head
D) Administer oxygen immediately
*ANSWER: C) Protect the client's head
RATIONALE: Protecting the head prevents injury during a seizure. Option A can cause
injury. Option B can cause aspiration or airway obstruction. Option D may be needed but
is not the priority action .
, QUESTION 5
What is a priority when using restraints?
A) Apply restraints tightly
B) Check circulation every 2 hours
C) Obtain a provider order
D) Leave restraints on indefinitely
*ANSWER: C) Obtain a provider order
RATIONALE: Restraints require a provider order per safety regulations. Option A can
cause injury. Option B should be done every 15 minutes. Option D is unsafe and violates
regulation.
QUESTION 6
A nurse is preparing to insert an indwelling urinary catheter. Which action demonstrates
proper sterile technique?
A) Opening the sterile kit and placing the catheter on the sterile field before hand
hygiene
B) Using sterile gloves and opening inner packaging without contaminating contents
C) Cleaning the meatus with the same cotton ball twice
D) Placing the drainage bag above the level of the bladder
