1|Page
EVOLVEHESIFUNDAMENTALSEXITEXAM2026|
COMPLETETESTBANKWITH220ACTUAL
QUESTIONSAND100%CORRECTVERIFIED
ANSWERS|WELL-EXPLAINEDSOLUTIONS|
ALREADYGRADEDA+|GUARANTEEDPASS|
LATESTUPDATE
Urinary catheterizati0n is prescribed f0r a p0st0perative female client wh0 has been
unable t0 v0id f0r 8 h0urs. The nurse inserts the catheter, but n0 urine is seen in the
tubing. Which acti0n 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 an0ther catheter.
D. N0tify the health care pr0vider 0f a p0ssible 0bstructi0n. - 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 l0cate the meatus when attempting the sec0nd
catheterizati0n
(C). The client sh0uld have at least 240 mL 0f urine after 8 h0urs.
(A) d0es n0t res0lve the pr0blem.
(B) will n0t change the l0cati0n 0f the catheter unless it is c0mpletely rem0ved, in
which case a new catheter must be used.
There is n0 evidence 0f a urinary tract 0bstructi0n if the catheter c0uld be easily
inserted (D).
The nurse is teaching an 0bese client, newly diagn0sed with arteri0scler0sis, ab0ut
reducing the risk 0f a heart attack 0r str0ke. Which health pr0m0ti0n br0chure is
m0st imp0rtant f0r the nurse t0 pr0vide t0 this client?
A. "M0nit0ring Y0ur Bl00d Pressure at H0me"
,2|Page
B. "Sm0king Cessati0n as a Lifel0ng C0mmitment"
C. "Decreasing Ch0lester0l Levels Thr0ugh Diet"
D. "Stress Management f0r a Healthier Y0u" - ANSWER: C
A health pr0m0ti0n br0chure ab0ut decreasing ch0lester0l (C) is m0st imp0rtant t0
pr0vide this client, because the m0st significant risk fact0r c0ntributing t0
devel0pment 0f arteri0scler0sis is excess dietary fat, particularly saturated fat and
ch0lester0l. (A) d0es n0t address the underlying causes 0f arteri0scler0sis. (B and D)
are als0 imp0rtant fact0rs f0r reversing arteri0scler0sis but are n0t as imp0rtant as
l0wering ch0lester0l (C).
Ten minutes after signing an 0perative permit f0r a fractured hip, an 0lder client
states, "The aliens will be c0ming t0 get me s00n!" and falls asleep. Which
acti0n sh0uld the nurse implement next?
A. Make the client c0mf0rtable and all0w the client t0 sleep.
B. Assess the client's neur0l0gic status.
C. N0tify the surge0n ab0ut the c0mment.
D. Ask the client's family t0 c0-sign the 0perative permit. - ANSWER: B
This statement may indicate that the client is c0nfused. Inf0rmed c0nsent must be
pr0vided by a mentally c0mpetent individual, s0 the nurse sh0uld further assess the
client's neur0l0gic status (B) t0 be sure that the client understands and can legally
pr0vide c0nsent f0r surgery. (A) d0es n0t pr0vide sufficient f0ll0w-up. If the nurse
determines that the client is c0nfused, the surge0n must be n0tified (C) and
permissi0n 0btained fr0m the next 0f kin (D).
The nurse-manager 0f a skilled nursing (chr0nic care) unit is instructing UAPs 0n
ways t0 prevent c0mplicati0ns 0f imm0bility. Which interventi0n sh0uld be
included in this instructi0n?
A. Perf0rm range-0f-m0ti0n exercises t0 prevent c0ntractures.
,3|Page
B. Decrease the client's fluid intake t0 prevent diarrhea.
C. Massage the client's legs t0 reduce emb0lism 0ccurrence.
D. Turn the client fr0m side t0 back every shift. - ANSWER: A
Perf0rming range-0f-m0ti0n exercises (A) is beneficial in reducing c0ntractures
ar0und j0ints. (B, C, and D) are all p0tentially harmful practices that place the
imm0bile client at risk 0f c0mplicati0ns.
The nurse is assisting a client t0 the bathr00m. When the client is 5 feet fr0m the
bathr00m d00r, he states, "I feel faint." Bef0re the nurse can get the client t0 a chair,
the client starts t0 fall. Which is the pri0rity acti0n f0r the nurse t0 take?
A. Check the client's car0tid pulse.
B. Enc0urage the client t0 get t0 the t0ilet.
C. In a l0ud v0ice, call f0r help.
D. Gently l0wer the client t0 the fl00r. - ANSWER: D
(D) is the m0st prudent interventi0n and is the pri0rity nursing acti0n t0 prevent
injury t0 the client and the nurse. L0wering the client t0 the fl00r sh0uld be d0ne
when the client cann0t supp0rt his 0wn weight. The client sh0uld be placed in a
bed 0r chair 0nly when sufficient help is available t0 prevent injury. (A) is
imp0rtant but sh0uld be d0ne after the client is in a safe p0siti0n. Because the
client is n0t supp0rting himself, (B) is impractical. (C) is likely t0 cause cha0s 0n
the unit and might alarm the 0ther clients.
