HESI
FUNDAMENTALS EXIT EVOLVE ACTUAL EXAM ALL
200+ QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ LATEST AND COMPLETE
UPDATE 2026-2027 WITH 100% VERIFIED
SOLUTIONS
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. -
CORRECT 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"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You" - CORRECT 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. - CORRECT
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.
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. - CORRECT 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. - CORRECT 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
FUNDAMENTALS EXIT EVOLVE ACTUAL EXAM ALL
200+ QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ LATEST AND COMPLETE
UPDATE 2026-2027 WITH 100% VERIFIED
SOLUTIONS
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. -
CORRECT 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"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You" - CORRECT 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. - CORRECT
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.
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. - CORRECT 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. - CORRECT 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
