EVOLVE HESI Fundamentals V1, V2 & V3 () | Verified Questions & Rationales Included

Page | 1
q q




EVOLVE HESI q




EVOLVE HESI Fundamentals V1, V2 & V3 () | Verified
q q q q q q q q q




Questions & Rationales Included
q q q q




This document cotains;
q q




➢ Evolve hesi fundamental v1,v2 & v3
q q q q q




➢ Questions & Rationales
q q

, Page | 2 q q




2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
q q q q q q q




3| BRAND EVOLVE HESI | GUARANTEED VALUE PACK|
q q q q q q q




q ACE YOUR GRADES. q q




(WITH RATIONALES) q




1. An elderly client with a fractured left hip is on strict bedrest. Which
q q q q q q q q q q q q



nursing measure is essential to the client's nursing care?
q q q q q q q q q




A. Massage any reddened areas for at least five minutes.
q q q q q q q q



B. Encourage active range of motion exercises on extremities. q q q q q q q



C. Position the client laterally, prone, and dorsally in sequence.
q q q q q q q q



D. Gently lift the client when moving into a desired position. - correct
q q q q q q q q q q q



answer - To avoid shearing forces when repositioning, the client
q q q q q q q q q q



should be lifted gently across a surface (D). Reddened areas should
q q q q q q q q q q q



not be massaged (A) since this may increase the damage to already
q q q q q q q q q q q q



traumatized skin. To control pain and muscle spasms, active range of
q q q q q q q q q q q



motion (B) may be limited on the affected leg. The position described
q q q q q q q q q q q q



in (C) is contraindicated for a client with a fractured left hip.
q q q q q q q q q q q q




Correct Answer: D q q




2. The nurse is administering medications through a nasogastric tube
q q q q q q q q



(NGT) which is connected to suction. After ensuring correct tube
q q q q q q q q q q



placement, what action should the nurse take next?
q q q q q q q q




A. Clamp the tube for 20 minutes. q q q q q



B. Flush the tube with water.q q q q

, Page | 3 q q




C. Administer the medications as prescribed. q q q q



D. Crush the tablets and dissolve in sterile water. - correct answer - The
q q q q q q q q q q q q



NGT should be flushed before, after and in between each medication
q q q q q q q q q q q



administered (B). Once all medications are administered, the NGT
q q q q q q q q q



should be clamped for 20 minutes (A). (C and D) may be implemented
q q q q q q q q q q q q q



only after the tubing has been flushed.
q q q q q q q




Correct Answer: B q q




3. A client who is in hospice care complains of increasing amounts of pain.
q q q q q q q q q q q q



qThe healthcare provider prescribes an analgesic every four hours as
q q q q q q q q q



qneeded. Which action should the nurse implement?
q q q q q q




A. Give an around-the-clock schedule for administration of analgesics.
q q q q q q q



B. Administer analgesic medication as needed when the pain is severe.
q q q q q q q q q



C. Provide medication to keep the client sedated and unaware of stimuli.
q q q q q q q q q q



D. Offer a medication-free period so that the client can do daily activities.
q q q q q q q q q q q



- correct answer - The most effective management of pain is achieved
q q q q q q q q q q q



using an around-the-clock schedule that provides analgesic
q q q q q q q



medications on a regular basis (A) and in a timely manner. Analgesics
q q q q q q q q q q q q



are less effective if pain persists until it is severe, so an analgesic
q q q q q q q q q q q q q



medication should be administered before the client's pain peaks (B).
q q q q q q q q q q



Providing comfort is a priority for the client who is dying, but sedation
q q q q q q q q q q q q q



that impairs the client's ability to interact and experience the time
q q q q q q q q q q q



before life ends should be minimized (C). Offering a medication-free
q q q q q q q q q q



period allows the serum drug level to fall, which is not an effective
q q q q q q q q q q q q q



method to manage chronic pain (D).
q q q q q q




Correct Answer: A q q

, Page | 4 q q




4. When assessing a client with wrist restraints, the nurse observes that
q q q q q q q q q q



the fingers on the right hand are blue. What action should the nurse
q q q q q q q q q q q q q



implement first?
q q




A. Loosen the right wrist restraint. q q q q



B. Apply a pulse oximeter to the right hand.
q q q q q q q



C. Compare hand color bilaterally. q q q



D. Palpate the right radial pulse. - correct answer - The priority nursing
q q q q q q q q q q q



action is to restore circulation by loosening the restraint (A), because
q q q q q q q q q q q



blue fingers (cyanosis) indicates decreased circulation. (C and D) are
q q q q q q q q q q



also important nursing interventions, but do not have the priority of
q q q q q q q q q q q



(A). Pulse oximetry (B) measures the saturation of hemoglobin with
q q q q q q q q



oxygen and is not indicated in situations where the cyanosis is related
q q q q q q q q q q q q



to mechanical compression (the restraints).
q q q q q




Correct Answer: A q q




5. The nurse is assessing the nutritional status of several clients. Which
q q q q q q q q q q



client has the greatest nutritional need for additional intake of protein?
q q q q q q q q q q q




A. A college-age track runner with a sprained ankle.
q q q q q q q



B. A lactating woman nursing her 3-day-old infant.
q q q q q q



C. A school-aged child with Type 2 diabetes.
q q q q q q



D. An elderly man being treated for a peptic ulcer. - correct answer - A
q q q q q q q q q q q q q



lactating woman (B) has the greatest need for additional protein
q q q q q q q q q q



intake. (A, C, and D) are all conditions that require protein, but do not
q q q q q q q q q q q q q q



have the increased metabolic protein demands of lactation.
q q q q q q q q




Correct Answer: B q q