1 || |P | a | g | e
EVOLVE HESI FUNDAMENTALS EXAM HESI
FUNDAMENTALS EXIT EVOLVE ACTUAL EXAM ALL
220 QUESTIONS AND 100% CORRECT ANSWERS
WELL EXPLAINED ALREADY GRADED A+ (LATEST
AND COMPLETE UPDATE 2026 WITH VERIFIED
SOLUTIONS) ASSURED PASS!!!
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 take 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. - ANSWER: C
| | | | | | | | | | |
It is likely that the first catheter is in the vagina, rather than the bladder. Leaving the
| | | | | | | | | | | | | | | |
first catheter in place 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 no 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 to this client?
| | | | | | | | | |
A. "Monitoring Your Blood Pressure at Home" | | | | |
,2 || |P | a | g | e
B. "Smoking Cessation as a Lifelong Commitment" | | | | |
C. "Decreasing Cholesterol Levels Through Diet" | | | |
D. "Stress Management for a Healthier You" - 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 arteriosclerosis. (B and D)
| | | | | | | | | | | | |
are also important factors for reversing arteriosclerosis but are not as important as
| | | | | | | | | | | | |
lowering 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. - ANSWER: B This
| | | | | | | | | | | |
statement may indicate that the client is confused. Informed consent must be
| | | | | | | | | | | |
provided by a mentally 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 follow-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. | | | | |
,3 || |P | a | g | e
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. - 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 states, "I feel faint." Before the nurse can get the client to a chair,
| | | | | | | | | | | | | | | | |
the client starts to fall. Which is the priority 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. - 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 weight. 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
| | | | | | | | | | | | | | | |
supporting 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 about my diagnosis." The nurse tells her friend that legally she must protect a
| | | | | | | | | | | | | | | | |
client's confidentiality. Which 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 - ANSWER: B | | | | | |
, 4 || |P | a | g | e
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 address legal
| | | | | | | | | | | |
implications.
|
The nurse is teaching a client how to perform progressive muscle relaxation
| | | | | | | | | | |
techniques to relieve insomnia. A week later the client reports that he is still unable to
| | | | | | | | | | | | | | | |
sleep, despite following the same routine every 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 route - ANSWER: D
| | | | | | | | |
The nurse should first evaluate whether the client has been adhering to the original
| | | | | | | | | | | | |
instructions (D). A verbal 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 client 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. - ANSWER: B | | | | | | |
The most important teaching is to change positions frequently (B) because pressure is
| | | | | | | | | | | |
the most significant factor related to the development of pressure ulcers.
| | | | | | | | | | |
Increased vitamin and fluid intake (A and C) may also be beneficial promote
| | | | | | | | | | | |
EVOLVE HESI FUNDAMENTALS EXAM HESI
FUNDAMENTALS EXIT EVOLVE ACTUAL EXAM ALL
220 QUESTIONS AND 100% CORRECT ANSWERS
WELL EXPLAINED ALREADY GRADED A+ (LATEST
AND COMPLETE UPDATE 2026 WITH VERIFIED
SOLUTIONS) ASSURED PASS!!!
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 take 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. - ANSWER: C
| | | | | | | | | | |
It is likely that the first catheter is in the vagina, rather than the bladder. Leaving the
| | | | | | | | | | | | | | | |
first catheter in place 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 no 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 to this client?
| | | | | | | | | |
A. "Monitoring Your Blood Pressure at Home" | | | | |
,2 || |P | a | g | e
B. "Smoking Cessation as a Lifelong Commitment" | | | | |
C. "Decreasing Cholesterol Levels Through Diet" | | | |
D. "Stress Management for a Healthier You" - 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 arteriosclerosis. (B and D)
| | | | | | | | | | | | |
are also important factors for reversing arteriosclerosis but are not as important as
| | | | | | | | | | | | |
lowering 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. - ANSWER: B This
| | | | | | | | | | | |
statement may indicate that the client is confused. Informed consent must be
| | | | | | | | | | | |
provided by a mentally 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 follow-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. | | | | |
,3 || |P | a | g | e
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. - 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 states, "I feel faint." Before the nurse can get the client to a chair,
| | | | | | | | | | | | | | | | |
the client starts to fall. Which is the priority 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. - 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 weight. 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
| | | | | | | | | | | | | | | |
supporting 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 about my diagnosis." The nurse tells her friend that legally she must protect a
| | | | | | | | | | | | | | | | |
client's confidentiality. Which 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 - ANSWER: B | | | | | |
, 4 || |P | a | g | e
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 address legal
| | | | | | | | | | | |
implications.
|
The nurse is teaching a client how to perform progressive muscle relaxation
| | | | | | | | | | |
techniques to relieve insomnia. A week later the client reports that he is still unable to
| | | | | | | | | | | | | | | |
sleep, despite following the same routine every 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 route - ANSWER: D
| | | | | | | | |
The nurse should first evaluate whether the client has been adhering to the original
| | | | | | | | | | | | |
instructions (D). A verbal 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 client 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. - ANSWER: B | | | | | | |
The most important teaching is to change positions frequently (B) because pressure is
| | | | | | | | | | | |
the most significant factor related to the development of pressure ulcers.
| | | | | | | | | | |
Increased vitamin and fluid intake (A and C) may also be beneficial promote
| | | | | | | | | | | |
