EVOLVE HESI FUNDAMENTALS VERSION 1, 2 & 3 (V1, V2 & V3)
EXAM ACTUAL 2026/2027 COMPREHENSIVE HIGH YIELD PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
APPROVED QUESTIONS AND CORRECT VERIFIED SOLUTIONS
WITH DETAILED RATIONALES (RELIABLE ANSWERS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED PASS A+ |FULL
REVISED EVOLVE HESI FUNDAMENTALS VERSION 1, 2 & 3 REAL
EXAM | JUST RELEASED
1. A policy requiring the removal of acrylic nails by all nursing
personnel was implemented 6 months ago. Which assessment
measure best determines if the intended outcome of the policy is
being achieved?
A. Number of staff induced injuries
B. Client satisfaction survey
C. Health care-associated infection rate
D. Rate of needle-stick injuries by nurses
C. Health care-associated infection rate CORRECT ANSWER
Rationale: Acrylic nails can harbor microorganisms and are linked to
increased infection rates. The effectiveness of a policy aimed at
reducing infection risk is best measured by the health care-associated
infection rate. Other options relate to different safety outcomes
(injuries, satisfaction, needle-sticks) that are not directly affected by
nail length or artificial nails.
,2. The nurse is preparing to assist a newly admitted client with
personal hygiene measures. The client has a gag reflex. Which action
should the nurse include?
A. Offer small sips of water through a straw
B. Place a tongue blade on the back half of the tongue
C. Use a penlight to observe the back of the oral cavity
D. Auscultate breath sounds after the client swallows
B. Place a tongue blade on the back half of the tongue CORRECT
ANSWER
Rationale: To assess the gag reflex, the nurse should gently touch the
posterior pharynx (back half of the tongue) with a tongue blade. This
stimulates the gag reflex. Offering water or auscultating breath
sounds does not assess the gag reflex, and using a penlight is for
visualization only.
3. The nurse explains to an older adult male the procedure for
collecting a 24-hour urine specimen for creatinine clearance. Which
instruction should the nurse provide?
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
,C. Empty the urinal contents into the 24-hour collection container
CORRECT ANSWER
Rationale: For a 24-hour urine collection, all urine voided during the
24-hour period must be saved and added to the collection container.
Discarding any urine would result in an incomplete specimen.
Assessing for confusion is important but does not address the
collection procedure.
4. A 54-year-old male client and his wife were informed this morning
that he has terminal cancer. Which nursing intervention is likely to
be most helpful for the wife?
A. Ask her how she would like to participate in the client's care
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to a support group for family members of those dying of
cancer
D. Refer her to a support group for family members of those dying of
cancer CORRECT ANSWER
Rationale: A support group provides the wife with emotional
support, shared experiences, and coping strategies from others in
similar situations. While participation in care and hospice
information are helpful, a support group directly addresses the wife's
psychosocial needs.
, 5. A client who has a body mass index (BMI) of 30 is requesting
information on the initial approach to a weight loss plan. Which
action should the nurse recommend?
A. Plan low carbohydrate and high protein meals
B. Engage in strenuous activity for an hour daily
C. Keep a record of food and drinks consumed daily
D. Participate in a group exercise class 3 times a week
C. Keep a record of food and drinks consumed daily CORRECT
ANSWER
Rationale: Self-monitoring of food intake is a foundational step in
any weight loss program. It increases awareness of eating habits and
portion sizes. Extreme dietary changes or strenuous exercise may not
be safe initially and are not the first approach.
6. Urinary catheterization is prescribed for a postoperative female
client who has been unable to void for 8 hours. The nurse inserts the
catheter but no urine is seen in the tubing. Which action will the
nurse take next?
