EVOLVE HESI FUNDAMENTALS PRACTICE QS
AND ACTUAL RIGHT ANSWERS 2025 - 2026
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,t
ake,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.,,,ANS,-Answer:,C
It,is,likely,that,the,first,catheter,is,in,the,vagina,,rather,than,the,bladder.,Leaving,the,first,catheter,in,pl
ace,will,help,locate,the,meatus,when,attempting,the,second,catheterization,(C).,The,client,should,have,
at,least,240,mL,of,urine,after,8,hours.,(A),does,not,resolve,the,problem.,(B),will,not,change,the,location
,of,the,catheter,unless,it,is,completely,removed,,in,which,case,a,new,catheter,must,be,used.,There,is,n
o,evidence,of,a,urinary,tract,obstruction,if,the,catheter,could,be,easily,inserted,(D).
The,nurse,is,teaching,an,obese,client,,newly,diagnosed,with,arteriosclerosis,,about,reducing,the,risk,of,
a,heart,attack,or,stroke.,Which,health,promotion,brochure,is,most,important,for,the,nurse,to,provide,t
o,this,client?
A.,"Monitoring,Your,Blood,Pressure,at,Home"
B.,"Smoking,Cessation,as,a,Lifelong,Commitment"
C.,"Decreasing,Cholesterol,Levels,Through,Diet"
D.,"Stress,Management,for,a,Healthier,You",,,ANS,-Answer:,C
A,health,promotion,brochure,about,decreasing,cholesterol,(C),is,most,important,to,provide,this,client,,
because,the,most,significant,risk,factor,contributing,to,development,of,arteriosclerosis,is,excess,dietary
,fat,,particularly,saturated,fat,and,cholesterol.,(A),does,not,address,the,underlying,causes,of,arterioscle
rosis.,(B,and,D),are,also,important,factors,for,reversing,arteriosclerosis,but,are,not,as,important,as,low
ering,cholesterol,(C).
Ten,minutes,after,signing,an,operative,permit,for,a,fractured,hip,,an,older,client,states,,"The,aliens,will,
be,coming,to,get,me,soon!",and,falls,asleep.,Which,action,should,the,nurse,implement,next?
A.,Make,the,client,comfortable,and,allow,the,client,to,sleep.
B.,Assess,the,client's,neurologic,status.
,C.,Notify,the,surgeon,about,the,comment.
D.,Ask,the,client's,family,to,co-sign,the,operative,permit.,,,ANS,-Answer:,B
This,statement,may,indicate,that,the,client,is,confused.,Informed,consent,must,be,provided,by,a,menta
lly,competent,individual,,so,the,nurse,should,further,assess,the,client's,neurologic,status,(B),to,be,sure,
that,the,client,understands,and,can,legally,provide,consent,for,surgery.,(A),does,not,provide,sufficient,f
ollow-
up.,If,the,nurse,determines,that,the,client,is,confused,,the,surgeon,must,be,notified,(C),and,permission,
obtained,from,the,next,of,kin,(D).
The,nurse-
manager,of,a,skilled,nursing,(chronic,care),unit,is,instructing,UAPs,on,ways,to,prevent,complications,of,
immobility.,Which,intervention,should,be,included,in,this,instruction?
A.,Perform,range-of-motion,exercises,to,prevent,contractures.
B.,Decrease,the,client's,fluid,intake,to,prevent,diarrhea.
C.,Massage,the,client's,legs,to,reduce,embolism,occurrence.
D.,Turn,the,client,from,side,to,back,every,shift.,,,ANS,-Answer:,A
Performing,range-of-
motion,exercises,(A),is,beneficial,in,reducing,contractures,around,joints.,(B,,C,,and,D),are,all,potentially,
harmful,practices,that,place,the,immobile,client,at,risk,of,complications.
The,nurse,is,assisting,a,client,to,the,bathroom.,When,the,client,is,5,feet,from,the,bathroom,door,,he,st
ates,,"I,feel,faint.",Before,the,nurse,can,get,the,client,to,a,chair,,the,client,starts,to,fall.,Which,is,the,pri
ority,action,for,the,nurse,to,take?
