Evolve HESI Fundamentals Exam Prep Test Bank
2026-2027
200+ Latest Questions with Correct Answers &
Detailed Rationales
Welcome to the most comprehensive Evolve HESI Fundamentals Exam review guide for the
2026-2027 academic year. This resource contains 490 verified practice questions with detailed
rationales, designed to help nursing students succeed on the HESI Fundamentals exam and
build clinical judgment skills . Covering all core content areas of fundamentals nursing—
including safety, infection control, medication administration, patient care, mobility, nutrition,
and critical thinking—this test bank follows the latest NCLEX-RN test plan and Evolve HESI
format . Each question is accompanied by a rationale explaining the correct answer and why
the distractors are incorrect .
Exam Overview
Exam Detail Information
Full Name Evolve HESI RN Fundamentals Exam
Format Multiple-choice, Select All That Apply (SATA), ordered response
Key Topics Safety, Infection Control, Medication Administration, Nursing Process, Nutrition,
Mobility, Elimination, Oxygenation, Pain Management, Wound Care
Question Types 490 questions across multiple versions with rationales
,SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-90)
Question 1: A nurse is caring for a client with a wrist restraint in place. The client's right hand is
cool to the touch, with a blue tint and capillary refill greater than 3 seconds. What action should
the nurse implement first?
A. Apply a pulse oximeter to the right hand
B. Compare hand color bilaterally
C. Loosen the right wrist restraint
D. Palpate the right radial pulse
Correct Answer: C
Rationale: Blue fingers indicate cyanosis and decreased circulation from the restraint. The
priority nursing action is to restore circulation by loosening the restraint immediately. While
comparing hand color and palpating the radial pulse are important assessments, they should
occur after restoring circulation. Pulse oximetry measures oxygen saturation but does not
address the immediate mechanical obstruction .
Question 2: An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential for preventing skin breakdown and promoting safe mobility?
A. Massage any reddened areas for at least five minutes
B. Encourage active range-of-motion exercises on all extremities
C. Position the client laterally, prone, and dorsally in sequence
D. Gently lift the client when moving into a desired position
Correct Answer: D
Rationale: To avoid shearing forces, the client should be lifted gently across surfaces during
repositioning. Shearing forces occur when skin remains in place while underlying tissues move,
, damaging capillaries and increasing pressure injury risk. Reddened areas should not be
massaged, as this may increase damage to already traumatized tissues. Active range of motion
may be limited on the affected leg to control pain and maintain alignment .
Question 3: A client with suspected tuberculosis requires airborne precautions. What protective
equipment should the nurse wear when entering the room?
A. Surgical mask only
B. N95 respirator with gloves
C. Gown, gloves, and surgical mask
D. N95 respirator with eye protection and gloves
Correct Answer: D
Rationale: Tuberculosis requires airborne precautions. An N95 respirator is required for
airborne pathogens, and eye protection is recommended when splashes are possible. Gloves
are standard when contact with body fluids is possible. Standard surgical masks do not provide
adequate filtration for airborne droplet nuclei. Gowns may be necessary if there is risk of
contact with body fluids .
Question 4: Which client is at the highest risk for falling in a healthcare setting?
A. A 45-year-old postoperative client with stable vital signs
B. A 70-year-old client with a history of falls taking antihypertensives
C. A 30-year-old client with a broken leg using crutches correctly
D. A 50-year-old client with mild arthritis
Correct Answer: B
2026-2027
200+ Latest Questions with Correct Answers &
Detailed Rationales
Welcome to the most comprehensive Evolve HESI Fundamentals Exam review guide for the
2026-2027 academic year. This resource contains 490 verified practice questions with detailed
rationales, designed to help nursing students succeed on the HESI Fundamentals exam and
build clinical judgment skills . Covering all core content areas of fundamentals nursing—
including safety, infection control, medication administration, patient care, mobility, nutrition,
and critical thinking—this test bank follows the latest NCLEX-RN test plan and Evolve HESI
format . Each question is accompanied by a rationale explaining the correct answer and why
the distractors are incorrect .
Exam Overview
Exam Detail Information
Full Name Evolve HESI RN Fundamentals Exam
Format Multiple-choice, Select All That Apply (SATA), ordered response
Key Topics Safety, Infection Control, Medication Administration, Nursing Process, Nutrition,
Mobility, Elimination, Oxygenation, Pain Management, Wound Care
Question Types 490 questions across multiple versions with rationales
,SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-90)
Question 1: A nurse is caring for a client with a wrist restraint in place. The client's right hand is
cool to the touch, with a blue tint and capillary refill greater than 3 seconds. What action should
the nurse implement first?
A. Apply a pulse oximeter to the right hand
B. Compare hand color bilaterally
C. Loosen the right wrist restraint
D. Palpate the right radial pulse
Correct Answer: C
Rationale: Blue fingers indicate cyanosis and decreased circulation from the restraint. The
priority nursing action is to restore circulation by loosening the restraint immediately. While
comparing hand color and palpating the radial pulse are important assessments, they should
occur after restoring circulation. Pulse oximetry measures oxygen saturation but does not
address the immediate mechanical obstruction .
Question 2: An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential for preventing skin breakdown and promoting safe mobility?
A. Massage any reddened areas for at least five minutes
B. Encourage active range-of-motion exercises on all extremities
C. Position the client laterally, prone, and dorsally in sequence
D. Gently lift the client when moving into a desired position
Correct Answer: D
Rationale: To avoid shearing forces, the client should be lifted gently across surfaces during
repositioning. Shearing forces occur when skin remains in place while underlying tissues move,
, damaging capillaries and increasing pressure injury risk. Reddened areas should not be
massaged, as this may increase damage to already traumatized tissues. Active range of motion
may be limited on the affected leg to control pain and maintain alignment .
Question 3: A client with suspected tuberculosis requires airborne precautions. What protective
equipment should the nurse wear when entering the room?
A. Surgical mask only
B. N95 respirator with gloves
C. Gown, gloves, and surgical mask
D. N95 respirator with eye protection and gloves
Correct Answer: D
Rationale: Tuberculosis requires airborne precautions. An N95 respirator is required for
airborne pathogens, and eye protection is recommended when splashes are possible. Gloves
are standard when contact with body fluids is possible. Standard surgical masks do not provide
adequate filtration for airborne droplet nuclei. Gowns may be necessary if there is risk of
contact with body fluids .
Question 4: Which client is at the highest risk for falling in a healthcare setting?
A. A 45-year-old postoperative client with stable vital signs
B. A 70-year-old client with a history of falls taking antihypertensives
C. A 30-year-old client with a broken leg using crutches correctly
D. A 50-year-old client with mild arthritis
Correct Answer: B
