2025 EVOLVE HESI FUNDAMENTALS SKILLS REAL
EXAM HESI EVOLVE FUNDAMENTALS COMPLETE ALL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A pregnant woman in her second trimester arrives at the local health department,
requesting a flu shot. The client states that she gets the flu vaccine every year and has
never had an adverse reaction. What action should the nurse perform? - answers-
Administer the usual dose of the vaccine
A client is being treated for influenza A (H1N1). The nurse has provided instructions to
the client about how to decrease the risk of transmission to others. Which patient
statement indicates a need for further instruction? - answers-"I should obtain a
pneumococcal vaccination each year."
To prevent septic shock in the hospitalized client, what should the nurse do? - answers-
Use aseptic technique during all invasive procedures
A client with limited mobility is being discharged. To prevent urinary stasis and formation
of renal calculi, what should the nurse instruct the client to do? - answers-Increase oral
fluid intake to 2 to 3 L/day
During the beginning phase of a therapeutic relationship, why is a clear understanding
of participants' roles important? - answers-The client needs to know what to expect from
the relationship.
A 58-year-old client is planning to retire. Which action would be appropriate in this
situation? - answers-Assessing issues related to income
Which activity would the nurse use as an example of fine motor skills of infants aged 2
to 4 months? - answers-Bringing objects from hand to mouth
A client with cystic fibrosis asks why the percussion procedure is being performed. The
nurse explains that the primary purpose of percussion is to do what? - answers-Loosen
pulmonary secretions
An older adult in an acute care setting is experiencing emotional stress because of a
recent surgery. Which intervention would be most appropriate for the client? - answers-
Reality orientation
,After abdominal surgery a client reports pain. What action should the nurse take first? -
answers-Determine the characteristics of the pain
When planning discharge teaching for a young adult, the nurse should include the
potential health problems common in this age group. What should the nurse include in
this teaching plan? - answers-Accidents, including their prevention
Which statement is true about the nursing model "team nursing"? - answers-
Hierarchical communication exists from charge nurse to charge nurse, charge nurse to
team leader, and team leader to team members.
A registered nurse instructs a nursing student to use knowledge and experience to
choose proper strategies to use to care for clients. Which critical-thinking skill does the
registered nurse refer to? - answers-Explanation
Which theories are most relevant to development in adults? Select all that apply. -
answers-Life Span approach
Stage-Crisis theory
A nurse is assessing a middle-aged client whose children have left home in search of
work. The client is trying to adjust to these family changes. Which family life-cycle stage
is the client going through? - answers-Launching children and moving on
Which right of delegation refers to the giving of clear, concise descriptions of a task to
the delegatee? - answers-Right communication
A client admitted to the hospital with a diagnosis of malabsorption syndrome exhibits
signs of tetany. The nurse concludes that the tetany was precipitated by the inadequate
absorption of which electrolyte? - answers-Calcium
A client who is dying jokes about the situation even though the client is becoming sicker
and weaker. Which is the most therapeutic response by the nurse? - answers-"Does it
help to joke about your illness?"
What type of functional health pattern would the nurse explain describes values and
goals? - answers-Value-belief pattern
A client being treated for influenza A (H1N1) is scheduled for a computed tomography
(CT) scan. To ensure client and visitor safety during transport, the nurse should take
which precaution? - answers-Place a surgical mask on the client.
How can a nurse best evaluate the effectiveness of communication with a client? -
answers-Client feedback
,Nursing actions for an older adult should include health education and promotion of self-
care. Which is most important when working with an older adult client? - answers-
Reinforcing the client's strengths and promoting reminiscing
A client with a leg prosthesis and a history of syncopal episodes is being admitted to the
hospital. When formulating the plan of care for this client, the nurse should include that
the client is at risk for what? - answers-Falls
A home health nurse on a first visit checks the client's vital signs and obtains a blood
sample for an international normalized ratio (INR). After these tasks are completed, the
client asks the nurse to straighten the blankets on the bed. What is the nurse's most
appropriate response? - answers-"Of course. I want to do whatever I can for you."
Which developmental changes should be evaluated in girls around 12 years of age? -
answers-Skeletal Growth
A nurse is reviewing how a hyperglycemic client's blood glucose can be lowered. The
nurse recalls that the chemical that buffers the client's excessive acetoacetic acid is
what? - answers-Sodium bicarbonate
What principal components are associated with a nurse's time management skill?