A.,Check,the,client's,carotid,pulse.
B.,Encourage,the,client,to,get,to,the,toilet.
C.,In,a,loud,voice,,call,for,help.
D.,Gently,lower,the,client,to,the,floor.,,,ANS,-Answer:,D
(D),is,the,most,prudent,intervention,and,is,the,priority,nursing,action,to,prevent,injury,to,the,client,and
,the,nurse.,Lowering,the,client,to,the,floor,should,be,done,when,the,client,cannot,support,his,own,wei
ght.,The,client,should,be,placed,in,a,bed,or,chair,only,when,sufficient,help,is,available,to,prevent,injury.
,(A),is,important,but,should,be,done,after,the,client,is,in,a,safe,position.,Because,the,client,is,not,suppo
rting,himself,,(B),is,impractical.,(C),is,likely,to,cause,chaos,on,the,unit,and,might,alarm,the,other,clients.
, A,female,nurse,is,assigned,to,care,for,a,close,friend,,who,says,,"I,am,worried,that,friends,will,find,out,a
bout,my,diagnosis.",The,nurse,tells,her,friend,that,legally,she,must,protect,a,client's,confidentiality.,Wh
ich,resource,describes,the,nurse's,legal,responsibilities?
A.,Code,of,Ethics,for,Nurses
B.,State,Nurse,Practice,Act
C.,Patient's,Bill,of,Rights
D.,ANA,Standards,of,Practice,,,ANS,-Answer:,B
The,State,Nurse,Practice,Act,(B),contains,legal,requirements,for,the,protection,of,client,confidentiality,
and,the,consequences,for,breaches,in,confidentiality.,(A),outlines,ethical,standards,for,nursing,care,but
,does,not,include,legal,guidelines.,(C,and,D),describe,expectations,for,nursing,practice,but,do,not,addre
ss,legal,implications.
The,nurse,is,teaching,a,client,how,to,perform,progressive,muscle,relaxation,techniques,to,relieve,insom
nia.,A,week,later,the,client,reports,that,he,is,still,unable,to,sleep,,despite,following,the,same,routine,ev
ery,night.,Which,action,should,the,nurse,take,first?
A.,Instruct,the,client,to,add,regular,exercise,as,a,daily,routine.
B.,Determine,if,the,client,has,been,keeping,a,sleep,diary.
C.,Encourage,the,client,to,continue,the,routine,until,sleep,is,achieved.
D.,Ask,the,client,to,describe,the,routine,that,the,client,is,currently,following.,,,ANS,-Answer:,D
The,nurse,should,first,evaluate,whether,the,client,has,been,adhering,to,the,original,instructions,(D).,A,v
erbal,report,of,the,client's,routine,will,provide,more,specific,information,than,the,client's,written,diary,
(B).,The,nurse,can,then,determine,which,changes,need,to,be,made,(A).,The,routine,practiced,by,the,cli
ent,is,clearly,unsuccessful,,so,encouragement,alone,is,insufficient,(C).
A,65-year-old,client,who,attends,an,adult,daycare,program,and,is,wheelchair-
mobile,has,redness,in,the,sacral,area.,Which,instruction,is,most,important,for,the,nurse,to,provide?
A.,Take,a,vitamin,supplement,tablet,once,a,day.
B.,Change,positions,in,the,chair,at,least,every,hour.
C.,Increase,daily,intake,of,water,or,other,oral,fluids.
D.,Purchase,a,newer,model,wheelchair.,,,ANS,-Answer:,B
The,most,important,teaching,is,to,change,positions,frequently,(B),because,pressure,is,the,most,signific
ant,factor,related,to,the,development,of,pressure,ulcers.,Increased,vitamin,and,fluid,intake,(A,and,C),m
ay,also,be,beneficial,promote,healing,and,reduce,further,risk.,(D),is,an,intervention,of,last,resort,becau
se,this,will,be,very,expensive,for,the,client.
