Page | 1 l 8 l8
2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
l8 l8 l8 l8 l8 l8 l8
3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QU
l8 l8 l8 l8 l8 l8 l8 l8
ESTIONS AND CORRECT SOLUTIONS| GUARANTEED V l8 l8 l8 l8 l8
ALUE PACK| ACE YOUR GRADES. l8 l8 l8 l8
(WITH RATIONALES) l8
1. An elderly client with a fractured left hip is on strict bedrest. Which n
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ursing measure is essential to the client's nursing care?
l8 l8 l8 l8 l8 l8 l8 l8
A. Massage any reddened areas for at least five minutes. l8 l8 l8 l8 l8 l8 l8 l8
B. Encourage active range of motion exercises on extremities. l8 l8 l8 l8 l8 l8 l8
C. Position the client laterally, prone, and dorsally in sequence.
l8 l8 l8 l8 l8 l8 l8 l8
D. Gently lift the client when moving into a desired position. -
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
correct answer -
l8 l8 l8
To avoid shearing forces when repositioning, the client should be lifte
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d gently across a surface (D). Reddened areas should not be massag
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed (A) since this may increase the damage to already traumatized skin
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
. To control pain and muscle spasms, active range of motion (B) may b
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e limited on the affected leg. The position described in (C) is contraindi
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
cated for a client with a fractured left hip.
l8 l8 l8 l8 l8 l8 l8 l8
Correct Answer: D l8 l8
2. The nurse is administering medications through a nasogastric tube (
l8 l8 l8 l8 l8 l8 l8 l8 l8
NGT) which is connected to suction. After ensuring correct tube pla
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
cement, what action should the nurse take next?
l8 l8 l8 l8 l8 l8 l8
A. Clamp the tube for 20 minutes. l8 l8 l8 l8 l8
B. Flush the tube with water. l8 l8 l8 l8
, Page | 2 l 8 l8
C. Administer the medications as prescribed. l8 l8 l8 l8
D. Crush the tablets and dissolve in sterile water. - correct answer -
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
The NGT should be flushed before, after and in between each medicati
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
on administered (B). Once all medications are administered, the NGT s
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
hould be clamped for 20 minutes (A). (C and D) may be implemented on
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ly after the tubing has been flushed.
l8 l8 l8 l8 l8 l8
Correct Answer: B l8 l8
3. A client who is in hospice care complains of increasing amounts of pain. T
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
he healthcare provider prescribes an analgesic every four hours as need
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed. Which action should the nurse implement?
l8 l8 l8 l8 l8 l8
A. Give an around-the-clock schedule for administration of analgesics.
l8 l8 l8 l8 l8 l8 l8
B. Administer analgesic medication as needed when the pain is severe. l8 l8 l8 l8 l8 l8 l8 l8 l8
C. Provide medication to keep the client sedated and unaware of stimuli.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
D. Offer a medication-free period so that the client can do daily activities.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
- correct answer -
l8 l8 l8
The most effective management of pain is achieved using an around-
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
the-
clock schedule that provides analgesic medications on a regular basis (
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
A) and in a timely manner. Analgesics are less effective if pain persists
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
until it is severe, so an analgesic medication should be administered be
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
fore the client's pain peaks (B). Providing comfort is a priority for the clie
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nt who is dying, but sedation that impairs the client's ability to interact a
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nd experience the time before life ends should be minimized (C). Offeri
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ng a medication- l8 l8
free period allows the serum drug level to fall, which is not an effective
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
method to manage chronic pain (D). l8 l8 l8 l8 l8
Correct Answer: A l8 l8
, Page | 3 l 8 l8
4. When assessing a client with wrist restraints, the nurse observes that t
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
he fingers on the right hand are blue. What action should the nurse im
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
plement first? l8
A. Loosen the right wrist restraint. l8 l8 l8 l8
B. Apply a pulse oximeter to the right hand.
l8 l8 l8 l8 l8 l8 l8
C. Compare hand color bilaterally. l8 l8 l8
D. Palpate the right radial pulse. - correct answer -
l8 l8 l8 l8 l8 l8 l8 l8
The priority nursing action is to restore circulation by loosening the re
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
straint (A), because blue fingers (cyanosis) indicates decreased circul
l8 l8 l8 l8 l8 l8 l8 l8
ation. (C and D) are also important nursing interventions, but do not ha
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ve the priority of
l8 l8 l8
(A). Pulse oximetry (B) measures the saturation of hemoglobin with ox
l8 l8 l8 l8 l8 l8 l8 l8 l8
ygen and is not indicated in situations where the cyanosis is related to
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
mechanical compression (the restraints). l8 l8 l8
Correct Answer: A l8 l8
5. The nurse is assessing the nutritional status of several clients. Which c
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
lient has the greatest nutritional need for additional intake of protein?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
A. A college-age track runner with a sprained ankle.
l8 l8 l8 l8 l8 l8 l8
B. A lactating woman nursing her 3-day-old infant.
l8 l8 l8 l8 l8 l8
C. A school-aged child with Type 2 diabetes.
l8 l8 l8 l8 l8 l8
D. An elderly man being treated for a peptic ulcer. - correct answer -
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
A lactating woman (B) has the greatest need for additional protein int
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ake. (A, C, and D) are all conditions that require protein, but do not hav
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e the increased metabolic protein demands of lactation.
