EVOLVE- HESI FUNDAMENTAL
SKILLS\Evolve HESI Fundamentals &
EVOLVE HESI FUNDAMENTALS PRACTICE
QS TESTBANK ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS ALREADY
GARADED A + 2025-2026.
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - ANSWER-To
avoid shearing forces when repositioning, the client should be lifted gently
across a surface (D). Reddened areas should not be massaged (A) since this
may increase the damage to already traumatized skin. To control pain and
muscle spasms, active range of motion (B) may be limited on the affected leg.
The position described in (C) is contraindicated for a client with a fractured
left hip.
,Correct ANSWER: D
The nurse is administering medications through a nasogastric tube (NGT)
which is connected to suction. After ensuring correct tube placement, what
action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER-The NGT should
be flushed before, after and in between each medication administered (B).
Once all medications are administered, the NGT should be clamped for 20
minutes (A). (C and D) may be implemented only after the tubing has been
flushed.
Correct ANSWER: B
,A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. -
ANSWER-The most effective management of pain is achieved using an around-
the-clock schedule that provides analgesic medications on a regular basis (A)
and in a timely manner. Analgesics are less effective if pain persists until it is
severe, so an analgesic medication should be administered before the client's
pain peaks (B). Providing comfort is a priority for the client who is dying, but
sedation that impairs the client's ability to interact and experience the time
before life ends should be minimized (C). Offering a medication-free period
allows the serum drug level to fall, which is not an effective method to manage
chronic pain (D).
Correct ANSWER: A
, When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ANSWER-The priority nursing action is to
restore circulation by loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are also important
nursing interventions, but do not have the priority of (A). Pulse oximetry (B)
measures the saturation of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical compression (the
restraints).
Correct ANSWER: A
SKILLS\Evolve HESI Fundamentals &
EVOLVE HESI FUNDAMENTALS PRACTICE
QS TESTBANK ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS ALREADY
GARADED A + 2025-2026.
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - ANSWER-To
avoid shearing forces when repositioning, the client should be lifted gently
across a surface (D). Reddened areas should not be massaged (A) since this
may increase the damage to already traumatized skin. To control pain and
muscle spasms, active range of motion (B) may be limited on the affected leg.
The position described in (C) is contraindicated for a client with a fractured
left hip.
,Correct ANSWER: D
The nurse is administering medications through a nasogastric tube (NGT)
which is connected to suction. After ensuring correct tube placement, what
action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER-The NGT should
be flushed before, after and in between each medication administered (B).
Once all medications are administered, the NGT should be clamped for 20
minutes (A). (C and D) may be implemented only after the tubing has been
flushed.
Correct ANSWER: B
,A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. -
ANSWER-The most effective management of pain is achieved using an around-
the-clock schedule that provides analgesic medications on a regular basis (A)
and in a timely manner. Analgesics are less effective if pain persists until it is
severe, so an analgesic medication should be administered before the client's
pain peaks (B). Providing comfort is a priority for the client who is dying, but
sedation that impairs the client's ability to interact and experience the time
before life ends should be minimized (C). Offering a medication-free period
allows the serum drug level to fall, which is not an effective method to manage
chronic pain (D).
Correct ANSWER: A
, When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ANSWER-The priority nursing action is to
restore circulation by loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are also important
nursing interventions, but do not have the priority of (A). Pulse oximetry (B)
measures the saturation of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical compression (the
restraints).
Correct ANSWER: A
