EVOLVE HESI FUNDAMENTALS
ACTUAL EXAM 2025/2026 EXPERT
VERIFIED WITH DETAILED ANSWERS
AND RATIONALES| GUARANTEED
PASS[best testbank for 2025/2026 evolve
hesi]
The Chief Operational Officer (COO) interviews a nurse and asks, "Tell
me about your practical experiences in clinical decision making". Which
example should the nurse give?
A. I palpated the right hip of the client, which appeared red and noted
the warm feeling
B. I identified impaired skin integrity in a pressure ulcer form upon
finding redness in the client's hip
C. I quickly offered a salt recipe to a client with a history of hypotension
who suffered from light-headedness and dizziness
D. I assessed weakness and hunger in a patient with a history of diabetes
who suffers with light-headedness and blurred vision - correct
answer>>..B.
,Clinical decision making is a problem-solving activity that focuses on
defining a problem and selecting an appropriate action. So as a part of
clinical decision making, the nurse identified impaired skin integrity in a
pressure ulcer form upon finding redness in the client's hip. Diagnostic
reasoning and inference is an analytical process that involves
determining the client's health problems. An example is the nurse
palpating and observing a warm sensation in the client's right hip that
has turned red. Another example is a nurse who finds that a client who
has hypotension history now feels light-headedness and dizziness. A
further example is a nurse who assesses symptoms of diabetes in a client
who has a history of the disease and now suffers blurred vision.
A nurse is caring for a client who is experiencing the second (acute)
phase of burn recovery. The common client response the nurse expects
to identify during this phase of burn recovery is an increase in what?
A. Serum Sodium
B. Urinary output
C. Hematocrit Level
D. Serum Potassium - correct answer>>..B.
As fluid returns to the vascular system, increased renal flow and diuresis
occur. An increase in the serum sodium level (hypernatremia) is not a
common response identified during the second (acute) phase of burn
recovery. An increase in the hematocrit level indicates
hemoconcentration and hypovolemia; in the second phase of burn
recovery, hemodilution and hypervolemia occur. During the second
,phase of burn recovery, potassium moves back into the cells, decreasing
serum potassium.
While caring for a family, the nurse finds that the family has accepted
the shifts of generational roles. Which change in the family status for
proceeding developmentally would the nurse observe?
A. Dealing with retirement
B. Taking on parental roles
C. Adjusting to a reduction in family size
D. Refocusing on midlife material and career issues - correct
answer>>..A.
A family with members in the later life stage may involve the acceptance
of the shifting of generational roles. Therefore, dealing with retirement
would be an appropriate change for the family status that requires a
developmental proceeding. The acceptance of new generations of
members into the system would be associated with the stage of a family
with young children; this stage involves taking on parental roles. An
adjustment to a reduction in family size would be associated with the
family life cycle stage of launching children and moving on. Midlife
material and career issues are refocused during the family life cycle
stage of adolescence.
A nurse is explaining the nursing process to a nursing assistant. Which
step of the nursing process should include interpretation of data
collected about the client?
A. Evaluation
, B. Assessment
C. Nursing interventions
D. Proposed nursing care - correct answer>>..B.
An actual or potential client health problem is based on the analysis and
interpretation of the data previously collected during the assessment
phase of the nursing process. Gathering data is included in the client's
assessment. Nursing interventions are based on the earlier steps of the
nursing process. The plan of care includes nursing actions to meet client
needs. The needs first must be identified before nursing actions are
planned.
An older adult who is in acute care has a risk of skin breakdown. Which
interventions are beneficial to the client? (Select all that apply)
A. Providing meticulous skin care
B. Reducing shear forces and friction
C. Providing beverages and snacks frequently
D. Using a support surface base all the time
E. Avoiding pressure with proper positioning - correct answer>>..A, B,
E
Providing an older adult with meticulous skin care may reduce the risk
of skin breakdown. Reducing shear forces and friction prevents the
development of pressure ulcers. Pressure can be avoided with proper
positioning. Beverages and snacks are frequently provided to clients
who are hospitalized due to dehydration. A supportive surface base is
used based on risk factors.
