Elsevier | Evolve | HESI RN Fundamentals
Evolve HESI RN Fundamentals
Examination 2026/2027 | Verified
Questions (Version 1&2)
Elsevier | Evolve | HESI RN Fundamentals | Professional Nursing Candidates
400 Verified Questions | 9 Core Domains | Academic Year 2026/2027
Prepared by
Elsevier | Evolve | HESI RN Fundamentals
RN Fundamentals Examination (Version 1) Actual Exam | Academic Year 2026/2027
Evolve HESI RN Fundamentals Examination 2026/2027 | Verified Questions (Version 1)
,INTRODUCTION
This document contains 200 original Verified Questions covering Version 1 of the Evolve HESI RN
Fundamentals Examination for the academic year 2026/2027. The content addresses the following core
domains: Domain 1 – Nursing Process & Clinical Judgment; Domain 2 – Safety & Infection Control;
Domain 3 – Basic Care & Comfort; Domain 4 – Pharmacological Foundations & Medication
Administration. Each question is designed to reinforce official Elsevier HESI RN Fundamentals
objectives and the clinical judgment skills required for professional nursing readiness aligned with the
NCLEX-RN Test Plan.
ACTUAL QUESTIONS (Version 1)
Domain 1: Nursing Process & Clinical Judgment
Question 1. The nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client requesting pain medication rated 4/10
B. A client needing assistance to the bathroom
C. A client waiting for discharge teaching
D. A client with new onset dyspnea and oxygen saturation of 88%
Correct Answer: D
Rationale: Airway and breathing take priority according to ABC prioritization; oxygen saturation of
88% with dyspnea requires immediate assessment.
Question 2. Which nursing action best demonstrates correct application of nursing
diagnosis formulation?
A. Ignoring changes in client condition
B. Performing systematic assessment and implementing appropriate interventions
C. Administering care without verification of orders
D. Leaving the client unattended during high-risk procedures
Correct Answer: B
Rationale: Correct application of nursing diagnosis formulation requires systematic assessment and
interventions consistent with professional nursing standards.
Question 3. A client situation involving planning measurable outcomes requires the nurse
to:
A. Avoid communication with the client
B. Wait indefinitely for laboratory results before observing
C. Collect relevant data, recognize cues, and take action consistent with nursing standards
D. Delegate all responsibility to unlicensed personnel without supervision
Correct Answer: C
Evolve HESI RN Fundamentals Examination 2026/2027 | Verified Questions (Version 1)
,Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
planning measurable outcomes is involved.
Question 4. When applying principles of implementation of interventions, the registered
nurse should prioritize which action?
A. Integrate client assessment findings with evidence-based nursing standards
B. Delay intervention until more data are available without assessment
C. Rely solely on family preference without clinical data
D. Document only at the end of the shift
Correct Answer: A
Rationale: Safe and effective nursing care requires integrating client assessment findings with current
evidence-based standards when addressing implementation of interventions.
Question 5. Which nursing action best demonstrates correct application of evaluation of
client response?
A. Ignoring changes in client condition
B. Administering care without verification of orders
C. Leaving the client unattended during high-risk procedures
D. Performing systematic assessment and implementing appropriate interventions
Correct Answer: D
Rationale: Correct application of evaluation of client response requires systematic assessment and
interventions consistent with professional nursing standards.
Question 6. A client situation involving priority setting ABCs requires the nurse to:
A. Collect relevant data, recognize cues, and take action consistent with nursing standards
B. Avoid communication with the client
C. Wait indefinitely for laboratory results before observing
D. Delegate all responsibility to unlicensed personnel without supervision
Correct Answer: A
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
priority setting ABCs is involved.
Question 7. When applying principles of Maslow hierarchy application, the registered nurse
should prioritize which action?
A. Delay intervention until more data are available without assessment
B. Rely solely on family preference without clinical data
C. Integrate client assessment findings with evidence-based nursing standards
D. Document only at the end of the shift
Correct Answer: C
Rationale: Safe and effective nursing care requires integrating client assessment findings with current
evidence-based standards when addressing Maslow hierarchy application.
