HESI FUNDAMENTALS EVOLVE EXAM 2025 | ALL QUESTIONS AND
Evolve Fundamentals HESI
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST
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VERSION (JUST RELEASED)
1. An elderly client with a fractured To avoid shearing forces when repositioning, the
left hip is on strict bedrest. Which client should be lifted gently across a surface (D).
nursing measure is essential to the Reddened areas should not be massaged (A) since
client's nursing care? this may increase the damage to already trauma-
tized skin. To control pain and muscle spasms, active
A. Massage any reddened areas for at range of motion (B) may be limited on the affected
least five minutes. leg. The position described in (C) is contraindicated
B. Encourage active range of motion for a client with a fractured left hip.
exercises on extremities.
C. Position the client laterally, prone, Correct Answer: D
and dorsally in sequence.
D. Gently lift the client when moving
into a desired position.
2. The nurse is administering medica- The NGT should be flushed before, after and in be-
tions through a nasogastric tube tween each medication administered (B). Once all
(NGT) which is connected to suction. medications are administered, the NGT should be
After ensuring correct tube place- clamped for 20 minutes (A). (C and D) may be im-
ment, what action should the nurse plemented only after the tubing has been flushed.
take next?
Correct Answer: B
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as pre-
scribed.
D. Crush the tablets and dissolve in
sterile water.
3. A client who is in hospice care com- The most effective management of pain is achieved
plains of increasing amounts of pain. using an around-the-clock schedule that provides
The healthcare provider prescribes analgesic medications on a regular basis (A) and
an analgesic every four hours as in a timely manner. Analgesics are less effective if
, Evolve Fundamentals HESI
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needed. Which action should the pain persists until it is severe, so an analgesic med-
nurse implement? ication should be administered before the client's
pain peaks (B). Providing comfort is a priority for the
A. Give an around-the-clock schedule client who is dying, but sedation that impairs the
for administration of analgesics. client's ability to interact and experience the time
B. Administer analgesic medication before life ends should be minimized (C). Offering a
as needed when the pain is severe. medication-free period allows the serum drug level
C. Provide medication to keep the to fall, which is not an effective method to manage
client sedated and unaware of stim- chronic pain (D).
uli.
D. Offer a medication-free period so Correct Answer: A
that the client can do daily activities.
4. When assessing a client with wrist re- The priority nursing action is to restore circulation
straints, the nurse observes that the by loosening the restraint (A), because blue fingers
fingers on the right hand are blue. (cyanosis) indicates decreased circulation. (C and
What action should the nurse imple- D) are also important nursing interventions, but do
ment first? not have the priority of (A). Pulse oximetry (B) mea-
sures the saturation of hemoglobin with oxygen and
A. Loosen the right wrist restraint. is not indicated in situations where the cyanosis is
B. Apply a pulse oximeter to the right related to mechanical compression (the restraints).
hand.
C. Compare hand color bilaterally. Correct Answer: A
D. Palpate the right radial pulse.
5. The nurse is assessing the nutritional A lactating woman (B) has the greatest need for
status of several clients. Which client additional protein intake. (A, C, and D) are all con-
has the greatest nutritional need for ditions that require protein, but do not have the
additional intake of protein? increased metabolic protein demands of lactation.
A. A college-age track runner with a Correct Answer: B
sprained ankle.
B. A lactating woman nursing her
, Evolve Fundamentals HESI
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3-day-old infant.
C. A school-aged child with Type 2
diabetes.
D. An elderly man being treated for a
peptic ulcer.
6. A client is in the radiology depart- To ensure that a therapeutic level of medication
ment at 0900 when the prescrip- is maintained, the nurse should administer the
tion levofloxacin (Levaquin) 500 mg missed dose as soon as possible, and revise the ad-
IV q24h is scheduled to be adminis- ministration schedule accordingly to prevent dan-
tered. The client returns to the unit gerously increasing the level of the medication in
at 1300. What is the best intervention the bloodstream (D). The nurse should document
for the nurse to implement? the reason for the late dose, but (A and C) are not
warranted. (B) could result in increased blood levels
A. Contact the healthcare provider of the drug.
and complete a medication variance
form. Correct Answer: D
B. Administer the Levaquin at 1300
and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and com-
plete an incident report to explain
the missed dose.
