Elsevier | Evolve | HESI Fundamentals Exit Examination
Evolve HESI Fundamentals Exit Examination
2026/2027 | Verified Questions
Elsevier | Evolve | HESI Fundamentals | Professional Nursing Candidates
150 Verified Questions | 7 Core Domains | Academic Year 2026/2027
Prepared by
Elsevier | Evolve | HESI Fundamentals Exit Examination
Fundamentals Exit Examination (Versions 1, 2 & 3) Actual Exam | Academic Year 2026/2027
Evolve HESI Fundamentals Exit Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 150 original verified questions that comprehensively cover the full HESI Fundamentals Exit
Examination (Versions 1, 2 & 3). The content is organized across seven core domains: Safety and Infection Control;
Nursing Process and Clinical Judgment; Medication Administration and Dosage Calculations; Vital Signs and Physical
Assessment; Basic Care and Comfort; Fluid, Electrolyte, and Acid-Base Balance; and Legal, Ethical, and Professional
Practice. Each domain contains questions designed to reinforce the official Elsevier Evolve HESI Fundamentals Exit
Examination course objectives for actual exam readiness and nursing fundamentals proficiency, aligned to the 2026/2027
academic year. Questions emphasize clinical judgment, safety protocols, and evidence-based interventions consistent with
foundational nursing methodology and the NCSBN Clinical Judgment Measurement Model.
ACTUAL QUESTIONS
Domain 1: Safety and Infection Control
Question 1. Before assisting a client to ambulate, the nurse's priority safety action is to:
A. Raise the bed to the highest position
B. Apply a gait belt and ensure non-skid footwear
C. Remove all assistive devices from the room
D. Instruct the client to walk without assistance first
Correct Answer: B
Rationale: A gait belt provides a secure point of control, and non-skid footwear reduces slip risk. These are foundational
fall-prevention measures before ambulation.
Question 2. Which action is required before transferring a client from bed to wheelchair?
A. Unlock the wheelchair brakes for ease of movement
B. Lock the wheelchair brakes and position the chair at a 45-degree angle on the client's stronger side
C. Place the wheelchair at the foot of the bed facing away
D. Raise both side rails fully before the transfer
Correct Answer: D
Rationale: Locked brakes prevent the chair from rolling; positioning on the stronger side at an angle facilitates a safe
pivot transfer.
Question 3. The nurse is preparing to administer a medication. Which action demonstrates correct use of
two client identifiers?
A. Asking the room number and the nurse's memory of the name
B. Comparing the name and date of birth on the identification band with the medication administration record
C. Using the client's first name only
D. Asking a family member to confirm identity without checking the band
Correct Answer: C
Rationale: Two approved identifiers (commonly name and date of birth) must be verified against the MAR and the
client's ID band to prevent medication errors.
Question 4. A client is identified as a high fall risk on the Morse Fall Scale. Which intervention is most
appropriate?
A. Leave all side rails down to encourage independence
B. Implement individualized fall-prevention measures such as a bed alarm, non-skid footwear, and frequent toileting
assistance
C. Restrict all mobility for the remainder of the shift
D. Place the client in restraints immediately
Correct Answer: B
Rationale: Fall-risk tools guide specific interventions (alarms, footwear, toileting schedules) that address the identified
risk factors without unnecessary restriction.
Question 5. When performing hand hygiene with an alcohol-based rub, the nurse should:
A. Rub hands together for at least 15–20 seconds until dry
B. Rinse with water immediately after applying the product
C. Use the product only when hands are visibly soiled
D. Apply a small amount and wipe dry with a paper towel
Correct Answer: C
Evolve HESI Fundamentals Exit Examination 2026/2027 | Verified Questions
, Rationale: Alcohol-based hand rubs require sufficient volume and contact time (typically 15–20 seconds of rubbing until
dry) to achieve effective antisepsis.
Question 6. Which solution is the only fluid compatible with blood-product administration?
A. Dextrose 5% in water
B. 0.9% sodium chloride (normal saline)
C. Lactated Ringer's solution
D. 0.45% sodium chloride
Correct Answer: D
Rationale: Normal saline is the only solution recommended for priming and flushing blood administration sets; other
solutions can cause hemolysis or clotting.