Evolve HESI RN Fundamentals Examination 2026/2027 | Verified Questions (Version 1)
, Question 8. Which nursing action best demonstrates correct application of clinical
judgment cues?
A. Ignoring changes in client condition
B. Performing systematic assessment and implementing appropriate interventions
C. Administering care without verification of orders
D. Leaving the client unattended during high-risk procedures
Correct Answer: B
Rationale: Correct application of clinical judgment cues requires systematic assessment and interventions
consistent with professional nursing standards.
Question 9. A client situation involving hypothesis generation requires the nurse to:
A. Avoid communication with the client
B. Wait indefinitely for laboratory results before observing
C. Collect relevant data, recognize cues, and take action consistent with nursing standards
D. Delegate all responsibility to unlicensed personnel without supervision
Correct Answer: C
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
hypothesis generation is involved.
Question 10. When applying principles of taking action, the registered nurse should
prioritize which action?
A. Delay intervention until more data are available without assessment
B. Integrate client assessment findings with evidence-based nursing standards
C. Rely solely on family preference without clinical data
D. Document only at the end of the shift
Correct Answer: B
Rationale: Safe and effective nursing care requires integrating client assessment findings with current
evidence-based standards when addressing taking action.
Question 11. Which nursing action best demonstrates correct application of evaluating
outcomes?
A. Ignoring changes in client condition
B. Administering care without verification of orders
C. Leaving the client unattended during high-risk procedures
D. Performing systematic assessment and implementing appropriate interventions
Correct Answer: D
Rationale: Correct application of evaluating outcomes requires systematic assessment and interventions
consistent with professional nursing standards.
Question 12. A client situation involving critical thinking skills requires the nurse to:
Evolve HESI RN Fundamentals Examination 2026/2027 | Verified Questions (Version 1)
Evolve HESI RN Fundamentals
Examination 2026/2027 | Verified
Questions (Version 1&2)
Elsevier | Evolve | HESI RN Fundamentals | Professional Nursing Candidates
400 Verified Questions | 9 Core Domains | Academic Year 2026/2027
Prepared by
Elsevier | Evolve | HESI RN Fundamentals
RN Fundamentals Examination (Version 1) Actual Exam | Academic Year 2026/2027
Evolve HESI RN Fundamentals Examination 2026/2027 | Verified Questions (Version 1)
,INTRODUCTION
This document contains 200 original Verified Questions covering Version 1 of the Evolve HESI RN
Fundamentals Examination for the academic year 2026/2027. The content addresses the following core
domains: Domain 1 – Nursing Process & Clinical Judgment; Domain 2 – Safety & Infection Control;
Domain 3 – Basic Care & Comfort; Domain 4 – Pharmacological Foundations & Medication
Administration. Each question is designed to reinforce official Elsevier HESI RN Fundamentals
objectives and the clinical judgment skills required for professional nursing readiness aligned with the
NCLEX-RN Test Plan.
ACTUAL QUESTIONS (Version 1)
Domain 1: Nursing Process & Clinical Judgment
Question 1. The nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client requesting pain medication rated 4/10
B. A client needing assistance to the bathroom
C. A client waiting for discharge teaching
D. A client with new onset dyspnea and oxygen saturation of 88%
Correct Answer: D
Rationale: Airway and breathing take priority according to ABC prioritization; oxygen saturation of
88% with dyspnea requires immediate assessment.
Question 2. Which nursing action best demonstrates correct application of nursing
diagnosis formulation?
A. Ignoring changes in client condition
B. Performing systematic assessment and implementing appropriate interventions
C. Administering care without verification of orders
D. Leaving the client unattended during high-risk procedures
Correct Answer: B
Rationale: Correct application of nursing diagnosis formulation requires systematic assessment and
interventions consistent with professional nursing standards.