D. Give the missed dose at 1300 and
change the schedule to administer
daily at 1300.
7. While instructing a male client's The wife is performing the passive ROM correctly,
wife in the performance of passive therefore the nurse should acknowledge this fact
range-of-motion exercises to his con- (A). The joint that is being exercised should be
tracted shoulder, the nurse observes uncovered (B) while the rest of the body should
that she is holding his arm above and remain covered for warmth and privacy. (C and D)
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below the elbow. What nursing ac- do not provide adequate support to the joint while
tion should the nurse implement? still allowing for joint movement.
A. Acknowledge that she is support- Correct Answer: A
ing the arm correctly.
B. Encourage her to keep the joint
covered to maintain warmth.
C. Reinforce the need to grip directly
under the joint for better support.
D. Instruct her to grip directly over
the joint for better motion.
8. What is the most important reason Venous return is usually better in the upper ex-
for starting intravenous infusions in tremities. Cannulation of the veins in the lower ex-
the upper extremities rather than the tremities increases the risk of thrombus formation
lower extremities of adults? (B) which, if dislodged, could be life-threatening.
Superficial veins are often very easy (A) to find in the
A. It is more difficult to find a superfi- feet and legs. Handling a leg or foot with an IV (C)
cial vein in the feet and ankles. is probably not any more difficult than handling an
B. A decreased flow rate could result arm or hand. Even if the nurse did believe moving
in the formation of a thrombosis. a cannulated leg was more difficult, this is not the
C. A cannulated extremity is more dif- most important reason for using the upper extrem-
ficult to move when the leg or foot is ities. Pain (D) is not a consideration.
used.
D. Veins are located deep in the Correct Answer: B
feet and ankles, resulting in a more
painful procedure.
9. The nurse observes an unlicensed The most important action is to ensure that an ac-
assistive personnel (UAP) taking a curate BP reading is obtained. The nurse should
client's blood pressure with a cuff reassess the BP with the correct size cuff (B). Re-
that is too small, but the blood pres- assessment should not be postponed (A). Though
Evolve Fundamentals HESI
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST
Study online at https://quizlet.com/_heta07
VERSION (JUST RELEASED)
1. An elderly client with a fractured To avoid shearing forces when repositioning, the
left hip is on strict bedrest. Which client should be lifted gently across a surface (D).
nursing measure is essential to the Reddened areas should not be massaged (A) since
client's nursing care? this may increase the damage to already trauma-
tized skin. To control pain and muscle spasms, active
A. Massage any reddened areas for at range of motion (B) may be limited on the affected
least five minutes. leg. The position described in (C) is contraindicated
B. Encourage active range of motion for a client with a fractured left hip.
exercises on extremities.
C. Position the client laterally, prone, Correct Answer: D
and dorsally in sequence.
D. Gently lift the client when moving
into a desired position.
2. The nurse is administering medica- The NGT should be flushed before, after and in be-
tions through a nasogastric tube tween each medication administered (B). Once all
(NGT) which is connected to suction. medications are administered, the NGT should be
After ensuring correct tube place- clamped for 20 minutes (A). (C and D) may be im-
ment, what action should the nurse plemented only after the tubing has been flushed.
take next?
Correct Answer: B
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as pre-
scribed.
D. Crush the tablets and dissolve in
sterile water.
3. A client who is in hospice care com- The most effective management of pain is achieved
plains of increasing amounts of pain. using an around-the-clock schedule that provides
The healthcare provider prescribes analgesic medications on a regular basis (A) and
an analgesic every four hours as in a timely manner. Analgesics are less effective if
, Evolve Fundamentals HESI
Study online at https://quizlet.com/_heta07
needed. Which action should the pain persists until it is severe, so an analgesic med-
nurse implement? ication should be administered before the client's
pain peaks (B). Providing comfort is a priority for the
A. Give an around-the-clock schedule client who is dying, but sedation that impairs the
for administration of analgesics. client's ability to interact and experience the time
B. Administer analgesic medication before life ends should be minimized (C). Offering a
as needed when the pain is severe. medication-free period allows the serum drug level
C. Provide medication to keep the to fall, which is not an effective method to manage
client sedated and unaware of stim- chronic pain (D).
uli.
