Evolve HESI Fundamentals Exam (Versions 1, 2 & 3) | Complete
Questions and Guide Answers & Rationales, 100% Verified Graded
A+ | LATEST UPDATE THIS YEAR.PDF
VERSION 1
Nursing Foundations & Clinical Judgment
1. Which action is most important when the nurse first enters the room of a
hospitalized client?
A. Review the medication administration record
B. Verify the client's identity
C. Assess the client's dietary preferences
D. Document the client's sleep pattern
Answer: B. Verify the client's identity
Rationale: Correct identification is essential before providing care, medications, treatments,
or procedures.
2. Which nursing action demonstrates the principle of autonomy?
A. Giving medication despite refusal
B. Allowing a competent client to refuse treatment
,C. Choosing treatment based on the nurse's preference
D. Withholding information from the client
Answer: B. Allowing a competent client to refuse treatment
Rationale: Autonomy recognizes the client's right to make informed decisions about
personal healthcare.
3. Which ethical principle requires the nurse to avoid causing harm?
A. Justice
B. Fidelity
C. Nonmaleficence
D. Veracity
Answer: C. Nonmaleficence
Rationale: Nonmaleficence means avoiding actions that could cause unnecessary harm.
4. Which ethical principle refers to keeping promises made to a client?
A. Fidelity
B. Justice
C. Autonomy
D. Beneficence
,Answer: A. Fidelity
Rationale: Fidelity involves keeping commitments and being faithful to professional
responsibilities.
5. Which action best demonstrates beneficence?
A. Protecting a client's privacy
B. Promoting the client's well-being
C. Allowing unequal treatment
D. Withholding information
Answer: B. Promoting the client's well-being
Rationale: Beneficence requires actions intended to benefit the client.
6. The nurse is preparing to administer a medication. Which identification method is
safest?
A. Ask the client to state the room number
B. Check the client's diagnosis
C. Use two approved identifiers
D. Ask another client to identify the person
Answer: C. Use two approved identifiers
Rationale: Two identifiers reduce the risk of administering care to the wrong client.
, 7. Which action is appropriate when documenting a nursing assessment?
A. Record assumptions about the client
B. Use objective and factual language
C. Document care before it occurs
D. Erase incorrect information from the record
Answer: B. Use objective and factual language
Rationale: Documentation should accurately describe observed findings and completed
care.
8. Which nursing action violates confidentiality?
A. Discussing care privately with the healthcare team
B. Sharing client information with an unauthorized friend
C. Documenting findings in the medical record
D. Reporting changes to the provider
Answer: B. Sharing client information with an unauthorized friend
Rationale: Protected health information should only be disclosed to authorized individuals
for appropriate purposes.
9. Which client should the nurse assess first?
Questions and Guide Answers & Rationales, 100% Verified Graded
A+ | LATEST UPDATE THIS YEAR.PDF
VERSION 1
Nursing Foundations & Clinical Judgment
1. Which action is most important when the nurse first enters the room of a
hospitalized client?
A. Review the medication administration record
B. Verify the client's identity
C. Assess the client's dietary preferences
D. Document the client's sleep pattern
Answer: B. Verify the client's identity
Rationale: Correct identification is essential before providing care, medications, treatments,
or procedures.
2. Which nursing action demonstrates the principle of autonomy?
A. Giving medication despite refusal
B. Allowing a competent client to refuse treatment
,C. Choosing treatment based on the nurse's preference
D. Withholding information from the client
Answer: B. Allowing a competent client to refuse treatment
Rationale: Autonomy recognizes the client's right to make informed decisions about
personal healthcare.
3. Which ethical principle requires the nurse to avoid causing harm?
A. Justice
B. Fidelity
C. Nonmaleficence
D. Veracity
Answer: C. Nonmaleficence
Rationale: Nonmaleficence means avoiding actions that could cause unnecessary harm.
4. Which ethical principle refers to keeping promises made to a client?
A. Fidelity
B. Justice
C. Autonomy
D. Beneficence
,Answer: A. Fidelity
Rationale: Fidelity involves keeping commitments and being faithful to professional
responsibilities.
5. Which action best demonstrates beneficence?
A. Protecting a client's privacy
B. Promoting the client's well-being
C. Allowing unequal treatment
D. Withholding information
Answer: B. Promoting the client's well-being
Rationale: Beneficence requires actions intended to benefit the client.
6. The nurse is preparing to administer a medication. Which identification method is
safest?
A. Ask the client to state the room number
B. Check the client's diagnosis
C. Use two approved identifiers
D. Ask another client to identify the person
Answer: C. Use two approved identifiers
Rationale: Two identifiers reduce the risk of administering care to the wrong client.
, 7. Which action is appropriate when documenting a nursing assessment?
A. Record assumptions about the client
B. Use objective and factual language
C. Document care before it occurs
D. Erase incorrect information from the record
Answer: B. Use objective and factual language
Rationale: Documentation should accurately describe observed findings and completed
care.
8. Which nursing action violates confidentiality?
A. Discussing care privately with the healthcare team
B. Sharing client information with an unauthorized friend
C. Documenting findings in the medical record
D. Reporting changes to the provider
Answer: B. Sharing client information with an unauthorized friend
Rationale: Protected health information should only be disclosed to authorized individuals
for appropriate purposes.
9. Which client should the nurse assess first?
