Fundamentals of Nursing Evolve HESI Real
Exams Questions Bank Review Latest 2026-2027 |
Evolve Hesi Fundamentals Best Exam Prep Test
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Answered Questions with Rationales (New!)
The home health nurse visits an older client who lives at home with her husband.
The client is experiencing frequent episodes of diarrhea and bowel incontinence.
Which problem, for which the client is at risk, has the greatest priority when
planning the client's care?
A) Disturbed sleep pattern.
B) Caregiver role strain.
C) Impaired skin integrity.
D)Fluid volume imbalance.
D)Fluid volume imbalance.
Rationale
Diarrhea can lead to fluid volume loss, which is potentially life-threatening, so the
highest priority is to prevent a fluid volume imbalance.
A male client with acquired immunodeficiency syndrome (AIDS) develops
cryptococcal meningitis and tells the nurse he does not want to be resuscitated if
his breathing stops. Which action should the nurse implement?
A) Document the client's request in the medical record.
B) Ask the client if this decision has been discussed with his healthcare provider.
C) Inform the client that a written, notarized advance directive, is required to
withhold resuscitation efforts.
1
,D) Advise the client to designate a person to make healthcare decisions when the
client is unable to do so.
B) Ask the client if this decision has been discussed with his healthcare provider.
Rationale
Advance directives are written statements of a person's wishes regarding medical
care, and verbal directives may be given to a healthcare provider with specific
instructions in the presence of two witnesses. To obtain this prescription, the client
should discuss his choice with the healthcare provider.
The charge nurse observes an unlicensed assistive personnel (UAP) bending at the
waist to lift a 20-pound box of medical supplies off the treatment room floor.
Which instruction should the charge nurse provide to the UAP?
A) Ask another staff member for assistance.
B) Request that supplies are delivered in smaller containers.
C) Push the box against the wall to provide support while lifting.
D) Bend at the knees when lifting heavy objects.
D) Bend at the knees when lifting heavy objects.
Rationale
A 20-pound box is safely lifted by bending the knees, holding the box close to the
center of gravity, and extending the legs using the quadriceps muscles.
In assessing a client's femoral pulse, the nurse must use deep palpation to feel the
pulsation while the client is in a supine position. Which action should the nurse
implement?
A) Elevate the head of the bed and attempt to palpate the site again.
B) Document the presence and volume of the pulse palpated.
C) Use a thigh cuff to measure the blood pressure in the leg.
2
,D) Record the presence of pitting edema in the inguinal area.
B) Document the presence and volume of the pulse palpated.
Rationale
Deep palpation may be required to palpate the femoral pulse, and, when palpated,
the nurse should document the presence and volume of the pulse.
When the nurse enters a client's room to do an initial assessment, the client shouts,
"Get out of my room! I'm tired of being bothered!" How should the nurse respond?
A) "There is no reason to be so angry."
B) "Why do I need to leave your room?"
C) "What is concerning you this morning?"
D) "Let me call the client advocate for you."
C) "What is concerning you this morning?"
Rationale
An open-ended question that encourages the client to discuss personal feelings.
Acting defensively and asking "why" questions are likely to elicit more anger and
block communication. By deferring to the client advocate, the nurse fails to even
address the client's feelings of anger and exasperation.
Which action is most important for the nurse to implement when placing a client in
the lateral recumbent position?
A) Raise the bed to a waist-high working level.
B) Elevate the head of the bed 45 degrees.
C) Place a pillow behind the client's back.
D) Bring the client to one edge of the bed.
A) Raise the bed to a waist-high working level.
Rationale
3
, A waist-high bed height is a comfortable and safe working height to maintain the
nurse's proper body mechanics and prevent back injury.
Before administering a client's medication, the nurse assesses a change in the
client's condition and decides to withhold the medication until consulting with the
healthcare provider. After consultation with the healthcare provider, the dose of the
medication is changed and the nurse administers the newly prescribed dose an hour
later than the originally scheduled time. Which action should the nurse implement
in response to this situation?
A) Notify the charge nurse that a medication error occurred.
B) Submit a medication variance report to the supervisor.
C) Document the events that occurred in the nurses' notes.
D) Discard the original medication administration record.
C) Document the events that occurred in the nurses' notes.
Rationale
The nurse took the correct action and should document the events that occurred in
the nurses' notes.
A client has a nursing problem of, "Spiritual distress related to a loss of hope,
secondary to impending death." Which intervention is best for the nurse to
implement when caring for this client?
A) Help the client to accept the final stage of life.
B) Assist and support the client in establishing short-term goals.
C) Encourage the client to make future plans, even if they are unrealistic.
D) Instruct the client's family to focus on positive aspects of the client's life.
B) Assist and support the client in establishing short-term goals.
Rationale
Hopefulness is necessary to sustain a meaningful existence, even close to death.