D. Offer a medication-free period so Correct Answer: A
that the client can do daily activities.
4. When assessing a client with wrist re- The priority nursing action is to restore circulation
straints, the nurse observes that the by loosening the restraint (A), because blue fingers
fingers on the right hand are blue. (cyanosis) indicates decreased circulation. (C and
What action should the nurse imple- D) are also important nursing interventions, but do
ment first? not have the priority of (A). Pulse oximetry (B) mea-
sures the saturation of hemoglobin with oxygen and
A. Loosen the right wrist restraint. is not indicated in situations where the cyanosis is
B. Apply a pulse oximeter to the right related to mechanical compression (the restraints).
hand.
C. Compare hand color bilaterally. Correct Answer: A
D. Palpate the right radial pulse.
5. The nurse is assessing the nutritional A lactating woman (B) has the greatest need for
status of several clients. Which client additional protein intake. (A, C, and D) are all con-
has the greatest nutritional need for ditions that require protein, but do not have the
additional intake of protein? increased metabolic protein demands of lactation.
A. A college-age track runner with a Correct Answer: B
sprained ankle.
B. A lactating woman nursing her
, Evolve Fundamentals HESI
Study online at https://quizlet.com/_heta07
3-day-old infant.
C. A school-aged child with Type 2
diabetes.
D. An elderly man being treated for a
peptic ulcer.
6. A client is in the radiology depart- To ensure that a therapeutic level of medication
ment at 0900 when the prescrip- is maintained, the nurse should administer the
tion levofloxacin (Levaquin) 500 mg missed dose as soon as possible, and revise the ad-
IV q24h is scheduled to be adminis- ministration schedule accordingly to prevent dan-
tered. The client returns to the unit gerously increasing the level of the medication in
at 1300. What is the best intervention the bloodstream (D). The nurse should document
for the nurse to implement? the reason for the late dose, but (A and C) are not
warranted. (B) could result in increased blood levels
A. Contact the healthcare provider of the drug.
and complete a medication variance
form. Correct Answer: D
B. Administer the Levaquin at 1300
and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and com-
plete an incident report to explain
the missed dose.
D. Give the missed dose at 1300 and
change the schedule to administer
daily at 1300.
7. While instructing a male client's The wife is performing the passive ROM correctly,
wife in the performance of passive therefore the nurse should acknowledge this fact
range-of-motion exercises to his con- (A). The joint that is being exercised should be
tracted shoulder, the nurse observes uncovered (B) while the rest of the body should
that she is holding his arm above and remain covered for warmth and privacy. (C and D)
, Evolve Fundamentals HESI
Study online at https://quizlet.com/_heta07
below the elbow. What nursing ac- do not provide adequate support to the joint while
tion should the nurse implement? still allowing for joint movement.
A. Acknowledge that she is support- Correct Answer: A
ing the arm correctly.
B. Encourage her to keep the joint
covered to maintain warmth.
C. Reinforce the need to grip directly
under the joint for better support.
D. Instruct her to grip directly over
the joint for better motion.
8. What is the most important reason Venous return is usually better in the upper ex-
for starting intravenous infusions in tremities. Cannulation of the veins in the lower ex-
the upper extremities rather than the tremities increases the risk of thrombus formation
lower extremities of adults? (B) which, if dislodged, could be life-threatening.
Superficial veins are often very easy (A) to find in the
A. It is more difficult to find a superfi- feet and legs. Handling a leg or foot with an IV (C)
cial vein in the feet and ankles. is probably not any more difficult than handling an
B. A decreased flow rate could result arm or hand. Even if the nurse did believe moving
in the formation of a thrombosis. a cannulated leg was more difficult, this is not the
C. A cannulated extremity is more dif- most important reason for using the upper extrem-
ficult to move when the leg or foot is ities. Pain (D) is not a consideration.
used.
D. Veins are located deep in the Correct Answer: B
feet and ankles, resulting in a more
painful procedure.
9. The nurse observes an unlicensed The most important action is to ensure that an ac-
assistive personnel (UAP) taking a curate BP reading is obtained. The nurse should
client's blood pressure with a cuff reassess the BP with the correct size cuff (B). Re-
that is too small, but the blood pres- assessment should not be postponed (A). Though
