Evolve Fundamentals HESI Questions with Answers 2025

Evolve Fundamentals HESI Questions with
Answers 2025
AnAelderlyAclientAwithAaAfracturedAleftAhipAisAonAstrictAbedrest.AWhichAnursingAmeasureAisAe
ssentialAtoAtheAclient'sAnursingAcare?

A.AMassageAanyAreddenedAareasAforAatAleastAfiveAminutes.A
B.AEncourageAactiveArangeAofAmotionAexercisesAonAextremities.A
C.APositionAtheAclientAlaterally,Aprone,AandAdorsallyAinAsequence.A
D.AGentlyAliftAtheAclientAwhenAmovingAintoAaAdesiredAposition.A-AcorrectAanswers-
ToAavoidAshearingAforcesAwhenArepositioning,AtheAclientAshouldAbeAliftedAgentlyAacrossAaAs
urfaceA(D).AReddenedAareasAshouldAnotAbeAmassagedA(A)AsinceAthisAmayAincreaseAtheAda
mageAtoAalreadyAtraumatizedAskin.AToAcontrolApainAandAmuscleAspasms,AactiveArangeAofA
motionA(B)AmayAbeAlimitedAonAtheAaffectedAleg.ATheApositionAdescribedAinA(C)AisAcontraindi
catedAforAaAclientAwithAaAfracturedAleftAhip.

CorrectAAnswer:AD
TheAnurseAisAadministeringAmedicationsAthroughAaAnasogastricAtubeA(NGT)AwhichAisAconn
ectedAtoAsuction.AAfterAensuringAcorrectAtubeAplacement,AwhatAactionAshouldAtheAnurseAta
keAnext?

A.AClampAtheAtubeAforA20Aminutes.A
B.AFlushAtheAtubeAwithAwater.A
C.AAdministerAtheAmedicationsAasAprescribed.A
D.ACrushAtheAtabletsAandAdissolveAinAsterileAwater.A-AcorrectAanswers-
TheANGTAshouldAbeAflushedAbefore,AafterAandAinAbetweenAeachAmedicationAadministeredA
(B).AOnceAallAmedicationsAareAadministered,AtheANGTAshouldAbeAclampedAforA20AminutesA
(A).A(CAandAD)AmayAbeAimplementedAonlyAafterAtheAtubingAhasAbeenAflushed.

CorrectAAnswer:AB
AAclientAwhoAisAinAhospiceAcareAcomplainsAofAincreasingAamountsAofApain.ATheAhealthcare
AproviderAprescribesAanAanalgesicAeveryAfourAhoursAasAneeded.AWhichAactionAshouldAtheA

nurseAimplement?

A.AGiveAanAaround-the-clockAscheduleAforAadministrationAofAanalgesics.A
B.AAdministerAanalgesicAmedicationAasAneededAwhenAtheApainAisAsevere.A
C.AProvideAmedicationAtoAkeepAtheAclientAsedatedAandAunawareAofAstimuli.A
D.AOfferAaAmedication-freeAperiodAsoAthatAtheAclientAcanAdoAdailyAactivities.A-
AcorrectAanswers-TheAmostAeffectiveAmanagementAofApainAisAachievedAusingAanAaround-

the-
clockAscheduleAthatAprovidesAanalgesicAmedicationsAonAaAregularAbasisA(A)AandAinAaAtimel
yAmanner.AAnalgesicsAareAlessAeffectiveAifApainApersistsAuntilAitAisAsevere,AsoAanAanalgesicA
medicationAshouldAbeAadministeredAbeforeAtheAclient'sApainApeaksA(B).AProvidingAcomfortA

,isAaApriorityAforAtheAclientAwhoAisAdying,AbutAsedationAthatAimpairsAtheAclient'sAabilityAtoAinter
actAandAexperienceAtheAtimeAbeforeAlifeAendsAshouldAbeAminimizedA(C).AOfferingAaAmedica
tion-
freeAperiodAallowsAtheAserumAdrugAlevelAtoAfall,AwhichAisAnotAanAeffectiveAmethodAtoAmana
geAchronicApainA(D).

