PN Fundamentals of Nursing Evolve HESI Real
Exams Questions Review 2026-2027
400+ Latest Correctly Answered Questions with
Rationales (New!)
This comprehensive review guide contains 400+ verified practice questions for the PN
Fundamentals HESI Exam, updated for the 2026-2027 testing cycle. The questions cover all core
areas of fundamentals nursing—including safety, infection control, medication administration,
patient care, mobility, nutrition, elimination, oxygenation, pain management, and wound
care—with detailed rationales for each answer. This resource reflects the latest Evolve HESI
testing standards and aligns with the NCLEX-PN test plan.
Exam Overview
Exam Detail Information
Full Name Evolve HESI PN 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
Version Comprehensive review with 400+ questions
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-80)
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
Rationale: The nurse's role is to provide information about advance directives and facilitate the
process, not to make decisions or limit information based on age. Nurses should offer
resources, answer Questions, and support patients in expressing their wishes regarding future
healthcare decisions.
Question 5: A client is diagnosed with Clostridium difficile (C. diff). Which type of precautions
should the nurse implement?
A) Airborne precautions
B) Droplet precautions
C) Contact precautions
, D) Protective isolation
Correct Answer: C
Rationale: C. diff is spread via spores through the fecal-oral route and direct contact with
contaminated surfaces. Contact precautions require a private room (or cohort), gloves, and a
gown. Alcohol-based hand sanitizers are ineffective against C. diff spores; hand washing with
soap and water is required.
Question 6: A client who has been on bedrest for several days becomes dizzy when assisted out
of bed for the first time. What should the nurse do?
A) Encourage the client to take several slow, deep breaths while ambulating
B) Help the client remain standing by the bedside until the dizziness passes
C) Instruct the client to remain on bedrest until the provider is contacted
D) Advise the client to sit on the side of the bed for a few minutes before standing again
Correct Answer: D
Rationale: Orthostatic hypotension is a common result of immobilization. The body should
acclimate to a standing position by sitting upright for a short period before rising. This allows
the cardiovascular system to compensate for positional changes.
Question 7: A nurse is caring for a client who is at risk for falls. Which intervention should the
nurse implement first?
A) Place a fall risk bracelet on the client
B) Keep the bed in the low position
C) Assess the client's risk factors for falls
Exams Questions Review 2026-2027
400+ Latest Correctly Answered Questions with
Rationales (New!)
This comprehensive review guide contains 400+ verified practice questions for the PN
Fundamentals HESI Exam, updated for the 2026-2027 testing cycle. The questions cover all core
areas of fundamentals nursing—including safety, infection control, medication administration,
patient care, mobility, nutrition, elimination, oxygenation, pain management, and wound
care—with detailed rationales for each answer. This resource reflects the latest Evolve HESI
testing standards and aligns with the NCLEX-PN test plan.
Exam Overview
Exam Detail Information
Full Name Evolve HESI PN 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
Version Comprehensive review with 400+ questions
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-80)
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
Rationale: The nurse's role is to provide information about advance directives and facilitate the
process, not to make decisions or limit information based on age. Nurses should offer
resources, answer Questions, and support patients in expressing their wishes regarding future
healthcare decisions.
Question 5: A client is diagnosed with Clostridium difficile (C. diff). Which type of precautions
should the nurse implement?
A) Airborne precautions
B) Droplet precautions
C) Contact precautions
, D) Protective isolation
Correct Answer: C
Rationale: C. diff is spread via spores through the fecal-oral route and direct contact with
contaminated surfaces. Contact precautions require a private room (or cohort), gloves, and a
gown. Alcohol-based hand sanitizers are ineffective against C. diff spores; hand washing with
soap and water is required.
Question 6: A client who has been on bedrest for several days becomes dizzy when assisted out
of bed for the first time. What should the nurse do?
A) Encourage the client to take several slow, deep breaths while ambulating
B) Help the client remain standing by the bedside until the dizziness passes
C) Instruct the client to remain on bedrest until the provider is contacted
D) Advise the client to sit on the side of the bed for a few minutes before standing again
Correct Answer: D
Rationale: Orthostatic hypotension is a common result of immobilization. The body should
acclimate to a standing position by sitting upright for a short period before rising. This allows
the cardiovascular system to compensate for positional changes.
Question 7: A nurse is caring for a client who is at risk for falls. Which intervention should the
nurse implement first?
A) Place a fall risk bracelet on the client
B) Keep the bed in the low position
C) Assess the client's risk factors for falls