The nurse should help the client set short-term goals, and recognize the
4
Exams Questions Bank Review Latest 2026-2027 |
Evolve Hesi Fundamentals Best Exam Prep Test
Bank- a Review of 340 Latest Correctly
Answered Questions with Rationales (New!)
The home health nurse visits an older client who lives at home with her husband.
The client is experiencing frequent episodes of diarrhea and bowel incontinence.
Which problem, for which the client is at risk, has the greatest priority when
planning the client's care?
A) Disturbed sleep pattern.
B) Caregiver role strain.
C) Impaired skin integrity.
D)Fluid volume imbalance.
D)Fluid volume imbalance.
Rationale
Diarrhea can lead to fluid volume loss, which is potentially life-threatening, so the
highest priority is to prevent a fluid volume imbalance.
A male client with acquired immunodeficiency syndrome (AIDS) develops
cryptococcal meningitis and tells the nurse he does not want to be resuscitated if
his breathing stops. Which action should the nurse implement?
A) Document the client's request in the medical record.
B) Ask the client if this decision has been discussed with his healthcare provider.
C) Inform the client that a written, notarized advance directive, is required to
withhold resuscitation efforts.
1
,D) Advise the client to designate a person to make healthcare decisions when the
client is unable to do so.
B) Ask the client if this decision has been discussed with his healthcare provider.
Rationale
Advance directives are written statements of a person's wishes regarding medical
care, and verbal directives may be given to a healthcare provider with specific
instructions in the presence of two witnesses. To obtain this prescription, the client
should discuss his choice with the healthcare provider.
The charge nurse observes an unlicensed assistive personnel (UAP) bending at the
waist to lift a 20-pound box of medical supplies off the treatment room floor.
Which instruction should the charge nurse provide to the UAP?
A) Ask another staff member for assistance.
B) Request that supplies are delivered in smaller containers.
C) Push the box against the wall to provide support while lifting.
D) Bend at the knees when lifting heavy objects.
D) Bend at the knees when lifting heavy objects.
Rationale
A 20-pound box is safely lifted by bending the knees, holding the box close to the
center of gravity, and extending the legs using the quadriceps muscles.
In assessing a client's femoral pulse, the nurse must use deep palpation to feel the
pulsation while the client is in a supine position. Which action should the nurse
implement?
A) Elevate the head of the bed and attempt to palpate the site again.
B) Document the presence and volume of the pulse palpated.
C) Use a thigh cuff to measure the blood pressure in the leg.
2
,D) Record the presence of pitting edema in the inguinal area.
B) Document the presence and volume of the pulse palpated.
Rationale
Deep palpation may be required to palpate the femoral pulse, and, when palpated,
the nurse should document the presence and volume of the pulse.
When the nurse enters a client's room to do an initial assessment, the client shouts,
"Get out of my room! I'm tired of being bothered!" How should the nurse respond?
A) "There is no reason to be so angry."
B) "Why do I need to leave your room?"
C) "What is concerning you this morning?"
D) "Let me call the client advocate for you."
C) "What is concerning you this morning?"
Rationale
An open-ended question that encourages the client to discuss personal feelings.
Acting defensively and asking "why" questions are likely to elicit more anger and
block communication. By deferring to the client advocate, the nurse fails to even
address the client's feelings of anger and exasperation.
Which action is most important for the nurse to implement when placing a client in
the lateral recumbent position?
A) Raise the bed to a waist-high working level.
B) Elevate the head of the bed 45 degrees.
C) Place a pillow behind the client's back.
D) Bring the client to one edge of the bed.
A) Raise the bed to a waist-high working level.
Rationale
3
, A waist-high bed height is a comfortable and safe working height to maintain the
nurse's proper body mechanics and prevent back injury.
Before administering a client's medication, the nurse assesses a change in the
client's condition and decides to withhold the medication until consulting with the
healthcare provider. After consultation with the healthcare provider, the dose of the
medication is changed and the nurse administers the newly prescribed dose an hour
later than the originally scheduled time. Which action should the nurse implement
in response to this situation?
A) Notify the charge nurse that a medication error occurred.
B) Submit a medication variance report to the supervisor.
C) Document the events that occurred in the nurses' notes.
D) Discard the original medication administration record.
C) Document the events that occurred in the nurses' notes.
Rationale
The nurse took the correct action and should document the events that occurred in
the nurses' notes.
A client has a nursing problem of, "Spiritual distress related to a loss of hope,
secondary to impending death." Which intervention is best for the nurse to
implement when caring for this client?
A) Help the client to accept the final stage of life.
B) Assist and support the client in establishing short-term goals.
C) Encourage the client to make future plans, even if they are unrealistic.
D) Instruct the client's family to focus on positive aspects of the client's life.
B) Assist and support the client in establishing short-term goals.
Rationale
Hopefulness is necessary to sustain a meaningful existence, even close to death.
The nurse should help the client set short-term goals, and recognize the
4