CorrectAAnswer:AA
WhenAassessingAaAclientAwithAwristArestraints,AtheAnurseAobservesAthatAtheAfingersAonAtheA
rightAhandAareAblue.AWhatAactionAshouldAtheAnurseAimplementAfirst?

A.ALoosenAtheArightAwristArestraint.A
B.AApplyAaApulseAoximeterAtoAtheArightAhand.A
C.ACompareAhandAcolorAbilaterally.A
D.APalpateAtheArightAradialApulse.A-AcorrectAanswers-
TheApriorityAnursingAactionAisAtoArestoreAcirculationAbyAlooseningAtheArestraintA(A),Abecaus
eAblueAfingersA(cyanosis)AindicatesAdecreasedAcirculation.A(CAandAD)AareAalsoAimportantAn
ursingAinterventions,AbutAdoAnotAhaveAtheApriorityAofA(A).APulseAoximetryA(B)AmeasuresAthe
AsaturationAofAhemoglobinAwithAoxygenAandAisAnotAindicatedAinAsituationsAwhereAtheAcyano

sisAisArelatedAtoAmechanicalAcompressionA(theArestraints).

CorrectAAnswer:AA
TheAnurseAisAassessingAtheAnutritionalAstatusAofAseveralAclients.AWhichAclientAhasAtheAgrea
testAnutritionalAneedAforAadditionalAintakeAofAprotein?

A.AAAcollege-ageAtrackArunnerAwithAaAsprainedAankle.A
B.AAAlactatingAwomanAnursingAherA3-day-oldAinfant.A
C.AAAschool-agedAchildAwithATypeA2Adiabetes.A
D.AAnAelderlyAmanAbeingAtreatedAforAaApepticAulcer.A-AcorrectAanswers-
AAlactatingAwomanA(B)AhasAtheAgreatestAneedAforAadditionalAproteinAintake.A(A,AC,AandAD)A
areAallAconditionsAthatArequireAprotein,AbutAdoAnotAhaveAtheAincreasedAmetabolicAproteinAd
emandsAofAlactation.

CorrectAAnswer:AB
AAclientAisAinAtheAradiologyAdepartmentAatA0900AwhenAtheAprescriptionAlevofloxacinA(Levaq
uin)A500AmgAIVAq24hAisAscheduledAtoAbeAadministered.ATheAclientAreturnsAtoAtheAunitAatA13
00.AWhatAisAtheAbestAinterventionAforAtheAnurseAtoAimplement?

A.AContactAtheAhealthcareAproviderAandAcompleteAaAmedicationAvarianceAform.A
B.AAdministerAtheALevaquinAatA1300AandAresumeAtheA0900AscheduleAinAtheAmorning.A
C.ANotifyAtheAchargeAnurseAandAcompleteAanAincidentAreportAtoAexplainAtheAmissedAdose.A
D.AGiveAtheAmissedAdoseAatA1300AandAchangeAtheAscheduleAtoAadministerAdailyAatA1300.A-
AcorrectAanswers-

ToAensureAthatAaAtherapeuticAlevelAofAmedicationAisAmaintained,AtheAnurseAshouldAadminis
terAtheAmissedAdoseAasAsoonAasApossible,AandAreviseAtheAadministrationAscheduleAaccordi
nglyAtoApreventAdangerouslyAincreasingAtheAlevelAofAtheAmedicationAinAtheAbloodstreamA(D

,).ATheAnurseAshouldAdocumentAtheAreasonAforAtheAlateAdose,AbutA(AAandAC)AareAnotAwarran
ted.A(B)AcouldAresultAinAincreasedAbloodAlevelsAofAtheAdrug.

CorrectAAnswer:AD
WhileAinstructingAaAmaleAclient'sAwifeAinAtheAperformanceAofApassiveArange-of-
motionAexercisesAtoAhisAcontractedAshoulder,AtheAnurseAobservesAthatAsheAisAholdingAhisA
armAaboveAandAbelowAtheAelbow.AWhatAnursingAactionAshouldAtheAnurseAimplement?