Select all that apply. - answers-Goal setting
Priority setting
Interruption control
On the third postoperative day after a below-the-knee amputation, a client is refusing to
eat, talk, or perform any rehabilitative activities. What is the best initial approach that the
nurse should take when interacting with this client? - answers-Acknowledge that the
client's withdrawal is an expected and necessary part of initial grieving
Which concept refers to respecting the rights of others? - answers-Open-mindedness
A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I
love him, but I don't want to upset him." Which is the best response by the nurse? -
answers-"Why don't you share your feelings with him while you can?"
Which fine-motor skills may be observed in an 8 to 10 month-old infant? Select all that
apply. - answers-Using pincer grasp well
Picking up small objects
Showing hand preference
, An 80-year-old client is admitted to the hospital because of complications associated
with severe dehydration. The client's daughter asks the nurse how her mother could
have become dehydrated, because she is alert and able to care for herself. The nurse's
best response is: - answers-"The thirst reflex diminishes with age, and therefore the
recognition of the need for fluid is decreased."
What are the goals of care when working with families according to the family health
system? Select all that apply. - answers-To improve family health or well-being
To assist in family management of illness conditions
To achieve health outcomes related to the family's areas of concern
Which intrinsic factor is associated with the fall of an older adult? - answers-De
conditioning
A nurse is taking the vital signs of a client who has just been admitted to the healthcare
facility. Which intervention by the nurse provides greater client satisfaction? - answers-
The nurse adjusts the bed and asks if the client is comfortable.
Which workers would the nurse consider to be at high risk of developing dermatitis?
Select all that apply - answers-Dry Cleaners
Dye Operators
A client on hospice care is receiving palliative treatment. A palliative approach involves
planning measures aimed to do what? - answers-Relieve the client's discomfort
Two nurses are planning to help a client with one-sided weakness move up in bed.
What should the nurses do to conform to a basic principle of body mechanics? -
answers-Position the nurses on either side of the bed with their feet apart, gather the
pull sheet close to the client, turn toward the head of the bed, and then move the client
Arrange these fine-motor skills in ascending order as the infant develops them -
answers-Reflexive grasp
Looks at and plays with fingers
Pulls feet to the mouth
Bangs objects together
Uses pincer grasp
Places objects into containers
Which assessment finding is associated with depression? - answers-The client has
islands of intact memory
Which skill in critical thinking requires to be orderly in data collection? - answers-
Interpretation
EXAM HESI EVOLVE FUNDAMENTALS COMPLETE ALL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A pregnant woman in her second trimester arrives at the local health department,
requesting a flu shot. The client states that she gets the flu vaccine every year and has
never had an adverse reaction. What action should the nurse perform? - answers-
Administer the usual dose of the vaccine
A client is being treated for influenza A (H1N1). The nurse has provided instructions to
the client about how to decrease the risk of transmission to others. Which patient
statement indicates a need for further instruction? - answers-"I should obtain a
pneumococcal vaccination each year."
To prevent septic shock in the hospitalized client, what should the nurse do? - answers-
Use aseptic technique during all invasive procedures
A client with limited mobility is being discharged. To prevent urinary stasis and formation
of renal calculi, what should the nurse instruct the client to do? - answers-Increase oral
fluid intake to 2 to 3 L/day
During the beginning phase of a therapeutic relationship, why is a clear understanding
of participants' roles important? - answers-The client needs to know what to expect from
the relationship.
A 58-year-old client is planning to retire. Which action would be appropriate in this
situation? - answers-Assessing issues related to income
Which activity would the nurse use as an example of fine motor skills of infants aged 2
to 4 months? - answers-Bringing objects from hand to mouth
A client with cystic fibrosis asks why the percussion procedure is being performed. The
nurse explains that the primary purpose of percussion is to do what? - answers-Loosen
pulmonary secretions
An older adult in an acute care setting is experiencing emotional stress because of a
recent surgery. Which intervention would be most appropriate for the client? - answers-
Reality orientation
,After abdominal surgery a client reports pain. What action should the nurse take first? -
answers-Determine the characteristics of the pain
When planning discharge teaching for a young adult, the nurse should include the
potential health problems common in this age group. What should the nurse include in
this teaching plan? - answers-Accidents, including their prevention
Which statement is true about the nursing model "team nursing"? - answers-
Hierarchical communication exists from charge nurse to charge nurse, charge nurse to
team leader, and team leader to team members.
