Evolve HESI Fundamentals Practice Test
| Complete Exam Questions with Correct
Answers and Detailed Explanations |
Updated 2026 - Guaranteed Pass!!
Question 1
The nurse is instructing a client with high cholesterol about diet and lifestyle
modification. What comment from the client indicates that the teaching has been
effective?
A. If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase.
Correct Answer: C
Explanation: Limiting red meat intake to 4 ounces per week is an appropriate dietary
modification for lowering cholesterol. Exercise should be more frequent than twice
weekly, proteins should not be completely avoided, and LDL should decrease, not
increase.
Question 2
A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red
blood cells) as rapidly as possible. Which intervention is most important for the nurse to
implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up.
C. Monitor vital signs q15 minutes for the first hour.
D. Ensure the accuracy of the blood type match.
Correct Answer: D
Explanation: Ensuring accurate blood type match is the most critical intervention to
prevent a life-threatening hemolytic transfusion reaction.
pg. 1
,Question 3
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is within
the client's usual range. What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
Correct Answer: B
Explanation: A cuff that is too small can give a falsely elevated reading. The nurse
should reassess with the correct size cuff to ensure accuracy.
Question 4
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours.
The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to
administer approximately how many drops per minute?
A. 80
B. 8
C. 21
D. 25
Correct Answer: C
Explanation: 1000 ml ÷ 8 hours = 125 ml/hr. 125 ml/hr × 10 gtt/ml = 1250 gtt/hr.
1250 ÷ 60 minutes = 20.8 ≈ 21 gtt/min.
Question 5
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At
what rate should the nurse set the client's intravenous infusion pump?
A. 13 ml/hour
B. 63 ml/hour
C. 80 ml/hour
D. 125 ml/hour
Correct Answer: B
Explanation: 250 ml ÷ 4 hours = 62.5 ≈ 63 ml/hour.
pg. 2
, Question 6
When conducting an admission assessment, the nurse should ask the client about the
use of complementary healing practices. Which statement is accurate regarding the use
of these practices?
A. Complementary healing practices interfere with the efficacy of the medical model of
treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse
effects.
C. Many complementary healing practices can be used in conjunction with conventional
practices.
D. Conventional medical practices will ultimately replace the use of complementary
healing practices.
Correct Answer: C
Explanation: Many complementary healing practices can be safely used in
conjunction with conventional medical practices.
Question 7
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives
from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the
IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion?
Correct Answer: 150
Explanation: 50 ml ÷ 20 minutes = 2.5 ml/min. 2.5 ml/min × 60 minutes = 150
ml/hr.
Question 8
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea
for fifteen seconds, large amounts of thick yellow secretions return. What action should
the nurse implement next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again.
pg. 3
| Complete Exam Questions with Correct
Answers and Detailed Explanations |
Updated 2026 - Guaranteed Pass!!
Question 1
The nurse is instructing a client with high cholesterol about diet and lifestyle
modification. What comment from the client indicates that the teaching has been
effective?
A. If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase.
Correct Answer: C
Explanation: Limiting red meat intake to 4 ounces per week is an appropriate dietary
modification for lowering cholesterol. Exercise should be more frequent than twice
weekly, proteins should not be completely avoided, and LDL should decrease, not
increase.
Question 2
A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red
blood cells) as rapidly as possible. Which intervention is most important for the nurse to
implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up.
C. Monitor vital signs q15 minutes for the first hour.
D. Ensure the accuracy of the blood type match.
Correct Answer: D
Explanation: Ensuring accurate blood type match is the most critical intervention to
prevent a life-threatening hemolytic transfusion reaction.
pg. 1
,Question 3
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is within
the client's usual range. What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
Correct Answer: B
Explanation: A cuff that is too small can give a falsely elevated reading. The nurse
should reassess with the correct size cuff to ensure accuracy.
Question 4
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours.
The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to
administer approximately how many drops per minute?
A. 80
B. 8
C. 21
D. 25
Correct Answer: C
Explanation: 1000 ml ÷ 8 hours = 125 ml/hr. 125 ml/hr × 10 gtt/ml = 1250 gtt/hr.
1250 ÷ 60 minutes = 20.8 ≈ 21 gtt/min.
Question 5
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At
what rate should the nurse set the client's intravenous infusion pump?
A. 13 ml/hour
B. 63 ml/hour
C. 80 ml/hour
D. 125 ml/hour
Correct Answer: B
Explanation: 250 ml ÷ 4 hours = 62.5 ≈ 63 ml/hour.
pg. 2
, Question 6
When conducting an admission assessment, the nurse should ask the client about the
use of complementary healing practices. Which statement is accurate regarding the use
of these practices?
A. Complementary healing practices interfere with the efficacy of the medical model of
treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse
effects.
C. Many complementary healing practices can be used in conjunction with conventional
practices.
D. Conventional medical practices will ultimately replace the use of complementary
healing practices.
Correct Answer: C
Explanation: Many complementary healing practices can be safely used in
conjunction with conventional medical practices.
Question 7
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives
from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the
IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion?
Correct Answer: 150
Explanation: 50 ml ÷ 20 minutes = 2.5 ml/min. 2.5 ml/min × 60 minutes = 150
ml/hr.
Question 8
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea
for fifteen seconds, large amounts of thick yellow secretions return. What action should
the nurse implement next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again.
pg. 3
