EVOLVE FUNDAMENTALS HESI EXAM 2025 UPDATE QUESTIONS
AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
The nurse is instructing a client with high cholesterol about diet and life style modification.
What comment from the client indicates that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase." - answersLimiting saturated
fat from animal food sources to no more than 4 ounces per week (C) is an important diet
modification for lowering cholesterol. To be effective in reducing cholesterol, the client should
exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat and all proteins
do not need to be eliminated (B) to lower cholesterol, but should be restricted to lean cuts of
red meat and smaller portions (2-ounce servings). The low density lipoproteins (D) need to
decrease rather than increase.
Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way
to transfer an elderly client with left-sided weakness from the bed to the chair. What method
describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
,D. Move the chair parallel to the right side of the bed, and stand the client on the right foot. -
answers(D) uses the client's stronger side, the right side, for weight-bearing during the
transfer, and is the safest approach to take. (A, B, and C) are unsafe methods of transfer and
include the use of poor body mechanics by the caregiver.
Correct Answer: D
An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to
administering a soap suds enema. Which instruction should the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level. - answersThe
left sided Sims' position allows the enema solution to follow the anatomical course of the
intestines and allows the best overall results, so the UAP should reposition the client in the
Sims' position, which distributes the client's weight to the anterior ilium (C). (A) is inaccurate.
(B and D) should be implemented once the client is positioned.
Correct Answer: C
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
,D. A vegetarian diet must be followed. - answersBlood transfusions are forbidden (B) in the
Jehovah's Witness religion. Judaism prohibits (A). Buddhism forbids the use of (C) and drugs.
Many of these sects are vegetarian (D), but the direct impact on nursing care is (B).
Correct Answer: B
The nurse observes that a male client has removed the covering from an ice pack applied to his
knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - answersThe first action taken by the
nurse should be to assess the skin for any possible thermal injury (A). If no injury to the skin
has occurred, the nurse can take the other actions (B, C, and D) as needed.
Correct Answer: A
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution at a
rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60 gtt/ml, how
many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - answers(D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg.
Determine the dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min. Determine how many
mcg are contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The client is to receive 413.65
mcg/min, and there are 200 mcg/ml; so the client is to receive 2.07ml per minute. With a drip
, factor of 60 gtt/ml, then 60 × 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis:
gtt/min = 60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182
lbs.
Correct Answer: D
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the healthcare
provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. -
answersCoughing, vomiting, and suctioning can precipitate displacement of the tip of the
small bore feeding tube upward into the esophagus, placing the client at increased risk for
aspiration. Checking the sample of fluid withdrawn from the tube (after clearing the tube with
30 ml of air) for acidic (stomach) or alkaline (intestine) values is a more sensitive method for
these tubes, and the nurse should assess tube placement in this way prior to taking any other
action (C). (A and B) are not indicated. The auscultating method (D) has been found to be
unreliable for small-bore feeding tubes.
Correct Answer: C
A male client being discharged with a prescription for the bronchodilator theophylline tells the
nurse that he understands he is to take three doses of the medication each day. Since, at the
time of discharge, timed-release capsules are not available, which dosing schedule should the
nurse advise the client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+
(BRAND NEW VISION)
The nurse is instructing a client with high cholesterol about diet and life style modification.
What comment from the client indicates that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase." - answersLimiting saturated
fat from animal food sources to no more than 4 ounces per week (C) is an important diet
modification for lowering cholesterol. To be effective in reducing cholesterol, the client should
exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat and all proteins
do not need to be eliminated (B) to lower cholesterol, but should be restricted to lean cuts of
red meat and smaller portions (2-ounce servings). The low density lipoproteins (D) need to
decrease rather than increase.
Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way
to transfer an elderly client with left-sided weakness from the bed to the chair. What method
describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
,D. Move the chair parallel to the right side of the bed, and stand the client on the right foot. -
answers(D) uses the client's stronger side, the right side, for weight-bearing during the
transfer, and is the safest approach to take. (A, B, and C) are unsafe methods of transfer and
include the use of poor body mechanics by the caregiver.
Correct Answer: D
An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to
administering a soap suds enema. Which instruction should the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level. - answersThe
left sided Sims' position allows the enema solution to follow the anatomical course of the
intestines and allows the best overall results, so the UAP should reposition the client in the
Sims' position, which distributes the client's weight to the anterior ilium (C). (A) is inaccurate.
(B and D) should be implemented once the client is positioned.
Correct Answer: C
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
,D. A vegetarian diet must be followed. - answersBlood transfusions are forbidden (B) in the
Jehovah's Witness religion. Judaism prohibits (A). Buddhism forbids the use of (C) and drugs.
Many of these sects are vegetarian (D), but the direct impact on nursing care is (B).
Correct Answer: B
The nurse observes that a male client has removed the covering from an ice pack applied to his
knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - answersThe first action taken by the
nurse should be to assess the skin for any possible thermal injury (A). If no injury to the skin
has occurred, the nurse can take the other actions (B, C, and D) as needed.
Correct Answer: A
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution at a
rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60 gtt/ml, how
many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min. - answers(D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg.
Determine the dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min. Determine how many
mcg are contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The client is to receive 413.65
mcg/min, and there are 200 mcg/ml; so the client is to receive 2.07ml per minute. With a drip
, factor of 60 gtt/ml, then 60 × 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis:
gtt/min = 60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182
lbs.
Correct Answer: D
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the healthcare
provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. -
answersCoughing, vomiting, and suctioning can precipitate displacement of the tip of the
small bore feeding tube upward into the esophagus, placing the client at increased risk for
aspiration. Checking the sample of fluid withdrawn from the tube (after clearing the tube with
30 ml of air) for acidic (stomach) or alkaline (intestine) values is a more sensitive method for
these tubes, and the nurse should assess tube placement in this way prior to taking any other
action (C). (A and B) are not indicated. The auscultating method (D) has been found to be
unreliable for small-bore feeding tubes.
Correct Answer: C
A male client being discharged with a prescription for the bronchodilator theophylline tells the
nurse that he understands he is to take three doses of the medication each day. Since, at the
time of discharge, timed-release capsules are not available, which dosing schedule should the
nurse advise the client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
