Evolve HESI Fundamentals Exit Exam 2026 - Complete
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Question 1
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
Explanation: 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. The client should have at least 240 mL of urine after 8 hours.
Question 2
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
Explanation: A health promotion brochure about decreasing cholesterol is most
important because the most significant risk factor contributing to development of
arteriosclerosis is excess dietary fat, particularly saturated fat and cholesterol.
pg. 1
,Question 3
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
Explanation: 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.
Question 4
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
Explanation: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. The other options are potentially harmful practices that
place the immobile client at risk of complications.
Question 5
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.
pg. 2
,Correct Answer: D
Explanation: This 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.
Question 6
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
D. ANA Standards of Practice
Correct Answer: B
Explanation: The State Nurse Practice Act contains legal requirements for the
protection of client confidentiality and the consequences for breaches in confidentiality.
Question 7
The nurse is teaching a client how to perform progressive muscle relaxation techniques
to relieve insomnia. A week later the client reports that he is still unable to sleep, despite
following the same routine every night. Which action should the nurse take first?
A. Instruct the client to add regular exercise as a daily routine.
B. Determine if the client has been keeping a sleep diary.
C. Encourage the client to continue the routine until sleep is achieved.
D. Ask the client to describe the routine.
Correct Answer: D
Explanation: The nurse should first evaluate whether the client has been adhering to
the original instructions. A verbal report of the client's routine will provide more specific
information than the client's written diary.
Question 8
pg. 3
, A 65-year-old client who attends an adult daycare program and is wheelchair-mobile
has redness in the sacral area. Which instruction is most important for the nurse to
provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair.
Correct Answer: B
Explanation: The most important teaching is to change positions frequently because
pressure is the most significant factor related to the development of pressure ulcers.
Question 9
When turning an immobile bedridden client without assistance, which action by the
nurse best ensures client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly.
Correct Answer: B
Explanation: Because the nurse can only stand on one side of the bed, bed rails should
be up on the opposite side to ensure that the client does not fall out of bed.
Question 10
A female client with frequent urinary tract infections (UTIs) asks the nurse to explain
her friend's advice about drinking a glass of juice daily to prevent future UTIs. Which
response is best for the nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C. Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics.
Correct Answer: C
Explanation: Cranberry juice maintains urinary tract health by reducing the
adherence of Escherichia coli bacteria to cells within the bladder.
pg. 4
Test Bank With 200+ Actual Exam Questions and 100%
Correct Verified Answers with Explanations || Latest
Update - Guaranteed Pass!!
Question 1
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
Explanation: 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. The client should have at least 240 mL of urine after 8 hours.
Question 2
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
Explanation: A health promotion brochure about decreasing cholesterol is most
important because the most significant risk factor contributing to development of
arteriosclerosis is excess dietary fat, particularly saturated fat and cholesterol.
pg. 1
,Question 3
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
Explanation: 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.
Question 4
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
Explanation: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. The other options are potentially harmful practices that
place the immobile client at risk of complications.
Question 5
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.
pg. 2
,Correct Answer: D
Explanation: This 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.
Question 6
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
D. ANA Standards of Practice
Correct Answer: B
Explanation: The State Nurse Practice Act contains legal requirements for the
protection of client confidentiality and the consequences for breaches in confidentiality.
Question 7
The nurse is teaching a client how to perform progressive muscle relaxation techniques
to relieve insomnia. A week later the client reports that he is still unable to sleep, despite
following the same routine every night. Which action should the nurse take first?
A. Instruct the client to add regular exercise as a daily routine.
B. Determine if the client has been keeping a sleep diary.
C. Encourage the client to continue the routine until sleep is achieved.
D. Ask the client to describe the routine.
Correct Answer: D
Explanation: The nurse should first evaluate whether the client has been adhering to
the original instructions. A verbal report of the client's routine will provide more specific
information than the client's written diary.
Question 8
pg. 3
, A 65-year-old client who attends an adult daycare program and is wheelchair-mobile
has redness in the sacral area. Which instruction is most important for the nurse to
provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair.
Correct Answer: B
Explanation: The most important teaching is to change positions frequently because
pressure is the most significant factor related to the development of pressure ulcers.
Question 9
When turning an immobile bedridden client without assistance, which action by the
nurse best ensures client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly.
Correct Answer: B
Explanation: Because the nurse can only stand on one side of the bed, bed rails should
be up on the opposite side to ensure that the client does not fall out of bed.
Question 10
A female client with frequent urinary tract infections (UTIs) asks the nurse to explain
her friend's advice about drinking a glass of juice daily to prevent future UTIs. Which
response is best for the nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C. Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics.
Correct Answer: C
Explanation: Cranberry juice maintains urinary tract health by reducing the
adherence of Escherichia coli bacteria to cells within the bladder.
pg. 4
