Evolve HESI Fundamentals Test Bank
2025–2026
Practice Questions, Correct Answers & Rationales
, Q1. EVOLVE - HESI FUNDAMENTAL
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lif t the client when moving into a desired position. - ANSWER -To
■ Correct Answer & Rationale:
-To avoid shearing forces when repositioning, the client should be lifted gently across a surface
(D). Reddened areas should not be massaged (A) since this may increase the damage to already
traumat ized skin. To control pain and muscle spasms, active range of motion (B) may be limited
on the affected leg. The position described in (C) is contraindicated for a client with a fractured left
hip.
Q2. : D
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER -The NGT should
■ Correct Answer & Rationale:
-The NGT should be flushed before, after and in between each medication administered (B). Once
all medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may
be imp lemented only after the tubing has been flushed.
Q3. : B
A. Give an around -the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication -free period s o that the client can do daily activities. -
Q4. : A
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ANSWER -The priority nursing action is to
■ Correct Answer & Rationale:
-The priority nursing action is to restore circulation by loosening the restraint (A), because blue
fingers (cyanosis) indicates decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse o ximetry (B) measures the saturation of
hemoglobin with oxygen and is not indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
Q5. : A
A. A college -age track runner with a sprained ankle.
B. A lactating woman nursing her 3 -day-old infant.
C. A school -aged child with Type 2 diabetes.
D. An elderly man bei ng treated for a peptic ulcer. - ANSWER -A lactating
2025–2026
Practice Questions, Correct Answers & Rationales
, Q1. EVOLVE - HESI FUNDAMENTAL
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lif t the client when moving into a desired position. - ANSWER -To
■ Correct Answer & Rationale:
-To avoid shearing forces when repositioning, the client should be lifted gently across a surface
(D). Reddened areas should not be massaged (A) since this may increase the damage to already
traumat ized skin. To control pain and muscle spasms, active range of motion (B) may be limited
on the affected leg. The position described in (C) is contraindicated for a client with a fractured left
hip.
Q2. : D
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER -The NGT should
■ Correct Answer & Rationale:
-The NGT should be flushed before, after and in between each medication administered (B). Once
all medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may
be imp lemented only after the tubing has been flushed.
Q3. : B
A. Give an around -the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication -free period s o that the client can do daily activities. -
Q4. : A
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ANSWER -The priority nursing action is to
■ Correct Answer & Rationale:
-The priority nursing action is to restore circulation by loosening the restraint (A), because blue
fingers (cyanosis) indicates decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse o ximetry (B) measures the saturation of
hemoglobin with oxygen and is not indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
Q5. : A
A. A college -age track runner with a sprained ankle.
B. A lactating woman nursing her 3 -day-old infant.
C. A school -aged child with Type 2 diabetes.
D. An elderly man bei ng treated for a peptic ulcer. - ANSWER -A lactating