l8 l8 l8 l8 l8 l8 l8
Correct Answer: B l8 l8
, Page | 4 l 8 l8
6. A client is in the radiology department at 0900 when the prescription l
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
evofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administer
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed. The client returns to the unit at 1300. What is the best intervention
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
for the nurse to implement?
8 l8 l8 l8 l8
A. Contact the healthcare provider and complete a medication variance f
l8 l8 l8 l8 l8 l8 l8 l8 l8
orm.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
morning.
C. Notify the charge nurse and complete an incident report to explain the
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
missed dose. l8
D. Give the missed dose at 1300 and change the schedule to administer d
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
aily at 1300. - correct answer -
l8 l8 l8 l8 l8 l8
To ensure that a therapeutic level of medication is maintained, the nur
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
se should administer the missed dose as soon as possible, and revise
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
the administration schedule accordingly to prevent dangerously increa
l8 l8 l8 l8 l8 l8 l8
sing the level of the medication in the bloodstream (D). The nurse sho
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
uld document the reason for the late dose, but (A and C) are not warra
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nted. (B) could result in increased blood levels of the drug.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
Correct Answer: D l8 l8
7. While instructing a male client's wife in the performance of passive rang
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e-of-
motion exercises to his contracted shoulder, the nurse observes that sh
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e is holding his arm above and below the elbow. What nursing action sh
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ould the nurse implement?
l8 l8 l8
A. Acknowledge that she is supporting the arm correctly. l8 l8 l8 l8 l8 l8 l8
B. Encourage her to keep the joint covered to maintain warmth. l8 l8 l8 l8 l8 l8 l8 l8 l8
C. Reinforce the need to grip directly under the joint for better support.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
l8 l8 l8 l8 l8 l8 l8
3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QU
l8 l8 l8 l8 l8 l8 l8 l8
ESTIONS AND CORRECT SOLUTIONS| GUARANTEED V l8 l8 l8 l8 l8
ALUE PACK| ACE YOUR GRADES. l8 l8 l8 l8
(WITH RATIONALES) l8
1. An elderly client with a fractured left hip is on strict bedrest. Which n
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ursing measure is essential to the client's nursing care?
l8 l8 l8 l8 l8 l8 l8 l8
A. Massage any reddened areas for at least five minutes. l8 l8 l8 l8 l8 l8 l8 l8
B. Encourage active range of motion exercises on extremities. l8 l8 l8 l8 l8 l8 l8
C. Position the client laterally, prone, and dorsally in sequence.
l8 l8 l8 l8 l8 l8 l8 l8
D. Gently lift the client when moving into a desired position. -
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
correct answer -
l8 l8 l8
To avoid shearing forces when repositioning, the client should be lifte
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d gently across a surface (D). Reddened areas should not be massag
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed (A) since this may increase the damage to already traumatized skin
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
. To control pain and muscle spasms, active range of motion (B) may b
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e limited on the affected leg. The position described in (C) is contraindi
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
cated for a client with a fractured left hip.
l8 l8 l8 l8 l8 l8 l8 l8
Correct Answer: D l8 l8
2. The nurse is administering medications through a nasogastric tube (
l8 l8 l8 l8 l8 l8 l8 l8 l8
NGT) which is connected to suction. After ensuring correct tube pla
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
cement, what action should the nurse take next?
l8 l8 l8 l8 l8 l8 l8
A. Clamp the tube for 20 minutes. l8 l8 l8 l8 l8
B. Flush the tube with water. l8 l8 l8 l8
, Page | 2 l 8 l8
C. Administer the medications as prescribed. l8 l8 l8 l8
D. Crush the tablets and dissolve in sterile water. - correct answer -
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
The NGT should be flushed before, after and in between each medicati
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
on administered (B). Once all medications are administered, the NGT s
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
hould be clamped for 20 minutes (A). (C and D) may be implemented on
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ly after the tubing has been flushed.