Question 3. A client situation involving planning measurable outcomes requires the nurse
to:
A. Avoid communication with the client
B. Wait indefinitely for laboratory results before observing
C. Collect relevant data, recognize cues, and take action consistent with nursing standards
D. Delegate all responsibility to unlicensed personnel without supervision
Correct Answer: C
Evolve HESI RN Fundamentals Examination 2026/2027 | Verified Questions (Version 1)
,Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
planning measurable outcomes is involved.
Question 4. When applying principles of implementation of interventions, the registered
nurse should prioritize which action?
A. Integrate client assessment findings with evidence-based nursing standards
B. Delay intervention until more data are available without assessment
C. Rely solely on family preference without clinical data
D. Document only at the end of the shift
Correct Answer: A
Rationale: Safe and effective nursing care requires integrating client assessment findings with current
evidence-based standards when addressing implementation of interventions.
Question 5. Which nursing action best demonstrates correct application of evaluation of
client response?
A. Ignoring changes in client condition
B. Administering care without verification of orders
C. Leaving the client unattended during high-risk procedures
D. Performing systematic assessment and implementing appropriate interventions
Correct Answer: D
Rationale: Correct application of evaluation of client response requires systematic assessment and
interventions consistent with professional nursing standards.
Question 6. A client situation involving priority setting ABCs requires the nurse to:
A. Collect relevant data, recognize cues, and take action consistent with nursing standards
B. Avoid communication with the client
C. Wait indefinitely for laboratory results before observing
D. Delegate all responsibility to unlicensed personnel without supervision
Correct Answer: A
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
priority setting ABCs is involved.
Question 7. When applying principles of Maslow hierarchy application, the registered nurse
should prioritize which action?
A. Delay intervention until more data are available without assessment
B. Rely solely on family preference without clinical data
C. Integrate client assessment findings with evidence-based nursing standards
D. Document only at the end of the shift
Correct Answer: C
Rationale: Safe and effective nursing care requires integrating client assessment findings with current
evidence-based standards when addressing Maslow hierarchy application.
Evolve HESI RN Fundamentals Examination 2026/2027 | Verified Questions (Version 1)
, Question 8. Which nursing action best demonstrates correct application of clinical
judgment cues?
A. Ignoring changes in client condition
B. Performing systematic assessment and implementing appropriate interventions
C. Administering care without verification of orders
D. Leaving the client unattended during high-risk procedures
Correct Answer: B
Rationale: Correct application of clinical judgment cues requires systematic assessment and interventions
consistent with professional nursing standards.
Question 9. A client situation involving hypothesis generation requires the nurse to:
A. Avoid communication with the client
B. Wait indefinitely for laboratory results before observing
C. Collect relevant data, recognize cues, and take action consistent with nursing standards
D. Delegate all responsibility to unlicensed personnel without supervision
Correct Answer: C
Rationale: Recognition of cues and timely action consistent with nursing standards are essential when
hypothesis generation is involved.
Question 10. When applying principles of taking action, the registered nurse should
prioritize which action?
A. Delay intervention until more data are available without assessment
B. Integrate client assessment findings with evidence-based nursing standards
C. Rely solely on family preference without clinical data
D. Document only at the end of the shift
Correct Answer: B
Rationale: Safe and effective nursing care requires integrating client assessment findings with current
evidence-based standards when addressing taking action.
Question 11. Which nursing action best demonstrates correct application of evaluating
outcomes?
A. Ignoring changes in client condition
B. Administering care without verification of orders
C. Leaving the client unattended during high-risk procedures
D. Performing systematic assessment and implementing appropriate interventions
Correct Answer: D
Rationale: Correct application of evaluating outcomes requires systematic assessment and interventions
consistent with professional nursing standards.
Question 12. A client situation involving critical thinking skills requires the nurse to:
Evolve HESI RN Fundamentals Examination 2026/2027 | Verified Questions (Version 1)
