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Evolve HESI Fundamentals Skills Versions 1, 2 & 3 (2024) – Complete Practice Questions, Answer Rationales, and Nursing Fundamentals Study Guide

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This document provides comprehensive preparation for the 2024 Evolve HESI Fundamentals Skills Versions 1, 2, and 3 exams, featuring exam-style practice questions with detailed answer rationales covering the essential nursing fundamentals assessed in nursing programs. It includes review material on basic nursing care, patient safety, infection control, communication, documentation, vital signs, medication administration, nursing interventions, and clinical judgment to help students prepare confidently for the HESI Fundamentals exam.

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EVOLVE- HESI FUNDAMENTAL
SKILLS | 2026 EVOLVE HESI
FUNDAMENTALS VERSION 1,2 &
3 ACTUAL EXAM EACH VERSION
CONTAINS 432 VERIFIED
QUESTIONS AND 100% CORRECT
DETAILED ANSWERS WITH
RATIONALES|GRADED A+
(BRAND NEW 2026!!)
Which activity would the nurse use as an example of fine motor skills of infants aged 2
to 4 months? - answer-Bringing objects from hand to mouth



A client with cystic fibrosis asks why the percussion procedure is being performed. The
nurse explains that the primary purpose of percussion is to do what? - answer-Loosen
pulmonary secretions



An older adult in an acute care setting is experiencing emotional stress because of a
recent surgery. Which intervention would be most appropriate for the client? - answer-
Reality orientation



After abdominal surgery a client reports pain. What action should the nurse take first? -
answer-Determine the characteristics of the pain



When planning discharge teaching for a young adult, the nurse should include the
potential health problems common in this age group. What should the nurse include in
this teaching plan? - answer-Accidents, including their prevention

,Which statement is true about the nursing model "team nursing"? - answer-Hierarchical
communication exists from charge nurse to charge nurse, charge nurse to team leader,
and team leader to team members.



A registered nurse instructs a nursing student to use knowledge and experience to
choose proper strategies to use to care for clients. Which critical-thinking skill does the
registered nurse refer to? - answer-Explanation



Which theories are most relevant to development in adults? Select all that apply. -
answer-Life Span approach



Stage-Crisis theory



A nurse is assessing a middle-aged client whose children have left home in search of
work. The client is trying to adjust to these family changes. Which family life-cycle stage
is the client going through? - answer-Launching children and moving on



Which right of delegation refers to the giving of clear, concise descriptions of a task to
the delegatee? - answer-Right communication



A client admitted to the hospital with a diagnosis of malabsorption syndrome exhibits
signs of tetany. The nurse concludes that the tetany was precipitated by the inadequate
absorption of which electrolyte? - answer-Calcium



A client who is dying jokes about the situation even though the client is becoming sicker
and weaker. Which is the most therapeutic response by the nurse? - answer-"Does it
help to joke about your illness?"



What type of functional health pattern would the nurse explain describes values and
goals? - answer-Value-belief pattern

,A client being treated for influenza A (H1N1) is scheduled for a computed tomography
(CT) scan. To ensure client and visitor safety during transport, the nurse should take
which precaution? - answer-Place a surgical mask on the client.



How can a nurse best evaluate the effectiveness of communication with a client? -
answer-Client feedback



Nursing actions for an older adult should include health education and promotion of
self-care. Which is most important when working with an older adult client? - answer-
Reinforcing the client's strengths and promoting reminiscing



A client with a leg prosthesis and a history of syncopal episodes is being admitted to the
hospital. When formulating the plan of care for this client, the nurse should include that
the client is at risk for what? - answer-Falls



A home health nurse on a first visit checks the client's vital signs and obtains a blood
sample for an international normalized ratio (INR). After these tasks are completed, the
client asks the nurse to straighten the blankets on the bed. What is the nurse's most
appropriate response? - answer-"Of course. I want to do whatever I can for you."



Which developmental changes should be evaluated in girls around 12 years of age? -
answer-Skeletal Growth



A nurse is reviewing how a hyperglycemic client's blood glucose can be lowered. The
nurse recalls that the chemical that buffers the client's excessive acetoacetic acid is
what? - answer-Sodium bicarbonate



What principal components are associated with a nurse's time management skill?
Select all that apply. - answer-Goal setting



Priority setting

, Interruption control



On the third postoperative day after a below-the-knee amputation, a client is refusing to
eat, talk, or perform any rehabilitative activities. What is the best initial approach that
the nurse should take when interacting with this client? - answer-Acknowledge that the
client's withdrawal is an expected and necessary part of initial grieving



Which concept refers to respecting the rights of others? - answer-Open-mindedness



A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I
love him, but I don't want to upset him." Which is the best response by the nurse? -
answer-"Why don't you share your feelings with him while you can?"



Which fine-motor skills may be observed in an 8 to 10 month-old infant? Select all that
apply. - answer-Using pincer grasp well



Picking up small objects



Showing hand preference



An 80-year-old client is admitted to the hospital because of complications associated
with severe dehydration. The client's daughter asks the nurse how her mother could
have become dehydrated, because she is alert and able to care for herself. The nurse's
best response is: - answer-"The thirst reflex diminishes with age, and therefore the
recognition of the need for fluid is decreased."



What are the goals of care when working with families according to the family health
system? Select all that apply. - answer-To improve family health or well-being



To assist in family management of illness conditions

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