Evolve HESI Fundamentals Practice
Exam with Rationales Fully Updated for
2026
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. He reports that he had a bad bout of severe coughing
a few minutes ago, but feels fine now. What action is best for the nurse to take? -
Answer--After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the
unit at 1300. What is the best intervention for the nurse to implement? - Answer--Give
the missed dose at 1300 and change the schedule to administer daily at 1300.
A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should the
nurse implement? - Answer--Give an around-the-clock schedule for administration of
analgesics.
After completing an assessment and determining that a client has a problem, which
action should the nurse perform next? - Answer--determine the etiology of the problem
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults? - Answer--A decreased flow rate
could result in the formation of a thrombosis.
The nurse notices that the mother of a 9-year-old Vietnamese child always looks at the
floor when she talks to the nurse. What action should the nurse take? -
Answer--Continue asking the mother questions about the child.
, Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention? - Answer--Assess for bladder distention.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should the nurse have for planning care in terms of the client's beliefs? - Answer--Blood
transfusions are forbidden.
While instructing a male client's wife in the performance of passive range-of-motion
exercises to his contracted shoulder, the nurse observes that she is holding his arm
above and below the elbow. What nursing action should the nurse implement? -
Answer--Acknowledge that she is supporting the arm correctly.
At the beginning of the shift, the nurse assesses a client who is admitted from the
post-anesthesia care unit (PACU). When should the nurse document the client's
findings? - Answer--Immediately after the assessments are completed.
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's
brother and his family, which includes the brother-in-law's children and the widow's adult
children. Each family member speaks fluent English. Surgery was recommended for the
client. What is the best plan to obtain consent for surgery for this client? - Answer--...
Which response by a client with a nursing diagnosis of Spiritual distress, indicates to the
nurse that a desired outcome measure has been met? - Answer--Accepts that
punishment from God is not related to illness
Acceptance that she is not being punished by God indicates a desired outcome
During shift change report, the nurse receives report that a client has abnormal heart
sounds. Which placement of the stethoscope should the nurse use to hear the client's
heart sounds? - Answer--Use the stethoscope bell over the valvular areas of the
anterior chest
Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up
lower-pitched sounds, that is placed at points on the anterior chest
A nurse is preparing to give medications through a nasogastric feeding tube. Which
nursing action should prevent complications during administration? - Answer--A) Mix
each medication individually
Exam with Rationales Fully Updated for
2026
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. He reports that he had a bad bout of severe coughing
a few minutes ago, but feels fine now. What action is best for the nurse to take? -
Answer--After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the
unit at 1300. What is the best intervention for the nurse to implement? - Answer--Give
the missed dose at 1300 and change the schedule to administer daily at 1300.
A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should the
nurse implement? - Answer--Give an around-the-clock schedule for administration of
analgesics.
After completing an assessment and determining that a client has a problem, which
action should the nurse perform next? - Answer--determine the etiology of the problem
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults? - Answer--A decreased flow rate
could result in the formation of a thrombosis.
The nurse notices that the mother of a 9-year-old Vietnamese child always looks at the
floor when she talks to the nurse. What action should the nurse take? -
Answer--Continue asking the mother questions about the child.
, Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention? - Answer--Assess for bladder distention.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should the nurse have for planning care in terms of the client's beliefs? - Answer--Blood
transfusions are forbidden.
While instructing a male client's wife in the performance of passive range-of-motion
exercises to his contracted shoulder, the nurse observes that she is holding his arm
above and below the elbow. What nursing action should the nurse implement? -
Answer--Acknowledge that she is supporting the arm correctly.
At the beginning of the shift, the nurse assesses a client who is admitted from the
post-anesthesia care unit (PACU). When should the nurse document the client's
findings? - Answer--Immediately after the assessments are completed.
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's
brother and his family, which includes the brother-in-law's children and the widow's adult
children. Each family member speaks fluent English. Surgery was recommended for the
client. What is the best plan to obtain consent for surgery for this client? - Answer--...
Which response by a client with a nursing diagnosis of Spiritual distress, indicates to the
nurse that a desired outcome measure has been met? - Answer--Accepts that
punishment from God is not related to illness
Acceptance that she is not being punished by God indicates a desired outcome
During shift change report, the nurse receives report that a client has abnormal heart
sounds. Which placement of the stethoscope should the nurse use to hear the client's
heart sounds? - Answer--Use the stethoscope bell over the valvular areas of the
anterior chest
Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up
lower-pitched sounds, that is placed at points on the anterior chest
A nurse is preparing to give medications through a nasogastric feeding tube. Which
nursing action should prevent complications during administration? - Answer--A) Mix
each medication individually
