Evolve HESI Fundamentals Real Exam Questions
Bank Review 2026-2027
540 Latest Correctly Answered Questions with
Rationales (New!)
Welcome to the most comprehensive Evolve HESI Fundamentals Exam review
guide for the 2026-2027 academic year. This document contains 540 verified
practice questions with detailed rationales, designed to help nursing students
pass the HESI Fundamentals exam and build clinical judgment skills for the NCLEX-
RN . Covering all core topics—including safety, infection control, medication
administration, patient care, mobility, nutrition, fluid balance, elimination,
oxygenation, pain management, and wound care—this test bank follows the
latest Evolve HESI format and NCSBN standards . Each question includes a
detailed 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
Question Types 540 questions across multiple versions with rationales
Key Topics Safety, Infection Control, Medication Administration, Nursing
Process, Nutrition, Mobility, Elimination, Oxygenation, Pain Management, Wound
Care, Fluid & Electrolytes
Versions Covered Versions 1, 2, & 3 of the exam
,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 .
Question 2: 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 .
Question 3: A nurse is preparing to transfer a heavy, immobile patient from bed to chair. Which
action best protects the nurse's back?
A) Use proper body mechanics with back straight and knees bent
B) Transfer the patient independently, slowly and carefully
C) Slide the patient down in bed, then lift from the knees
D) Use a mechanical lift device designed for patient transfers
Correct Answer: D
Rationale: Current guidelines emphasize that relying on body mechanics alone is insufficient to
prevent back injury. Mechanical lift devices are recommended for patient transfers to protect
the nurse's musculoskeletal health. Even with proper form, heavy lifts carry significant injury
risk .
Question 4: A client asks the nurse about advance directives. Which response is most
appropriate?
A) "You should discuss your wishes with your family first."
B) "Your healthcare provider will decide what is best for you."
C) "I can provide information about advance directives and help you get started."
D) "Advance directives are only for older adults."
Correct Answer: C
Bank Review 2026-2027
540 Latest Correctly Answered Questions with
Rationales (New!)
Welcome to the most comprehensive Evolve HESI Fundamentals Exam review
guide for the 2026-2027 academic year. This document contains 540 verified
practice questions with detailed rationales, designed to help nursing students
pass the HESI Fundamentals exam and build clinical judgment skills for the NCLEX-
RN . Covering all core topics—including safety, infection control, medication
administration, patient care, mobility, nutrition, fluid balance, elimination,
oxygenation, pain management, and wound care—this test bank follows the
latest Evolve HESI format and NCSBN standards . Each question includes a
detailed 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
Question Types 540 questions across multiple versions with rationales
Key Topics Safety, Infection Control, Medication Administration, Nursing
Process, Nutrition, Mobility, Elimination, Oxygenation, Pain Management, Wound
Care, Fluid & Electrolytes
Versions Covered Versions 1, 2, & 3 of the exam
,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 .
Question 2: 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 .
Question 3: A nurse is preparing to transfer a heavy, immobile patient from bed to chair. Which
action best protects the nurse's back?
A) Use proper body mechanics with back straight and knees bent
B) Transfer the patient independently, slowly and carefully
C) Slide the patient down in bed, then lift from the knees
D) Use a mechanical lift device designed for patient transfers
Correct Answer: D
Rationale: Current guidelines emphasize that relying on body mechanics alone is insufficient to
prevent back injury. Mechanical lift devices are recommended for patient transfers to protect
the nurse's musculoskeletal health. Even with proper form, heavy lifts carry significant injury
risk .
Question 4: A client asks the nurse about advance directives. Which response is most
appropriate?
A) "You should discuss your wishes with your family first."
B) "Your healthcare provider will decide what is best for you."
C) "I can provide information about advance directives and help you get started."
D) "Advance directives are only for older adults."
Correct Answer: C