A. Clamp the catheter and recheck it in 60 minutes
B. Pull the catheter back 3 inches and redirect upward
C. Leave the catheter in place and reattempt with another catheter
D. Notify the health care provider of a possible obstruction
EXAM ACTUAL 2026/2027 COMPREHENSIVE HIGH YIELD PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
APPROVED QUESTIONS AND CORRECT VERIFIED SOLUTIONS
WITH DETAILED RATIONALES (RELIABLE ANSWERS) CURRENTLY
UPDATED VERSION 2026 EDITION |GUARANTEED PASS A+ |FULL
REVISED EVOLVE HESI FUNDAMENTALS VERSION 1, 2 & 3 REAL
EXAM | JUST RELEASED
1. A policy requiring the removal of acrylic nails by all nursing
personnel was implemented 6 months ago. Which assessment
measure best determines if the intended outcome of the policy is
being achieved?
A. Number of staff induced injuries
B. Client satisfaction survey
C. Health care-associated infection rate
D. Rate of needle-stick injuries by nurses
C. Health care-associated infection rate CORRECT ANSWER
Rationale: Acrylic nails can harbor microorganisms and are linked to
increased infection rates. The effectiveness of a policy aimed at
reducing infection risk is best measured by the health care-associated
infection rate. Other options relate to different safety outcomes
(injuries, satisfaction, needle-sticks) that are not directly affected by
nail length or artificial nails.
,2. The nurse is preparing to assist a newly admitted client with
personal hygiene measures. The client has a gag reflex. Which action
should the nurse include?
A. Offer small sips of water through a straw
B. Place a tongue blade on the back half of the tongue
C. Use a penlight to observe the back of the oral cavity
D. Auscultate breath sounds after the client swallows
B. Place a tongue blade on the back half of the tongue CORRECT
ANSWER
Rationale: To assess the gag reflex, the nurse should gently touch the
posterior pharynx (back half of the tongue) with a tongue blade. This
stimulates the gag reflex. Offering water or auscultating breath
sounds does not assess the gag reflex, and using a penlight is for
visualization only.
3. The nurse explains to an older adult male the procedure for
collecting a 24-hour urine specimen for creatinine clearance. Which
instruction should the nurse provide?
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
,C. Empty the urinal contents into the 24-hour collection container
CORRECT ANSWER
Rationale: For a 24-hour urine collection, all urine voided during the
24-hour period must be saved and added to the collection container.
Discarding any urine would result in an incomplete specimen.
Assessing for confusion is important but does not address the
collection procedure.
4. A 54-year-old male client and his wife were informed this morning
that he has terminal cancer. Which nursing intervention is likely to
be most helpful for the wife?
A. Ask her how she would like to participate in the client's care
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to a support group for family members of those dying of
cancer
D. Refer her to a support group for family members of those dying of
cancer CORRECT ANSWER
Rationale: A support group provides the wife with emotional
support, shared experiences, and coping strategies from others in
similar situations. While participation in care and hospice
information are helpful, a support group directly addresses the wife's
psychosocial needs.
, 5. A client who has a body mass index (BMI) of 30 is requesting
information on the initial approach to a weight loss plan. Which
action should the nurse recommend?
A. Plan low carbohydrate and high protein meals
B. Engage in strenuous activity for an hour daily
C. Keep a record of food and drinks consumed daily
D. Participate in a group exercise class 3 times a week
C. Keep a record of food and drinks consumed daily CORRECT
ANSWER
Rationale: Self-monitoring of food intake is a foundational step in
any weight loss program. It increases awareness of eating habits and
portion sizes. Extreme dietary changes or strenuous exercise may not
be safe initially and are not the first approach.
6. Urinary catheterization is prescribed for a postoperative female
client who has been unable to void for 8 hours. The nurse inserts the
catheter but no urine is seen in the tubing. Which action will the
nurse take next?
A. Clamp the catheter and recheck it in 60 minutes
B. Pull the catheter back 3 inches and redirect upward
C. Leave the catheter in place and reattempt with another catheter
D. Notify the health care provider of a possible obstruction