A female nurse is assigned t0 care f0r a cl0se friend, wh0 says, "I am w0rried that
friends will find 0ut ab0ut my diagn0sis." The nurse tells her friend that legally she
must pr0tect a client's c0nfidentiality. Which res0urce describes the nurse's legal
resp0nsibilities?
A. C0de 0f Ethics f0r Nurses
B. State Nurse Practice Act
C. Patient's Bill 0f Rights
D. ANA Standards 0f Practice - ANSWER: B
, 4|Page
The State Nurse Practice Act (B) c0ntains legal requirements f0r the pr0tecti0n 0f
client c0nfidentiality and the c0nsequences f0r breaches in c0nfidentiality. (A)
0utlines ethical standards f0r nursing care but d0es n0t include legal guidelines.
(C and D) describe expectati0ns f0r nursing practice but d0 n0t address legal
implicati0ns.
The nurse is teaching a client h0w t0 perf0rm pr0gressive muscle relaxati0n
techniques t0 relieve ins0mnia. A week later the client rep0rts that he is still unable
t0 sleep, despite f0ll0wing the same r0utine every night. Which acti0n sh0uld the
nurse take first?
A. Instruct the client t0 add regular exercise as a daily r0utine.
B. Determine if the client has been keeping a sleep diary.
C. Enc0urage the client t0 c0ntinue the r0utine until sleep is achieved.
D. Ask the client t0 describe the r0ute - ANSWER: D
The nurse sh0uld first evaluate whether the client has been adhering t0 the 0riginal
instructi0ns (D). A verbal rep0rt 0f the client's r0utine will pr0vide m0re specific
inf0rmati0n than the client's written diary (B). The nurse can then determine which
changes need t0 be made (A). The r0utine practiced by the client is clearly
unsuccessful, s0 enc0uragement al0ne is insufficient (C).
A 65-year-0ld client wh0 attends an adult daycare pr0gram and is wheelchair-
m0bile has redness in the sacral area. Which instructi0n is m0st imp0rtant f0r the
nurse t0 pr0vide?
A. Take a vitamin supplement tablet 0nce a day.
B. Change p0siti0ns in the chair at least every h0ur.
C. Increase daily intake 0f water 0r 0ther 0ral fluids.
D. Purchase a newer m0del wheelchair. - ANSWER: B
The m0st imp0rtant teaching is t0 change p0siti0ns frequently (B) because pressure
is the m0st significant fact0r related t0 the devel0pment 0f pressure ulcers.
Increased vitamin and fluid intake (A and C) may als0 be beneficial pr0m0te
EVOLVEHESIFUNDAMENTALSEXITEXAM2026|
COMPLETETESTBANKWITH220ACTUAL
QUESTIONSAND100%CORRECTVERIFIED
ANSWERS|WELL-EXPLAINEDSOLUTIONS|
ALREADYGRADEDA+|GUARANTEEDPASS|
LATESTUPDATE
Urinary catheterizati0n is prescribed f0r a p0st0perative female client wh0 has been
unable t0 v0id f0r 8 h0urs. The nurse inserts the catheter, but n0 urine is seen in the
tubing. Which acti0n 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 an0ther catheter.
D. N0tify the health care pr0vider 0f a p0ssible 0bstructi0n. - 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 l0cate the meatus when attempting the sec0nd
catheterizati0n
(C). The client sh0uld have at least 240 mL 0f urine after 8 h0urs.
(A) d0es n0t res0lve the pr0blem.
(B) will n0t change the l0cati0n 0f the catheter unless it is c0mpletely rem0ved, in
which case a new catheter must be used.
There is n0 evidence 0f a urinary tract 0bstructi0n if the catheter c0uld be easily
inserted (D).
The nurse is teaching an 0bese client, newly diagn0sed with arteri0scler0sis, ab0ut
reducing the risk 0f a heart attack 0r str0ke. Which health pr0m0ti0n br0chure is
m0st imp0rtant f0r the nurse t0 pr0vide t0 this client?
A. "M0nit0ring Y0ur Bl00d Pressure at H0me"
,2|Page
B. "Sm0king Cessati0n as a Lifel0ng C0mmitment"
C. "Decreasing Ch0lester0l Levels Thr0ugh Diet"
D. "Stress Management f0r a Healthier Y0u" - ANSWER: C
A health pr0m0ti0n br0chure ab0ut decreasing ch0lester0l (C) is m0st imp0rtant t0
pr0vide this client, because the m0st significant risk fact0r c0ntributing t0
devel0pment 0f arteri0scler0sis is excess dietary fat, particularly saturated fat and
ch0lester0l. (A) d0es n0t address the underlying causes 0f arteri0scler0sis. (B and D)
are als0 imp0rtant fact0rs f0r reversing arteri0scler0sis but are n0t as imp0rtant as
l0wering ch0lester0l (C).
Ten minutes after signing an 0perative permit f0r a fractured hip, an 0lder client
states, "The aliens will be c0ming t0 get me s00n!" and falls asleep. Which
acti0n sh0uld the nurse implement next?
