2024 EVOLVE HESI FUNDAMENTALS VERSION 1,2&
3 ACTUAL EXAM EACH VERSION CONTAINS 400
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED A+ (BRAND
NEW!!)
Question 1:
A nurse is caring for a client who is experiencing acute pain. Which of
the following interventions should the nurse implement first?
A. Administer prescribed pain medication.
B. Assess the client's pain level.
C. Reposition the client for comfort.
D. Apply a warm compress to the area of pain.
Answer: B. Assess the client's pain level.
Rationale: The nurse should first assess the client's pain level to
determine the severity and nature of the pain. This assessment will guide
subsequent interventions to effectively manage the pain.
Question 2:
A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen therapy at 2 liters per minute via nasal cannula. The
nurse observes that the client's oxygen saturation is 88%. Which of the
following actions should the nurse take first?
A. Increase the oxygen flow rate to 3 liters per minute.
B. Encourage the client to take deep breaths.
,C. Check the placement of the nasal cannula.
D. Notify the healthcare provider.
Answer: C. Check the placement of the nasal cannula.
Rationale: The nurse should first ensure that the nasal cannula is
properly placed and functioning correctly. Incorrect placement can result
in decreased oxygen delivery and low oxygen saturation levels.
Question 3:
A nurse is teaching a client with hypertension about dietary
modifications. Which of the following client statements indicates an
understanding of the teaching?
A. "I should reduce my intake of high-fat foods."
B. "I should eat more fresh fruits and vegetables."
C. "I should drink at least 3 liters of water per day."
D. "I should limit my protein intake."
Answer: B. "I should eat more fresh fruits and vegetables."
Rationale: Increasing the intake of fresh fruits and vegetables is a key
dietary modification for clients with hypertension as they are high in
fiber, vitamins, and minerals, and low in sodium and fat.
Question 4:
A nurse is planning care for a client who is at risk for pressure ulcers.
Which of the following interventions should the nurse include in the
plan?
A. Massage reddened areas to improve circulation.
,B. Use a donut-shaped cushion for sitting.
C. Reposition the client every 2 hours.
D. Apply cornstarch to keep skin dry.
Answer: C. Reposition the client every 2 hours.
Rationale: Regular repositioning helps to prevent pressure ulcers by
relieving pressure on vulnerable areas of the body. Other interventions
can potentially cause harm or are less effective in preventing pressure
ulcers.
Question 5:
A client with diabetes mellitus asks the nurse about the importance of
foot care. Which of the following instructions should the nurse include
in the teaching?
A. "Soak your feet in hot water every day."
B. "Apply lotion between your toes to keep the skin soft."
C. "Inspect your feet daily for any cuts or sores."
D. "Trim your toenails straight across and round the edges."
Answer: C. "Inspect your feet daily for any cuts or sores."
Rationale: Clients with diabetes mellitus are at increased risk for foot
injuries and infections due to neuropathy and poor circulation. Daily
inspection of the feet helps to identify and address any problems early.
, Question 6:
A nurse is caring for a client who has a wound infection. Which of the
following actions should the nurse take to prevent the spread of
infection?
A. Wear a surgical mask at all times.
B. Place the client in a private room.
C. Perform hand hygiene before and after contact with the client.
D. Administer prophylactic antibiotics to all close contacts.
Answer: C. Perform hand hygiene before and after contact with the
client.
Rationale: Hand hygiene is the most effective measure to prevent the
spread of infection. Wearing a mask and placing the client in a private
room are additional precautions, but hand hygiene is essential.
Question 7:
A client is admitted with dehydration. Which of the following findings
should the nurse expect to observe?
A. Bradycardia
B. Hypotension
C. Jugular vein distension
D. Peripheral edema
Answer: B. Hypotension
3 ACTUAL EXAM EACH VERSION CONTAINS 400
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED A+ (BRAND
NEW!!)
Question 1:
A nurse is caring for a client who is experiencing acute pain. Which of
the following interventions should the nurse implement first?
A. Administer prescribed pain medication.
B. Assess the client's pain level.
C. Reposition the client for comfort.
D. Apply a warm compress to the area of pain.
Answer: B. Assess the client's pain level.
Rationale: The nurse should first assess the client's pain level to
determine the severity and nature of the pain. This assessment will guide
subsequent interventions to effectively manage the pain.
Question 2:
A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen therapy at 2 liters per minute via nasal cannula. The
nurse observes that the client's oxygen saturation is 88%. Which of the
following actions should the nurse take first?
A. Increase the oxygen flow rate to 3 liters per minute.
B. Encourage the client to take deep breaths.
,C. Check the placement of the nasal cannula.
D. Notify the healthcare provider.
Answer: C. Check the placement of the nasal cannula.
Rationale: The nurse should first ensure that the nasal cannula is
properly placed and functioning correctly. Incorrect placement can result
in decreased oxygen delivery and low oxygen saturation levels.
Question 3:
A nurse is teaching a client with hypertension about dietary
modifications. Which of the following client statements indicates an
understanding of the teaching?
A. "I should reduce my intake of high-fat foods."
B. "I should eat more fresh fruits and vegetables."
C. "I should drink at least 3 liters of water per day."
D. "I should limit my protein intake."
Answer: B. "I should eat more fresh fruits and vegetables."
Rationale: Increasing the intake of fresh fruits and vegetables is a key
dietary modification for clients with hypertension as they are high in
fiber, vitamins, and minerals, and low in sodium and fat.
Question 4:
A nurse is planning care for a client who is at risk for pressure ulcers.
Which of the following interventions should the nurse include in the
plan?
A. Massage reddened areas to improve circulation.
,B. Use a donut-shaped cushion for sitting.
C. Reposition the client every 2 hours.
D. Apply cornstarch to keep skin dry.
Answer: C. Reposition the client every 2 hours.
Rationale: Regular repositioning helps to prevent pressure ulcers by
relieving pressure on vulnerable areas of the body. Other interventions
can potentially cause harm or are less effective in preventing pressure
ulcers.
Question 5:
A client with diabetes mellitus asks the nurse about the importance of
foot care. Which of the following instructions should the nurse include
in the teaching?
A. "Soak your feet in hot water every day."
B. "Apply lotion between your toes to keep the skin soft."
C. "Inspect your feet daily for any cuts or sores."
D. "Trim your toenails straight across and round the edges."
Answer: C. "Inspect your feet daily for any cuts or sores."
Rationale: Clients with diabetes mellitus are at increased risk for foot
injuries and infections due to neuropathy and poor circulation. Daily
inspection of the feet helps to identify and address any problems early.
, Question 6:
A nurse is caring for a client who has a wound infection. Which of the
following actions should the nurse take to prevent the spread of
infection?
A. Wear a surgical mask at all times.
B. Place the client in a private room.
C. Perform hand hygiene before and after contact with the client.
D. Administer prophylactic antibiotics to all close contacts.
Answer: C. Perform hand hygiene before and after contact with the
client.
Rationale: Hand hygiene is the most effective measure to prevent the
spread of infection. Wearing a mask and placing the client in a private
room are additional precautions, but hand hygiene is essential.
Question 7:
A client is admitted with dehydration. Which of the following findings
should the nurse expect to observe?
A. Bradycardia
B. Hypotension
C. Jugular vein distension
D. Peripheral edema
Answer: B. Hypotension
