EVOLVE HESI FUNDAMENTALS V1 LATEST
UPDATED 2026-2027 ACTUAL FINAL EXAM PREP
WITH ALL POSSIBLE TESTED QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS CERTIFIED ANSWER KEY
RATED A+ GRADE
1. A nurse is assessing a client who has been taking
furosemide. Which finding indicates a
therapeutic response?
a. Weight loss of 2 kg
b. Increased blood pressure
c. Decreased urine output
d. Peripheral edema increase
The correct answer is a. Weight loss of 2 kg.
Rationale: Furosemide is a loop diuretic that
promotes fluid excretion. A therapeutic response is
indicated by weight loss, decreased edema, and
improved respiratory status. Weight loss of 2 kg
demonstrates effective fluid removal.
2. A nurse is preparing to administer a blood
transfusion. Which action should the nurse take
, first?
a. Obtain the client's vital signs
b. Verify the blood product with another nurse
c. Prime the IV tubing with normal saline
d. Assess the client for allergies
a. Obtain the client's vital signs
Rationale: Before initiating a blood transfusion,
the nurse must obtain baseline vital signs to
compare for any transfusion reactions. This is the
priority action before verification and priming.
3. A nurse is caring for a client with a new
colostomy. Which finding should the nurse
report to the provider?
a. Stoma is pink and moist
b. Stoma is dark purple and dusky
c. Small amount of bleeding at stoma site
d. Output is liquid initially
b. Stoma is dark purple and dusky
Rationale: A healthy stoma should be pink to red
and moist. A dark purple or dusky stoma indicates
inadequate blood supply and possible necrosis,
,which requires immediate notification of the
provider.
4. A nurse is teaching a client about preventing
pressure ulcers. Which statement by the client
indicates understanding?
a. "I will sit in one position for long periods."
b. "I will change positions every 2 hours."
c. "I will massage reddened areas vigorously."
d. "I will use hot water to clean my skin."
b. "I will change positions every 2 hours."
Rationale: Repositioning every 2 hours relieves
pressure on bony prominences and prevents
pressure ulcer formation. Massaging reddened
areas can cause tissue damage. Hot water dries the
skin.
5. A nurse is assessing a client's pain. Which
finding indicates the client is experiencing acute
pain?
a. Blood pressure 110/70, heart rate 72
b. Blood pressure 150/90, heart rate 110
c. Client states pain has lasted 6 months
d. Client appears calm and relaxed
, b. Blood pressure 150/90, heart rate 110
Rationale: Acute pain activates the sympathetic
nervous system, causing increased heart rate, blood
pressure, and respiratory rate. Chronic pain often
does not produce these vital sign changes.
6. A nurse is preparing to insert an indwelling
urinary catheter. Which action is appropriate?
a. Use sterile technique throughout the
procedure
b. Clean the meatus with soap and water
c. Insert the catheter 1 inch into the urethra
d. Inflate the balloon before urine return
a. Use sterile technique throughout the procedure
Rationale: Sterile technique must be maintained
during catheter insertion to prevent urinary tract
infections. The catheter should be inserted until
urine returns, then advanced further before
balloon inflation.
7. A nurse is caring for a client on bedrest. Which
intervention prevents venous thromboembolism?
a. Encourage the client to remain still
b. Apply sequential compression devices
UPDATED 2026-2027 ACTUAL FINAL EXAM PREP
WITH ALL POSSIBLE TESTED QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS CERTIFIED ANSWER KEY
RATED A+ GRADE
1. A nurse is assessing a client who has been taking
furosemide. Which finding indicates a
therapeutic response?
a. Weight loss of 2 kg
b. Increased blood pressure
c. Decreased urine output
d. Peripheral edema increase
The correct answer is a. Weight loss of 2 kg.
Rationale: Furosemide is a loop diuretic that
promotes fluid excretion. A therapeutic response is
indicated by weight loss, decreased edema, and
improved respiratory status. Weight loss of 2 kg
demonstrates effective fluid removal.
2. A nurse is preparing to administer a blood
transfusion. Which action should the nurse take
, first?
a. Obtain the client's vital signs
b. Verify the blood product with another nurse
c. Prime the IV tubing with normal saline
d. Assess the client for allergies
a. Obtain the client's vital signs
Rationale: Before initiating a blood transfusion,
the nurse must obtain baseline vital signs to
compare for any transfusion reactions. This is the
priority action before verification and priming.
3. A nurse is caring for a client with a new
colostomy. Which finding should the nurse
report to the provider?
a. Stoma is pink and moist
b. Stoma is dark purple and dusky
c. Small amount of bleeding at stoma site
d. Output is liquid initially
b. Stoma is dark purple and dusky
Rationale: A healthy stoma should be pink to red
and moist. A dark purple or dusky stoma indicates
inadequate blood supply and possible necrosis,
,which requires immediate notification of the
provider.
4. A nurse is teaching a client about preventing
pressure ulcers. Which statement by the client
indicates understanding?
a. "I will sit in one position for long periods."
b. "I will change positions every 2 hours."
c. "I will massage reddened areas vigorously."
d. "I will use hot water to clean my skin."
b. "I will change positions every 2 hours."
Rationale: Repositioning every 2 hours relieves
pressure on bony prominences and prevents
pressure ulcer formation. Massaging reddened
areas can cause tissue damage. Hot water dries the
skin.
5. A nurse is assessing a client's pain. Which
finding indicates the client is experiencing acute
pain?
a. Blood pressure 110/70, heart rate 72
b. Blood pressure 150/90, heart rate 110
c. Client states pain has lasted 6 months
d. Client appears calm and relaxed
, b. Blood pressure 150/90, heart rate 110
Rationale: Acute pain activates the sympathetic
nervous system, causing increased heart rate, blood
pressure, and respiratory rate. Chronic pain often
does not produce these vital sign changes.
6. A nurse is preparing to insert an indwelling
urinary catheter. Which action is appropriate?
a. Use sterile technique throughout the
procedure
b. Clean the meatus with soap and water
c. Insert the catheter 1 inch into the urethra
d. Inflate the balloon before urine return
a. Use sterile technique throughout the procedure
Rationale: Sterile technique must be maintained
during catheter insertion to prevent urinary tract
infections. The catheter should be inserted until
urine returns, then advanced further before
balloon inflation.
7. A nurse is caring for a client on bedrest. Which
intervention prevents venous thromboembolism?
a. Encourage the client to remain still
b. Apply sequential compression devices
