Page |1
EVOLVE HESI FUNDAMENTALS V1, V2 & V3 | VERIFIED
QUESTIONS & RATIONALES INCLUDED | STUDY GUIDE |
LATEST UPDATE 2026/2027 | PRACTICE QUESTIONS AND
ANSWERS | EXAM Review
Table of Contents
1. Patient Safety, Mobility & Positioning
2. Infection Control & Asepsis
3. Medication Administration & Dosage Calculations
4. Vital Signs & Physical Assessment
5. Nutrition & Fluid/Electrolyte Balance
6. Elimination & Catheter Care
7. Wound Care & Pressure Injury Prevention
8. Oxygenation & Respiratory Care
9. Nursing Process & Clinical Judgment
10. Communication, Documentation & Ethical Practice
, Page |2
Question 1: A nurse is preparing to transfer a patient from a bed to a stretcher using a friction-
reducing sheet. Which action is correct?
A) Roll the patient to one side, then place the sheet under the patient's shoulders and hips
B) Place the sheet under the patient from head to toe
C) Lift the patient by the sheet without assistance
D) Pull the sheet from the head of the bed only
Correct Answer: A) Roll the patient to one side, then place the sheet under the patient's
shoulders and hips
The sheet should be placed under the patient from shoulders to hips using a rolling technique
to reduce friction and shear. Multiple staff members assist. This prevents skin shearing and
protects caregiver from injury.
Question 2: 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 all extremities
C) Position the client laterally, prone, and dorsally in sequence
D) Gently lift the client when moving into a desired position
Correct Answer: D) Gently lift the client when moving into a desired position
To avoid shearing forces when repositioning, the client should be lifted rather than pulled.
Massaging reddened areas can damage tissue. Active range of motion may be
contraindicated with a fractured hip.
Question 3: A patient is placed in restraints. Which action is required by the nurse?
A) Assess the patient every 4 hours
B) Document the patient's behavior and skin integrity every 2 hours
C) Remove restraints every 8 hours for ROM exercises
D) Apply restraints tightly to prevent movement
Correct Answer: B) Document the patient's behavior and skin integrity every 2 hours
, Page |3
The nurse must document the patient's behavior, skin integrity, and neurovascular status
every 2 hours. Restraints should be removed every 2 hours for ROM exercises and toileting.
Restraints should be applied with two-finger width.
Question 4: A nurse is assisting a client with ambulation. Which action ensures client safety?
A) Allowing the client to walk barefoot
B) Using a gait belt
C) Keeping the bed in the highest position
D) Removing obstacles after ambulation
Correct Answer: B) Using a gait belt
A gait belt provides secure support, reducing fall risk during ambulation. Walking barefoot
increases fall risk, and the bed should be in the lowest position.
Question 5: Which intervention prevents falls in an elderly client?
A) Dim lighting in the room
B) Non-slip footwear
C) Cluttered pathways
D) No handrails in the bathroom
Correct Answer: B) Non-slip footwear
Non-slip footwear increases traction, reducing fall risk. Adequate lighting, clear pathways,
and handrails are also essential fall prevention measures.
Question 6: 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
Correct Answer: C) Assess fall risk using a tool
Using a fall risk assessment tool (e.g., Morse Scale) identifies specific risks. The call light
should be within reach, and bed rails should follow facility policy.
Question 7: A nurse is transferring a client to a wheelchair. What is the first step?
, Page |4
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
Correct Answer: A) Lock the wheelchair brakes
Locking brakes prevents the wheelchair from moving during transfer. The bed should also be
lowered, and footrests raised, but brake locking is the first safety step.
Question 8: 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
Correct Answer: C) Protect the client's head
Protecting the head prevents injury during a seizure. Restraints and oral objects are
contraindicated. Oxygen may be administered after the seizure if needed.
Question 9: 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
Correct Answer: C) Obtain a provider order
Restraints require a provider order per safety regulations. Circulation should be checked
every 15–30 minutes, and restraints must be removed regularly.
Question 10: A nurse is caring for a client diagnosed with Clostridioides difficile (C. diff).
Which action is most important for the nurse to implement to prevent the spread of infection?