AND ACTUAL RIGHT ANSWERS 2025 - 2026
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,t
ake,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.,,,ANS,-Answer:,C
It,is,likely,that,the,first,catheter,is,in,the,vagina,,rather,than,the,bladder.,Leaving,the,first,catheter,in,pl
ace,will,help,locate,the,meatus,when,attempting,the,second,catheterization,(C).,The,client,should,have,
at,least,240,mL,of,urine,after,8,hours.,(A),does,not,resolve,the,problem.,(B),will,not,change,the,location
,of,the,catheter,unless,it,is,completely,removed,,in,which,case,a,new,catheter,must,be,used.,There,is,n
o,evidence,of,a,urinary,tract,obstruction,if,the,catheter,could,be,easily,inserted,(D).
The,nurse,is,teaching,an,obese,client,,newly,diagnosed,with,arteriosclerosis,,about,reducing,the,risk,of,
a,heart,attack,or,stroke.,Which,health,promotion,brochure,is,most,important,for,the,nurse,to,provide,t
o,this,client?
A.,"Monitoring,Your,Blood,Pressure,at,Home"
B.,"Smoking,Cessation,as,a,Lifelong,Commitment"
C.,"Decreasing,Cholesterol,Levels,Through,Diet"
D.,"Stress,Management,for,a,Healthier,You",,,ANS,-Answer:,C
A,health,promotion,brochure,about,decreasing,cholesterol,(C),is,most,important,to,provide,this,client,,
because,the,most,significant,risk,factor,contributing,to,development,of,arteriosclerosis,is,excess,dietary
,fat,,particularly,saturated,fat,and,cholesterol.,(A),does,not,address,the,underlying,causes,of,arterioscle
rosis.,(B,and,D),are,also,important,factors,for,reversing,arteriosclerosis,but,are,not,as,important,as,low
ering,cholesterol,(C).
Ten,minutes,after,signing,an,operative,permit,for,a,fractured,hip,,an,older,client,states,,"The,aliens,will,
be,coming,to,get,me,soon!",and,falls,asleep.,Which,action,should,the,nurse,implement,next?
A.,Make,the,client,comfortable,and,allow,the,client,to,sleep.
B.,Assess,the,client's,neurologic,status.
,C.,Notify,the,surgeon,about,the,comment.
D.,Ask,the,client's,family,to,co-sign,the,operative,permit.,,,ANS,-Answer:,B
This,statement,may,indicate,that,the,client,is,confused.,Informed,consent,must,be,provided,by,a,menta
lly,competent,individual,,so,the,nurse,should,further,assess,the,client's,neurologic,status,(B),to,be,sure,
that,the,client,understands,and,can,legally,provide,consent,for,surgery.,(A),does,not,provide,sufficient,f
ollow-
up.,If,the,nurse,determines,that,the,client,is,confused,,the,surgeon,must,be,notified,(C),and,permission,
obtained,from,the,next,of,kin,(D).
The,nurse-
manager,of,a,skilled,nursing,(chronic,care),unit,is,instructing,UAPs,on,ways,to,prevent,complications,of,
immobility.,Which,intervention,should,be,included,in,this,instruction?
A.,Perform,range-of-motion,exercises,to,prevent,contractures.
B.,Decrease,the,client's,fluid,intake,to,prevent,diarrhea.
C.,Massage,the,client's,legs,to,reduce,embolism,occurrence.
D.,Turn,the,client,from,side,to,back,every,shift.,,,ANS,-Answer:,A
Performing,range-of-
motion,exercises,(A),is,beneficial,in,reducing,contractures,around,joints.,(B,,C,,and,D),are,all,potentially,
harmful,practices,that,place,the,immobile,client,at,risk,of,complications.
The,nurse,is,assisting,a,client,to,the,bathroom.,When,the,client,is,5,feet,from,the,bathroom,door,,he,st
ates,,"I,feel,faint.",Before,the,nurse,can,get,the,client,to,a,chair,,the,client,starts,to,fall.,Which,is,the,pri
ority,action,for,the,nurse,to,take?