A registered nurse instructs a nursing student to use knowledge and experience to
choose proper strategies to use to care for clients. Which critical-thinking skill does the
registered nurse refer to? - answers-Explanation
Which theories are most relevant to development in adults? Select all that apply. -
answers-Life Span approach
Stage-Crisis theory
A nurse is assessing a middle-aged client whose children have left home in search of
work. The client is trying to adjust to these family changes. Which family life-cycle stage
is the client going through? - answers-Launching children and moving on
Which right of delegation refers to the giving of clear, concise descriptions of a task to
the delegatee? - answers-Right communication
A client admitted to the hospital with a diagnosis of malabsorption syndrome exhibits
signs of tetany. The nurse concludes that the tetany was precipitated by the inadequate
absorption of which electrolyte? - answers-Calcium
A client who is dying jokes about the situation even though the client is becoming sicker
and weaker. Which is the most therapeutic response by the nurse? - answers-"Does it
help to joke about your illness?"
What type of functional health pattern would the nurse explain describes values and
goals? - answers-Value-belief pattern
A client being treated for influenza A (H1N1) is scheduled for a computed tomography
(CT) scan. To ensure client and visitor safety during transport, the nurse should take
which precaution? - answers-Place a surgical mask on the client.
How can a nurse best evaluate the effectiveness of communication with a client? -
answers-Client feedback
,Nursing actions for an older adult should include health education and promotion of self-
care. Which is most important when working with an older adult client? - answers-
Reinforcing the client's strengths and promoting reminiscing
A client with a leg prosthesis and a history of syncopal episodes is being admitted to the
hospital. When formulating the plan of care for this client, the nurse should include that
the client is at risk for what? - answers-Falls
A home health nurse on a first visit checks the client's vital signs and obtains a blood
sample for an international normalized ratio (INR). After these tasks are completed, the
client asks the nurse to straighten the blankets on the bed. What is the nurse's most
appropriate response? - answers-"Of course. I want to do whatever I can for you."
Which developmental changes should be evaluated in girls around 12 years of age? -
answers-Skeletal Growth
A nurse is reviewing how a hyperglycemic client's blood glucose can be lowered. The
nurse recalls that the chemical that buffers the client's excessive acetoacetic acid is
what? - answers-Sodium bicarbonate
What principal components are associated with a nurse's time management skill?
Select all that apply. - answers-Goal setting
Priority setting
Interruption control
On the third postoperative day after a below-the-knee amputation, a client is refusing to
eat, talk, or perform any rehabilitative activities. What is the best initial approach that the
nurse should take when interacting with this client? - answers-Acknowledge that the
client's withdrawal is an expected and necessary part of initial grieving
Which concept refers to respecting the rights of others? - answers-Open-mindedness
A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I
love him, but I don't want to upset him." Which is the best response by the nurse? -
answers-"Why don't you share your feelings with him while you can?"
Which fine-motor skills may be observed in an 8 to 10 month-old infant? Select all that
apply. - answers-Using pincer grasp well
Picking up small objects
Showing hand preference
, An 80-year-old client is admitted to the hospital because of complications associated
with severe dehydration. The client's daughter asks the nurse how her mother could
have become dehydrated, because she is alert and able to care for herself. The nurse's
best response is: - answers-"The thirst reflex diminishes with age, and therefore the
recognition of the need for fluid is decreased."
What are the goals of care when working with families according to the family health
system? Select all that apply. - answers-To improve family health or well-being
To assist in family management of illness conditions
To achieve health outcomes related to the family's areas of concern
Which intrinsic factor is associated with the fall of an older adult? - answers-De
conditioning
A nurse is taking the vital signs of a client who has just been admitted to the healthcare
facility. Which intervention by the nurse provides greater client satisfaction? - answers-
The nurse adjusts the bed and asks if the client is comfortable.
Which workers would the nurse consider to be at high risk of developing dermatitis?
Select all that apply - answers-Dry Cleaners
Dye Operators
A client on hospice care is receiving palliative treatment. A palliative approach involves
planning measures aimed to do what? - answers-Relieve the client's discomfort
Two nurses are planning to help a client with one-sided weakness move up in bed.
What should the nurses do to conform to a basic principle of body mechanics? -
answers-Position the nurses on either side of the bed with their feet apart, gather the
pull sheet close to the client, turn toward the head of the bed, and then move the client
Arrange these fine-motor skills in ascending order as the infant develops them -
answers-Reflexive grasp
Looks at and plays with fingers
Pulls feet to the mouth
Bangs objects together
Uses pincer grasp
Places objects into containers
Which assessment finding is associated with depression? - answers-The client has
islands of intact memory
Which skill in critical thinking requires to be orderly in data collection? - answers-
Interpretation