ACTUAL EXAM 2025/2026 EXPERT
VERIFIED WITH DETAILED ANSWERS
AND RATIONALES| GUARANTEED
PASS[best testbank for 2025/2026 evolve
hesi]
The Chief Operational Officer (COO) interviews a nurse and asks, "Tell
me about your practical experiences in clinical decision making". Which
example should the nurse give?
A. I palpated the right hip of the client, which appeared red and noted
the warm feeling
B. I identified impaired skin integrity in a pressure ulcer form upon
finding redness in the client's hip
C. I quickly offered a salt recipe to a client with a history of hypotension
who suffered from light-headedness and dizziness
D. I assessed weakness and hunger in a patient with a history of diabetes
who suffers with light-headedness and blurred vision - correct
answer>>..B.
,Clinical decision making is a problem-solving activity that focuses on
defining a problem and selecting an appropriate action. So as a part of
clinical decision making, the nurse identified impaired skin integrity in a
pressure ulcer form upon finding redness in the client's hip. Diagnostic
reasoning and inference is an analytical process that involves
determining the client's health problems. An example is the nurse
palpating and observing a warm sensation in the client's right hip that
has turned red. Another example is a nurse who finds that a client who
has hypotension history now feels light-headedness and dizziness. A
further example is a nurse who assesses symptoms of diabetes in a client
who has a history of the disease and now suffers blurred vision.
A nurse is caring for a client who is experiencing the second (acute)
phase of burn recovery. The common client response the nurse expects
to identify during this phase of burn recovery is an increase in what?
A. Serum Sodium
B. Urinary output
C. Hematocrit Level
D. Serum Potassium - correct answer>>..B.
As fluid returns to the vascular system, increased renal flow and diuresis
occur. An increase in the serum sodium level (hypernatremia) is not a
common response identified during the second (acute) phase of burn
recovery. An increase in the hematocrit level indicates
hemoconcentration and hypovolemia; in the second phase of burn
recovery, hemodilution and hypervolemia occur. During the second
,phase of burn recovery, potassium moves back into the cells, decreasing
serum potassium.
While caring for a family, the nurse finds that the family has accepted
the shifts of generational roles. Which change in the family status for
proceeding developmentally would the nurse observe?
A. Dealing with retirement
B. Taking on parental roles
C. Adjusting to a reduction in family size
D. Refocusing on midlife material and career issues - correct
answer>>..A.
A family with members in the later life stage may involve the acceptance
of the shifting of generational roles. Therefore, dealing with retirement
would be an appropriate change for the family status that requires a
developmental proceeding. The acceptance of new generations of
members into the system would be associated with the stage of a family
with young children; this stage involves taking on parental roles. An
adjustment to a reduction in family size would be associated with the
family life cycle stage of launching children and moving on. Midlife
material and career issues are refocused during the family life cycle
stage of adolescence.
A nurse is explaining the nursing process to a nursing assistant. Which
step of the nursing process should include interpretation of data
collected about the client?
A. Evaluation
, B. Assessment
C. Nursing interventions
D. Proposed nursing care - correct answer>>..B.
An actual or potential client health problem is based on the analysis and
interpretation of the data previously collected during the assessment
phase of the nursing process. Gathering data is included in the client's
assessment. Nursing interventions are based on the earlier steps of the
nursing process. The plan of care includes nursing actions to meet client
needs. The needs first must be identified before nursing actions are
planned.
An older adult who is in acute care has a risk of skin breakdown. Which
interventions are beneficial to the client? (Select all that apply)
A. Providing meticulous skin care
B. Reducing shear forces and friction
C. Providing beverages and snacks frequently
D. Using a support surface base all the time
E. Avoiding pressure with proper positioning - correct answer>>..A, B,
E
Providing an older adult with meticulous skin care may reduce the risk
of skin breakdown. Reducing shear forces and friction prevents the
development of pressure ulcers. Pressure can be avoided with proper
positioning. Beverages and snacks are frequently provided to clients
who are hospitalized due to dehydration. A supportive surface base is
used based on risk factors.