A.,Check,the,client's,carotid,pulse.
B.,Encourage,the,client,to,get,to,the,toilet.
C.,In,a,loud,voice,,call,for,help.
D.,Gently,lower,the,client,to,the,floor.,,,ANS,-Answer:,D
(D),is,the,most,prudent,intervention,and,is,the,priority,nursing,action,to,prevent,injury,to,the,client,and
,the,nurse.,Lowering,the,client,to,the,floor,should,be,done,when,the,client,cannot,support,his,own,wei
ght.,The,client,should,be,placed,in,a,bed,or,chair,only,when,sufficient,help,is,available,to,prevent,injury.
,(A),is,important,but,should,be,done,after,the,client,is,in,a,safe,position.,Because,the,client,is,not,suppo
rting,himself,,(B),is,impractical.,(C),is,likely,to,cause,chaos,on,the,unit,and,might,alarm,the,other,clients.
, A,female,nurse,is,assigned,to,care,for,a,close,friend,,who,says,,"I,am,worried,that,friends,will,find,out,a
bout,my,diagnosis.",The,nurse,tells,her,friend,that,legally,she,must,protect,a,client's,confidentiality.,Wh
ich,resource,describes,the,nurse's,legal,responsibilities?
A.,Code,of,Ethics,for,Nurses
B.,State,Nurse,Practice,Act
C.,Patient's,Bill,of,Rights
D.,ANA,Standards,of,Practice,,,ANS,-Answer:,B
The,State,Nurse,Practice,Act,(B),contains,legal,requirements,for,the,protection,of,client,confidentiality,
and,the,consequences,for,breaches,in,confidentiality.,(A),outlines,ethical,standards,for,nursing,care,but
,does,not,include,legal,guidelines.,(C,and,D),describe,expectations,for,nursing,practice,but,do,not,addre
ss,legal,implications.
The,nurse,is,teaching,a,client,how,to,perform,progressive,muscle,relaxation,techniques,to,relieve,insom
nia.,A,week,later,the,client,reports,that,he,is,still,unable,to,sleep,,despite,following,the,same,routine,ev
ery,night.,Which,action,should,the,nurse,take,first?
A.,Instruct,the,client,to,add,regular,exercise,as,a,daily,routine.
B.,Determine,if,the,client,has,been,keeping,a,sleep,diary.
C.,Encourage,the,client,to,continue,the,routine,until,sleep,is,achieved.
D.,Ask,the,client,to,describe,the,routine,that,the,client,is,currently,following.,,,ANS,-Answer:,D
The,nurse,should,first,evaluate,whether,the,client,has,been,adhering,to,the,original,instructions,(D).,A,v
erbal,report,of,the,client's,routine,will,provide,more,specific,information,than,the,client's,written,diary,
(B).,The,nurse,can,then,determine,which,changes,need,to,be,made,(A).,The,routine,practiced,by,the,cli
ent,is,clearly,unsuccessful,,so,encouragement,alone,is,insufficient,(C).
A,65-year-old,client,who,attends,an,adult,daycare,program,and,is,wheelchair-
mobile,has,redness,in,the,sacral,area.,Which,instruction,is,most,important,for,the,nurse,to,provide?
A.,Take,a,vitamin,supplement,tablet,once,a,day.
B.,Change,positions,in,the,chair,at,least,every,hour.
C.,Increase,daily,intake,of,water,or,other,oral,fluids.
D.,Purchase,a,newer,model,wheelchair.,,,ANS,-Answer:,B
The,most,important,teaching,is,to,change,positions,frequently,(B),because,pressure,is,the,most,signific
ant,factor,related,to,the,development,of,pressure,ulcers.,Increased,vitamin,and,fluid,intake,(A,and,C),m
ay,also,be,beneficial,promote,healing,and,reduce,further,risk.,(D),is,an,intervention,of,last,resort,becau
se,this,will,be,very,expensive,for,the,client.