l8 l8 l8 l8 l8 l8
Correct Answer: B l8 l8
3. A client who is in hospice care complains of increasing amounts of pain. T
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
he healthcare provider prescribes an analgesic every four hours as need
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed. Which action should the nurse implement?
l8 l8 l8 l8 l8 l8
A. Give an around-the-clock schedule for administration of analgesics.
l8 l8 l8 l8 l8 l8 l8
B. Administer analgesic medication as needed when the pain is severe. l8 l8 l8 l8 l8 l8 l8 l8 l8
C. Provide medication to keep the client sedated and unaware of stimuli.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
D. Offer a medication-free period so that the client can do daily activities.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
- correct answer -
l8 l8 l8
The most effective management of pain is achieved using an around-
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
the-
clock schedule that provides analgesic medications on a regular basis (
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
A) and in a timely manner. Analgesics are less effective if pain persists
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
until it is severe, so an analgesic medication should be administered be
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
fore the client's pain peaks (B). Providing comfort is a priority for the clie
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nt who is dying, but sedation that impairs the client's ability to interact a
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nd experience the time before life ends should be minimized (C). Offeri
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ng a medication- l8 l8
free period allows the serum drug level to fall, which is not an effective
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
method to manage chronic pain (D). l8 l8 l8 l8 l8
Correct Answer: A l8 l8
, Page | 3 l 8 l8
4. When assessing a client with wrist restraints, the nurse observes that t
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
he fingers on the right hand are blue. What action should the nurse im
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
plement first? l8
A. Loosen the right wrist restraint. l8 l8 l8 l8
B. Apply a pulse oximeter to the right hand.
l8 l8 l8 l8 l8 l8 l8
C. Compare hand color bilaterally. l8 l8 l8
D. Palpate the right radial pulse. - correct answer -
l8 l8 l8 l8 l8 l8 l8 l8
The priority nursing action is to restore circulation by loosening the re
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
straint (A), because blue fingers (cyanosis) indicates decreased circul
l8 l8 l8 l8 l8 l8 l8 l8
ation. (C and D) are also important nursing interventions, but do not ha
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ve the priority of
l8 l8 l8
(A). Pulse oximetry (B) measures the saturation of hemoglobin with ox
l8 l8 l8 l8 l8 l8 l8 l8 l8
ygen and is not indicated in situations where the cyanosis is related to
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
mechanical compression (the restraints). l8 l8 l8
Correct Answer: A l8 l8
5. The nurse is assessing the nutritional status of several clients. Which c
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
lient has the greatest nutritional need for additional intake of protein?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
A. A college-age track runner with a sprained ankle.
l8 l8 l8 l8 l8 l8 l8
B. A lactating woman nursing her 3-day-old infant.
l8 l8 l8 l8 l8 l8
C. A school-aged child with Type 2 diabetes.
l8 l8 l8 l8 l8 l8
D. An elderly man being treated for a peptic ulcer. - correct answer -
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
A lactating woman (B) has the greatest need for additional protein int
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ake. (A, C, and D) are all conditions that require protein, but do not hav
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e the increased metabolic protein demands of lactation.
l8 l8 l8 l8 l8 l8 l8
Correct Answer: B l8 l8
, Page | 4 l 8 l8
6. A client is in the radiology department at 0900 when the prescription l
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
evofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administer
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ed. The client returns to the unit at 1300. What is the best intervention
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
for the nurse to implement?
8 l8 l8 l8 l8
A. Contact the healthcare provider and complete a medication variance f
l8 l8 l8 l8 l8 l8 l8 l8 l8
orm.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
morning.
C. Notify the charge nurse and complete an incident report to explain the
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
missed dose. l8
D. Give the missed dose at 1300 and change the schedule to administer d
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
aily at 1300. - correct answer -
l8 l8 l8 l8 l8 l8
To ensure that a therapeutic level of medication is maintained, the nur
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
se should administer the missed dose as soon as possible, and revise
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
the administration schedule accordingly to prevent dangerously increa
l8 l8 l8 l8 l8 l8 l8
sing the level of the medication in the bloodstream (D). The nurse sho
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
uld document the reason for the late dose, but (A and C) are not warra
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
nted. (B) could result in increased blood levels of the drug.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
Correct Answer: D l8 l8
7. While instructing a male client's wife in the performance of passive rang
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e-of-
motion exercises to his contracted shoulder, the nurse observes that sh
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e is holding his arm above and below the elbow. What nursing action sh
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ould the nurse implement?
l8 l8 l8
A. Acknowledge that she is supporting the arm correctly. l8 l8 l8 l8 l8 l8 l8
B. Encourage her to keep the joint covered to maintain warmth. l8 l8 l8 l8 l8 l8 l8 l8 l8
C. Reinforce the need to grip directly under the joint for better support.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