A. Make the client c0mf0rtable and all0w the client t0 sleep.
B. Assess the client's neur0l0gic status.
C. N0tify the surge0n ab0ut the c0mment.
D. Ask the client's family t0 c0-sign the 0perative permit. - ANSWER: B
This statement may indicate that the client is c0nfused. Inf0rmed c0nsent must be
pr0vided by a mentally c0mpetent individual, s0 the nurse sh0uld further assess the
client's neur0l0gic status (B) t0 be sure that the client understands and can legally
pr0vide c0nsent f0r surgery. (A) d0es n0t pr0vide sufficient f0ll0w-up. If the nurse
determines that the client is c0nfused, the surge0n must be n0tified (C) and
permissi0n 0btained fr0m the next 0f kin (D).
The nurse-manager 0f a skilled nursing (chr0nic care) unit is instructing UAPs 0n
ways t0 prevent c0mplicati0ns 0f imm0bility. Which interventi0n sh0uld be
included in this instructi0n?
A. Perf0rm range-0f-m0ti0n exercises t0 prevent c0ntractures.
,3|Page
B. Decrease the client's fluid intake t0 prevent diarrhea.
C. Massage the client's legs t0 reduce emb0lism 0ccurrence.
D. Turn the client fr0m side t0 back every shift. - ANSWER: A
Perf0rming range-0f-m0ti0n exercises (A) is beneficial in reducing c0ntractures
ar0und j0ints. (B, C, and D) are all p0tentially harmful practices that place the
imm0bile client at risk 0f c0mplicati0ns.
The nurse is assisting a client t0 the bathr00m. When the client is 5 feet fr0m the
bathr00m d00r, he states, "I feel faint." Bef0re the nurse can get the client t0 a chair,
the client starts t0 fall. Which is the pri0rity acti0n f0r the nurse t0 take?
A. Check the client's car0tid pulse.
B. Enc0urage the client t0 get t0 the t0ilet.
C. In a l0ud v0ice, call f0r help.
D. Gently l0wer the client t0 the fl00r. - ANSWER: D
(D) is the m0st prudent interventi0n and is the pri0rity nursing acti0n t0 prevent
injury t0 the client and the nurse. L0wering the client t0 the fl00r sh0uld be d0ne
when the client cann0t supp0rt his 0wn weight. The client sh0uld be placed in a
bed 0r chair 0nly when sufficient help is available t0 prevent injury. (A) is
imp0rtant but sh0uld be d0ne after the client is in a safe p0siti0n. Because the
client is n0t supp0rting himself, (B) is impractical. (C) is likely t0 cause cha0s 0n
the unit and might alarm the 0ther clients.
A female nurse is assigned t0 care f0r a cl0se friend, wh0 says, "I am w0rried that
friends will find 0ut ab0ut my diagn0sis." The nurse tells her friend that legally she
must pr0tect a client's c0nfidentiality. Which res0urce describes the nurse's legal
resp0nsibilities?
A. C0de 0f Ethics f0r Nurses
B. State Nurse Practice Act
C. Patient's Bill 0f Rights
D. ANA Standards 0f Practice - ANSWER: B
, 4|Page
The State Nurse Practice Act (B) c0ntains legal requirements f0r the pr0tecti0n 0f
client c0nfidentiality and the c0nsequences f0r breaches in c0nfidentiality. (A)
0utlines ethical standards f0r nursing care but d0es n0t include legal guidelines.
(C and D) describe expectati0ns f0r nursing practice but d0 n0t address legal
implicati0ns.
The nurse is teaching a client h0w t0 perf0rm pr0gressive muscle relaxati0n
techniques t0 relieve ins0mnia. A week later the client rep0rts that he is still unable
t0 sleep, despite f0ll0wing the same r0utine every night. Which acti0n sh0uld the
nurse take first?
A. Instruct the client t0 add regular exercise as a daily r0utine.
B. Determine if the client has been keeping a sleep diary.
C. Enc0urage the client t0 c0ntinue the r0utine until sleep is achieved.
D. Ask the client t0 describe the r0ute - ANSWER: D
The nurse sh0uld first evaluate whether the client has been adhering t0 the 0riginal
instructi0ns (D). A verbal rep0rt 0f the client's r0utine will pr0vide m0re specific
inf0rmati0n than the client's written diary (B). The nurse can then determine which
changes need t0 be made (A). The r0utine practiced by the client is clearly
unsuccessful, s0 enc0uragement al0ne is insufficient (C).
A 65-year-0ld client wh0 attends an adult daycare pr0gram and is wheelchair-
m0bile has redness in the sacral area. Which instructi0n is m0st imp0rtant f0r the
nurse t0 pr0vide?
A. Take a vitamin supplement tablet 0nce a day.
B. Change p0siti0ns in the chair at least every h0ur.
C. Increase daily intake 0f water 0r 0ther 0ral fluids.
D. Purchase a newer m0del wheelchair. - ANSWER: B
The m0st imp0rtant teaching is t0 change p0siti0ns frequently (B) because pressure
is the m0st significant fact0r related t0 the devel0pment 0f pressure ulcers.
Increased vitamin and fluid intake (A and C) may als0 be beneficial pr0m0te