Question 7. A client requires a sterile dressing change. The nurse maintains sterile technique by:
A. Reaching across the sterile field to adjust a drape
B. Keeping sterile gloved hands above the waist and within the sterile field
C. Touching the sterile field with clean (non-sterile) gloves when necessary
D. Talking over the sterile field while preparing supplies
Correct Answer: B
Rationale: Sterile fields are protected by keeping gloved hands above the waist, within the field boundaries, and free
from contact with non-sterile surfaces or moisture.
Question 8. Which action reduces the risk of catheter-associated urinary tract infection?
A. Keeping the collection bag above the level of the bladder
B. Maintaining a closed drainage system and securing the catheter to prevent movement
C. Irrigating the catheter daily with sterile water as routine care
D. Changing the catheter every 24 hours regardless of indication
Correct Answer: C
Rationale: A closed system and securement minimize introduction of microorganisms and urethral trauma, key
elements of CAUTI prevention.
Question 9. When a fire is discovered in a client's room, the nurse's first action using the RACE sequence
is to:
A. Extinguish the fire immediately
B. Rescue the client from immediate danger
C. Activate the alarm only after the fire is out
D. Contain the fire by closing doors after all other steps
Correct Answer: B
Rationale: RACE begins with Rescue of persons in immediate danger, followed by Alarm, Contain, and
Extinguish/Evacuate.
Question 10. Which personal protective equipment is required for a client on contact precautions for C.
difficile?
A. Mask and eye protection only
B. Gown and gloves; soap-and-water hand hygiene after removal
C. N95 respirator only
D. No PPE if the client is asymptomatic
Correct Answer: C
Rationale: Contact precautions require gown and gloves; alcohol-based rubs are less effective against C. difficile spores,
so soap and water are preferred after care.
Question 11. A nurse finds a client on the floor after an unwitnessed fall. The priority action is to:
A. Help the client stand immediately
B. Assess the client for injury and obtain vital signs before moving
C. Notify the family first
D. Complete an incident report before any assessment
Correct Answer: A
Rationale: After a fall, assessment for injury and physiologic stability precedes any attempt to move the client.
Question 12. Which statement about standard precautions is correct?
A. They apply only to clients with known infections
Evolve HESI Fundamentals Exit Examination 2026/2027 | Verified Questions
Evolve HESI Fundamentals Exit Examination
2026/2027 | Verified Questions
Elsevier | Evolve | HESI Fundamentals | Professional Nursing Candidates
150 Verified Questions | 7 Core Domains | Academic Year 2026/2027
Prepared by
Elsevier | Evolve | HESI Fundamentals Exit Examination
Fundamentals Exit Examination (Versions 1, 2 & 3) Actual Exam | Academic Year 2026/2027
Evolve HESI Fundamentals Exit Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 150 original verified questions that comprehensively cover the full HESI Fundamentals Exit
Examination (Versions 1, 2 & 3). The content is organized across seven core domains: Safety and Infection Control;
Nursing Process and Clinical Judgment; Medication Administration and Dosage Calculations; Vital Signs and Physical
Assessment; Basic Care and Comfort; Fluid, Electrolyte, and Acid-Base Balance; and Legal, Ethical, and Professional
Practice. Each domain contains questions designed to reinforce the official Elsevier Evolve HESI Fundamentals Exit
Examination course objectives for actual exam readiness and nursing fundamentals proficiency, aligned to the 2026/2027
academic year. Questions emphasize clinical judgment, safety protocols, and evidence-based interventions consistent with
foundational nursing methodology and the NCSBN Clinical Judgment Measurement Model.
ACTUAL QUESTIONS
Domain 1: Safety and Infection Control
Question 1. Before assisting a client to ambulate, the nurse's priority safety action is to:
A. Raise the bed to the highest position
B. Apply a gait belt and ensure non-skid footwear
C. Remove all assistive devices from the room
D. Instruct the client to walk without assistance first
Correct Answer: B
Rationale: A gait belt provides a secure point of control, and non-skid footwear reduces slip risk. These are foundational
fall-prevention measures before ambulation.
Question 2. Which action is required before transferring a client from bed to wheelchair?
A. Unlock the wheelchair brakes for ease of movement
B. Lock the wheelchair brakes and position the chair at a 45-degree angle on the client's stronger side
C. Place the wheelchair at the foot of the bed facing away
D. Raise both side rails fully before the transfer
Correct Answer: D
Rationale: Locked brakes prevent the chair from rolling; positioning on the stronger side at an angle facilitates a safe
pivot transfer.