A) Use an alcohol-based hand sanitizer before leaving the room
B) Wear a surgical mask when providing direct client care
C) Place the client in a room with negative air pressure
D) Wash hands with non-antimicrobial soap and water after care
EVOLVE HESI FUNDAMENTALS V1, V2 & V3 | VERIFIED
QUESTIONS & RATIONALES INCLUDED | STUDY GUIDE |
LATEST UPDATE 2026/2027 | PRACTICE QUESTIONS AND
ANSWERS | EXAM Review
Table of Contents
1. Patient Safety, Mobility & Positioning
2. Infection Control & Asepsis
3. Medication Administration & Dosage Calculations
4. Vital Signs & Physical Assessment
5. Nutrition & Fluid/Electrolyte Balance
6. Elimination & Catheter Care
7. Wound Care & Pressure Injury Prevention
8. Oxygenation & Respiratory Care
9. Nursing Process & Clinical Judgment
10. Communication, Documentation & Ethical Practice
, Page |2
Question 1: A nurse is preparing to transfer a patient from a bed to a stretcher using a friction-
reducing sheet. Which action is correct?
A) Roll the patient to one side, then place the sheet under the patient's shoulders and hips
B) Place the sheet under the patient from head to toe
C) Lift the patient by the sheet without assistance
D) Pull the sheet from the head of the bed only
Correct Answer: A) Roll the patient to one side, then place the sheet under the patient's
shoulders and hips
The sheet should be placed under the patient from shoulders to hips using a rolling technique
to reduce friction and shear. Multiple staff members assist. This prevents skin shearing and
protects caregiver from injury.
Question 2: 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 all extremities
C) Position the client laterally, prone, and dorsally in sequence
D) Gently lift the client when moving into a desired position
Correct Answer: D) Gently lift the client when moving into a desired position
To avoid shearing forces when repositioning, the client should be lifted rather than pulled.
Massaging reddened areas can damage tissue. Active range of motion may be
contraindicated with a fractured hip.
Question 3: A patient is placed in restraints. Which action is required by the nurse?
A) Assess the patient every 4 hours
B) Document the patient's behavior and skin integrity every 2 hours
C) Remove restraints every 8 hours for ROM exercises
D) Apply restraints tightly to prevent movement
Correct Answer: B) Document the patient's behavior and skin integrity every 2 hours
, Page |3
The nurse must document the patient's behavior, skin integrity, and neurovascular status
every 2 hours. Restraints should be removed every 2 hours for ROM exercises and toileting.
Restraints should be applied with two-finger width.
Question 4: A nurse is assisting a client with ambulation. Which action ensures client safety?
A) Allowing the client to walk barefoot
B) Using a gait belt
C) Keeping the bed in the highest position
D) Removing obstacles after ambulation
Correct Answer: B) Using a gait belt
A gait belt provides secure support, reducing fall risk during ambulation. Walking barefoot
increases fall risk, and the bed should be in the lowest position.
Question 5: Which intervention prevents falls in an elderly client?
A) Dim lighting in the room
B) Non-slip footwear
C) Cluttered pathways
D) No handrails in the bathroom
Correct Answer: B) Non-slip footwear
Non-slip footwear increases traction, reducing fall risk. Adequate lighting, clear pathways,
and handrails are also essential fall prevention measures.
Question 6: 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
Correct Answer: C) Assess fall risk using a tool
Using a fall risk assessment tool (e.g., Morse Scale) identifies specific risks. The call light
should be within reach, and bed rails should follow facility policy.
Question 7: A nurse is transferring a client to a wheelchair. What is the first step?
, Page |4
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
Correct Answer: A) Lock the wheelchair brakes
Locking brakes prevents the wheelchair from moving during transfer. The bed should also be
lowered, and footrests raised, but brake locking is the first safety step.
Question 8: 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
Correct Answer: C) Protect the client's head
Protecting the head prevents injury during a seizure. Restraints and oral objects are
contraindicated. Oxygen may be administered after the seizure if needed.
Question 9: 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
Correct Answer: C) Obtain a provider order
Restraints require a provider order per safety regulations. Circulation should be checked
every 15–30 minutes, and restraints must be removed regularly.
Question 10: A nurse is caring for a client diagnosed with Clostridioides difficile (C. diff).
Which action is most important for the nurse to implement to prevent the spread of infection?
A) Use an alcohol-based hand sanitizer before leaving the room
B) Wear a surgical mask when providing direct client care
C) Place the client in a room with negative air pressure
D) Wash hands with non-antimicrobial soap and water after care