A.AAcknowledgeAthatAsheAisAsupportingAtheAarmAcorrectly.A
B.AEncourageAherAtoAkeepAtheAjointAcoveredAtoAmaintainAwarmth.A
C.AReinforceAtheAneedAtoAgripAdirectlyAunderAtheAjointAforAbetterAsupport.A
D.AInstructAherAtoAgripAdirectlyAoverAtheAjointAforAbetterAmotion.A-AcorrectAanswers-
TheAwifeAisAperformingAtheApassiveAROMAcorrectly,AthereforeAtheAnurseAshouldAacknowle
dgeAthisAfactA(A).ATheAjointAthatAisAbeingAexercisedAshouldAbeAuncoveredA(B)AwhileAtheArest
AofAtheAbodyAshouldAremainAcoveredAforAwarmthAandAprivacy.A(CAandAD)AdoAnotAprovideAad

equateAsupportAtoAtheAjointAwhileAstillAallowingAforAjointAmovement.

CorrectAAnswer:AA
WhatAisAtheAmostAimportantAreasonAforAstartingAintravenousAinfusionsAinAtheAupperAextrem
itiesAratherAthanAtheAlowerAextremitiesAofAadults?

A.AItAisAmoreAdifficultAtoAfindAaAsuperficialAveinAinAtheAfeetAandAankles.A
B.AAAdecreasedAflowArateAcouldAresultAinAtheAformationAofAaAthrombosis.A
C.AAAcannulatedAextremityAisAmoreAdifficultAtoAmoveAwhenAtheAlegAorAfootAisAused.A
D.AVeinsAareAlocatedAdeepAinAtheAfeetAandAankles,AresultingAinAaAmoreApainfulAprocedure.A-
AcorrectAanswers-

VenousAreturnAisAusuallyAbetterAinAtheAupperAextremities.ACannulationAofAtheAveinsAinAtheAl
owerAextremitiesAincreasesAtheAriskAofAthrombusAformationA(B)Awhich,AifAdislodged,AcouldA
beAlife-
threatening.ASuperficialAveinsAareAoftenAveryAeasyA(A)AtoAfindAinAtheAfeetAandAlegs.AHandlin
gAaAlegAorAfootAwithAanAIVA(C)AisAprobablyAnotAanyAmoreAdifficultAthanAhandlingAanAarmAorAh
and.AEvenAifAtheAnurseAdidAbelieveAmovingAaAcannulatedAlegAwasAmoreAdifficult,AthisAisAnotA
theAmostAimportantAreasonAforAusingAtheAupperAextremities.APainA(D)AisAnotAaAconsideratio
n.

CorrectAAnswer:AB
TheAnurseAobservesAanAunlicensedAassistiveApersonnelA(UAP)AtakingAaAclient'sAbloodApre
ssureAwithAaAcuffAthatAisAtooAsmall,AbutAtheAbloodApressureAreadingAobtainedAisAwithinAtheAc
lient'sAusualArange.AWhatAactionAisAmostAimportantAforAtheAnurseAtoAimplement?

A.ATellAtheAUAPAtoAuseAaAlargerAcuffAatAtheAnextAscheduledAassessment.A
B.AReassessAtheAclient'sAbloodApressureAusingAaAlargerAcuff.A
C.AHaveAtheAunitAeducatorAreviewAthisAprocedureAwithAtheAUAPs.A
D.ATeachAtheAUAPAtheAcorrectAtechniqueAforAassessingAbloodApressure.A-
AcorrectAanswers-

TheAmostAimportantAactionAisAtoAensureAthatAanAaccurateABPAreadingAisAobtained.ATheAnur

, seAshouldAreassessAtheABPAwithAtheAcorrectAsizeAcuffA(B).AReassessmentAshouldAnotAbeAp
ostponedA(A).AThoughA(CAandAD)AareAlikelyAindicated,AtheseAactionsAdoAnotAhaveAtheApriori
tyAofA(B).