Question 3. The nurse is preparing to administer a medication. Which action demonstrates correct use of
two client identifiers?
A. Asking the room number and the nurse's memory of the name
B. Comparing the name and date of birth on the identification band with the medication administration record
C. Using the client's first name only
D. Asking a family member to confirm identity without checking the band
Correct Answer: C
Rationale: Two approved identifiers (commonly name and date of birth) must be verified against the MAR and the
client's ID band to prevent medication errors.
Question 4. A client is identified as a high fall risk on the Morse Fall Scale. Which intervention is most
appropriate?
A. Leave all side rails down to encourage independence
B. Implement individualized fall-prevention measures such as a bed alarm, non-skid footwear, and frequent toileting
assistance
C. Restrict all mobility for the remainder of the shift
D. Place the client in restraints immediately
Correct Answer: B
Rationale: Fall-risk tools guide specific interventions (alarms, footwear, toileting schedules) that address the identified
risk factors without unnecessary restriction.
Question 5. When performing hand hygiene with an alcohol-based rub, the nurse should:
A. Rub hands together for at least 15–20 seconds until dry
B. Rinse with water immediately after applying the product
C. Use the product only when hands are visibly soiled
D. Apply a small amount and wipe dry with a paper towel
Correct Answer: C
Evolve HESI Fundamentals Exit Examination 2026/2027 | Verified Questions
, Rationale: Alcohol-based hand rubs require sufficient volume and contact time (typically 15–20 seconds of rubbing until
dry) to achieve effective antisepsis.
Question 6. Which solution is the only fluid compatible with blood-product administration?
A. Dextrose 5% in water
B. 0.9% sodium chloride (normal saline)
C. Lactated Ringer's solution
D. 0.45% sodium chloride
Correct Answer: D
Rationale: Normal saline is the only solution recommended for priming and flushing blood administration sets; other
solutions can cause hemolysis or clotting.
Question 7. A client requires a sterile dressing change. The nurse maintains sterile technique by:
A. Reaching across the sterile field to adjust a drape
B. Keeping sterile gloved hands above the waist and within the sterile field
C. Touching the sterile field with clean (non-sterile) gloves when necessary
D. Talking over the sterile field while preparing supplies
Correct Answer: B
Rationale: Sterile fields are protected by keeping gloved hands above the waist, within the field boundaries, and free
from contact with non-sterile surfaces or moisture.
Question 8. Which action reduces the risk of catheter-associated urinary tract infection?
A. Keeping the collection bag above the level of the bladder
B. Maintaining a closed drainage system and securing the catheter to prevent movement
C. Irrigating the catheter daily with sterile water as routine care
D. Changing the catheter every 24 hours regardless of indication
Correct Answer: C
Rationale: A closed system and securement minimize introduction of microorganisms and urethral trauma, key
elements of CAUTI prevention.
Question 9. When a fire is discovered in a client's room, the nurse's first action using the RACE sequence
is to:
A. Extinguish the fire immediately
B. Rescue the client from immediate danger
C. Activate the alarm only after the fire is out
D. Contain the fire by closing doors after all other steps
Correct Answer: B
Rationale: RACE begins with Rescue of persons in immediate danger, followed by Alarm, Contain, and
Extinguish/Evacuate.
Question 10. Which personal protective equipment is required for a client on contact precautions for C.
difficile?
A. Mask and eye protection only
B. Gown and gloves; soap-and-water hand hygiene after removal
C. N95 respirator only
D. No PPE if the client is asymptomatic
Correct Answer: C
Rationale: Contact precautions require gown and gloves; alcohol-based rubs are less effective against C. difficile spores,
so soap and water are preferred after care.
Question 11. A nurse finds a client on the floor after an unwitnessed fall. The priority action is to:
A. Help the client stand immediately
B. Assess the client for injury and obtain vital signs before moving
C. Notify the family first
D. Complete an incident report before any assessment
Correct Answer: A
Rationale: After a fall, assessment for injury and physiologic stability precedes any attempt to move the client.
Question 12. Which statement about standard precautions is correct?
A. They apply only to clients with known infections
Evolve HESI Fundamentals Exit Examination 2026/2027 | Verified Questions
