PN Fundamentals Nursing
Evolve HESI Exam Review
2026/2027 – Practice
Questions, Answers & Detailed
Rationales Guaranteed Pass
(GRADED A+)
1. A nurse is caring for a client who has been placed on fall
precautions. Which intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call light within the client's reach
C. Encourage the client to ambulate independently
D. Keep the room completely dark at night
Answer: _B. Place the call light within the client's reach._
Rationale: Keeping the call light accessible allows the client to
request assistance before attempting to get out of bed, reducing
the risk of falls. Four side rails may constitute a restraint in
some circumstances.A
2. A nurse is preparing to administer medication to a client.
Which action best promotes medication safety?
,A. Ask another client to confirm the medication
B. Compare the medication label with the medication
administration record
C. Leave the medication at the bedside before identification
D. Administer medications prepared by another nurse without
verification
Answer: _B. Compare the medication label with the medication
administration record._
Rationale: Comparing the medication label with the medication
administration record helps verify the correct medication and
supports safe medication administration.
3. A client reports difficulty breathing. Which position
should the nurse use initially to promote ventilation?
A. Supine
B. Trendelenburg
C. High-Fowler's
D. Sims'
Answer: _C. High-Fowler's.**_
Rationale: High-Fowler's positioning elevates the upper body
and allows greater expansion of the lungs, which can improve
ventilation and ease breathing.
4. Which finding should the nurse recognize as a potential
indication of infection?
,A. Temperature of 38.3°C (100.9°F)
B. Pulse of 72/min
C. Respiratory rate of 16/min
D. Blood pressure of 118/72 mm Hg
Answer: _A. Temperature of 38.3°C (100.9°F).**_
Rationale: An elevated temperature can indicate an
inflammatory or infectious process. The other findings are
within commonly accepted adult reference ranges.
5. A nurse is performing hand hygiene before caring for a
client. Which action is appropriate?
A. Touch the faucet with clean hands after washing
B. Use friction over all hand surfaces
C. Wash only the palms
D. Dry the hands on the nurse's uniform
Answer: _B. Use friction over all hand surfaces.**_
Rationale: Friction helps remove microorganisms from the
hands. The palms, backs of the hands, fingers, thumbs, and
areas around the nails should be cleaned.
6. Which nursing action is appropriate when transferring a
client from the bed to a wheelchair?
A. Leave the wheelchair unlocked
B. Place the wheelchair several feet from the bed
, C. Lock the wheelchair brakes before transfer
D. Ask the client to stand without assistance
Answer: _C. Lock the wheelchair brakes before transfer.**_
Rationale: Locking the wheelchair prevents it from moving
during the transfer and reduces the risk of injury.
7. A client is experiencing pain. Which assessment should the
nurse perform first?
A. Determine the client's pain location and intensity
B. Ask the family how much medication to administer
C. Document that the client is uncomfortable
D. Wait until the next scheduled medication time
Answer: _A. Determine the client's pain location and
intensity.**_
Rationale: A systematic pain assessment provides information
needed to determine appropriate interventions and evaluate
their effectiveness.
8. Which intervention is most appropriate for preventing
pressure injuries in an immobile client?
A. Massage reddened bony areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Place the client directly on a reddened area
Evolve HESI Exam Review
2026/2027 – Practice
Questions, Answers & Detailed
Rationales Guaranteed Pass
(GRADED A+)
1. A nurse is caring for a client who has been placed on fall
precautions. Which intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call light within the client's reach
C. Encourage the client to ambulate independently
D. Keep the room completely dark at night
Answer: _B. Place the call light within the client's reach._
Rationale: Keeping the call light accessible allows the client to
request assistance before attempting to get out of bed, reducing
the risk of falls. Four side rails may constitute a restraint in
some circumstances.A
2. A nurse is preparing to administer medication to a client.
Which action best promotes medication safety?
,A. Ask another client to confirm the medication
B. Compare the medication label with the medication
administration record
C. Leave the medication at the bedside before identification
D. Administer medications prepared by another nurse without
verification
Answer: _B. Compare the medication label with the medication
administration record._
Rationale: Comparing the medication label with the medication
administration record helps verify the correct medication and
supports safe medication administration.
3. A client reports difficulty breathing. Which position
should the nurse use initially to promote ventilation?
A. Supine
B. Trendelenburg
C. High-Fowler's
D. Sims'
Answer: _C. High-Fowler's.**_
Rationale: High-Fowler's positioning elevates the upper body
and allows greater expansion of the lungs, which can improve
ventilation and ease breathing.
4. Which finding should the nurse recognize as a potential
indication of infection?
,A. Temperature of 38.3°C (100.9°F)
B. Pulse of 72/min
C. Respiratory rate of 16/min
D. Blood pressure of 118/72 mm Hg
Answer: _A. Temperature of 38.3°C (100.9°F).**_
Rationale: An elevated temperature can indicate an
inflammatory or infectious process. The other findings are
within commonly accepted adult reference ranges.
5. A nurse is performing hand hygiene before caring for a
client. Which action is appropriate?
A. Touch the faucet with clean hands after washing
B. Use friction over all hand surfaces
C. Wash only the palms
D. Dry the hands on the nurse's uniform
Answer: _B. Use friction over all hand surfaces.**_
Rationale: Friction helps remove microorganisms from the
hands. The palms, backs of the hands, fingers, thumbs, and
areas around the nails should be cleaned.
6. Which nursing action is appropriate when transferring a
client from the bed to a wheelchair?
A. Leave the wheelchair unlocked
B. Place the wheelchair several feet from the bed
, C. Lock the wheelchair brakes before transfer
D. Ask the client to stand without assistance
Answer: _C. Lock the wheelchair brakes before transfer.**_
Rationale: Locking the wheelchair prevents it from moving
during the transfer and reduces the risk of injury.
7. A client is experiencing pain. Which assessment should the
nurse perform first?
A. Determine the client's pain location and intensity
B. Ask the family how much medication to administer
C. Document that the client is uncomfortable
D. Wait until the next scheduled medication time
Answer: _A. Determine the client's pain location and
intensity.**_
Rationale: A systematic pain assessment provides information
needed to determine appropriate interventions and evaluate
their effectiveness.
8. Which intervention is most appropriate for preventing
pressure injuries in an immobile client?
A. Massage reddened bony areas
B. Reposition the client regularly
C. Restrict fluid intake
D. Place the client directly on a reddened area