CorrectAAnswer:AB
TwentyAminutesAafterAbeginningAaAheatAapplication,AtheAclientAstatesAthatAtheAheatingApadA
noAlongerAfeelsAwarmAenough.AWhatAisAtheAbestAresponseAbyAtheAnurse?

A.A"ThatAmeansAyouAhaveAderivedAtheAmaximumAbenefit,AandAtheAheatAcanAbeAremoved."
B.A"YourAbloodAvesselsAareAbecomingAdilatedAandAremovingAtheAheatAfromAtheAsite."A
C.A"WeAwillAincreaseAtheAtemperatureA5AdegreesAwhenAtheApadAnoAlongerAfeelsAwarm."A
D.A"TheAbody'sAreceptorsAadaptAoverAtimeAasAtheyAareAexposedAtoAheat."A-
AcorrectAanswers-

(D)AdescribesAthermalAadaptation,AwhichAoccursA20AtoA30AminutesAafterAheatAapplication.A(
AAandAB)AprovideAfalseAinformation.A(C)AisAnotAbasedAonAaAknowledgeAofAphysiologyAandAi
sAanAunsafeAactionAthatAmayAharmAtheAclient.

CorrectAAnswer:AD
TheAnurseAisAinstructingAaAclientAwithAhighAcholesterolAaboutAdietAandAlifeAstyleAmodificatio
n.AWhatAcommentAfromAtheAclientAindicatesAthatAtheAteachingAhasAbeenAeffective?

A.A"IfAIAexerciseAatAleastAtwoAtimesAweeklyAforAoneAhour,AIAwillAlowerAmyAcholesterol."A
B.A"IAneedAtoAavoidAeatingAproteins,AincludingAredAmeat."A
C.A"IAwillAlimitAmyAintakeAofAbeefAtoA4AouncesAperAweek."A
D.A"MyAbloodAlevelAofAlowAdensityAlipoproteinsAneedsAtoAincrease."A-AcorrectAanswers-
LimitingAsaturatedAfatAfromAanimalAfoodAsourcesAtoAnoAmoreAthanA4AouncesAperAweekA(C)Ai
sAanAimportantAdietAmodificationAforAloweringAcholesterol.AToAbeAeffectiveAinAreducingAchol
esterol,AtheAclientAshouldAexerciseA30AminutesAperAday,AorAatAleastA4AtoA6AtimesAperAweekA(
A).ARedAmeatAandAallAproteinsAdoAnotAneedAtoAbeAeliminatedA(B)AtoAlowerAcholesterol,AbutA
shouldAbeArestrictedAtoAleanAcutsAofAredAmeatAandAsmallerAportionsA(2-
ounceAservings).ATheAlowAdensityAlipoproteinsA(D)AneedAtoAdecreaseAratherAthanAincrease
.

CorrectAAnswer:AC
TheAUAPsAworkingAonAaAchronicAneuroAunitAaskAtheAnurseAtoAhelpAthemAdetermineAtheAsaf
estAwayAtoAtransferAanAelderlyAclientAwithAleft-
sidedAweaknessAfromAtheAbedAtoAtheAchair.AWhatAmethodAdescribesAtheAcorrectAtransferAp
rocedureAforAthisAclient?

A.APlaceAtheAchairAatAaArightAangleAtoAtheAbedAonAtheAclient'sAleftAsideAbeforeAmoving.A
B.AAssistAtheAclientAtoAaAstandingAposition,AthenAplaceAtheArightAhandAonAtheAarmrest.A
C.AHaveAtheAclientAplaceAtheAleftAfootAnextAtoAtheAchairAandApivotAtoAtheAleftAbeforeAsitting.A
D.AMoveAtheAchairAparallelAtoAtheArightAsideAofAtheAbed,AandAstandAtheAclientAonAtheArightAfo
ot.A-AcorrectAanswers-(D)AusesAtheAclient'sAstrongerAside,AtheArightAside,AforAweight-
bearingAduringAtheAtransfer,AandAisAtheAsafestAapproachAtoAtake.A(A,AB,AandAC)AareAunsafeA
methodsAofAtransferAandAincludeAtheAuseAofApoorAbodyAmechanicsAbyAtheAcaregiver.