PN Fundamentals Nursing
Evolve HESI Exam Review
2026/2027 – Practice
Questions, Answers & Detailed
Rationales Guaranteed Pass
(GRADED A+)
1. A practical nurse is caring for a client who has difficulty
swallowing. Which action is most appropriate during meals?
A. Place the client in a supine position
B. Encourage the client to drink rapidly
C. Position the client upright at 90 degrees
D. Offer thin liquids first
Answer: C. Position the client upright at 90 degrees
Rationale: An upright position promotes safer swallowing and
reduces the risk of aspiration. The client should remain upright
during and after meals as appropriate.
,2. A nurse is assessing a client's respiratory status. Which
finding requires immediate attention?
A. Respiratory rate of 18/min
B. Oxygen saturation of 97%
C. Respiratory rate of 8/min
D. Regular, unlabored respirations
Answer: C. Respiratory rate of 8/min
Rationale: A respiratory rate of 8/min indicates bradypnea and
may reflect respiratory depression. Further assessment and
prompt intervention are warranted.
3. Which intervention is most effective for preventing
pressure injuries in an immobile client?
A. Massage reddened areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Keep the head of the bed elevated continuously
Answer: B. Reposition the client regularly
Rationale: Regular repositioning relieves prolonged pressure
over bony prominences and helps maintain tissue perfusion.
Reddened areas should not be vigorously massaged.
4. A client reports dizziness when getting out of bed. What
should the nurse do first?
,A. Encourage the client to walk independently
B. Assist the client back to a safe sitting or lying position
C. Give the client a glass of water
D. Document the finding and continue the assessment later
Answer: B. Assist the client back to a safe sitting or lying
position
Rationale: Safety is the immediate priority. The client should be
protected from falling before additional assessment is
performed.
5. Which finding is most consistent with dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Concentrated urine
D. Increased urine output
Answer: C. Concentrated urine
Rationale: Dehydration commonly causes concentrated urine,
dry mucous membranes, thirst, decreased urine output, and
potentially tachycardia.
6. A nurse is preparing to administer medication. Which
action is essential before giving the medication?
A. Ask another client to identify the medication
B. Verify the medication against the prescription
, C. Leave the medication at the bedside
D. Administer the medication without checking the label
Answer: B. Verify the medication against the prescription
Rationale: Medication administration requires verification of
the medication order and appropriate medication-safety checks
before administration.
7. Which nursing action helps prevent infection when caring
for multiple clients?
A. Wearing the same gloves between clients
B. Performing hand hygiene between client contacts
C. Reusing disposable equipment
D. Placing contaminated supplies on clean surfaces
Answer: B. Performing hand hygiene between client contacts
Rationale: Hand hygiene is one of the most important measures
for reducing transmission of microorganisms between clients
and healthcare workers.
8. A client has a temperature of 39°C (102.2°F). Which
intervention should the nurse anticipate?
A. Encourage appropriate fluid intake if not contraindicated
B. Apply several heavy blankets
C. Restrict all oral fluids
D. Keep the room extremely warm
Evolve HESI Exam Review
2026/2027 – Practice
Questions, Answers & Detailed
Rationales Guaranteed Pass
(GRADED A+)
1. A practical nurse is caring for a client who has difficulty
swallowing. Which action is most appropriate during meals?
A. Place the client in a supine position
B. Encourage the client to drink rapidly
C. Position the client upright at 90 degrees
D. Offer thin liquids first
Answer: C. Position the client upright at 90 degrees
Rationale: An upright position promotes safer swallowing and
reduces the risk of aspiration. The client should remain upright
during and after meals as appropriate.
,2. A nurse is assessing a client's respiratory status. Which
finding requires immediate attention?
A. Respiratory rate of 18/min
B. Oxygen saturation of 97%
C. Respiratory rate of 8/min
D. Regular, unlabored respirations
Answer: C. Respiratory rate of 8/min
Rationale: A respiratory rate of 8/min indicates bradypnea and
may reflect respiratory depression. Further assessment and
prompt intervention are warranted.
3. Which intervention is most effective for preventing
pressure injuries in an immobile client?
A. Massage reddened areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Keep the head of the bed elevated continuously
Answer: B. Reposition the client regularly
Rationale: Regular repositioning relieves prolonged pressure
over bony prominences and helps maintain tissue perfusion.
Reddened areas should not be vigorously massaged.
4. A client reports dizziness when getting out of bed. What
should the nurse do first?
,A. Encourage the client to walk independently
B. Assist the client back to a safe sitting or lying position
C. Give the client a glass of water
D. Document the finding and continue the assessment later
Answer: B. Assist the client back to a safe sitting or lying
position
Rationale: Safety is the immediate priority. The client should be
protected from falling before additional assessment is
performed.
5. Which finding is most consistent with dehydration?
A. Moist mucous membranes
B. Bounding pulse
C. Concentrated urine
D. Increased urine output
Answer: C. Concentrated urine
Rationale: Dehydration commonly causes concentrated urine,
dry mucous membranes, thirst, decreased urine output, and
potentially tachycardia.
6. A nurse is preparing to administer medication. Which
action is essential before giving the medication?
A. Ask another client to identify the medication
B. Verify the medication against the prescription
, C. Leave the medication at the bedside
D. Administer the medication without checking the label
Answer: B. Verify the medication against the prescription
Rationale: Medication administration requires verification of
the medication order and appropriate medication-safety checks
before administration.
7. Which nursing action helps prevent infection when caring
for multiple clients?
A. Wearing the same gloves between clients
B. Performing hand hygiene between client contacts
C. Reusing disposable equipment
D. Placing contaminated supplies on clean surfaces
Answer: B. Performing hand hygiene between client contacts
Rationale: Hand hygiene is one of the most important measures
for reducing transmission of microorganisms between clients
and healthcare workers.
8. A client has a temperature of 39°C (102.2°F). Which
intervention should the nurse anticipate?
A. Encourage appropriate fluid intake if not contraindicated
B. Apply several heavy blankets
C. Restrict all oral fluids
D. Keep the room extremely warm
