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Evolve HESI Fundamentals Practice
Exam Questions & Answers | 100%
Verified solutions |Questions with
Correct Answers 2026 latest update!!
When turning an immobile bedridden client without assistance,
which action by the nurse best ensures client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly. - ANSWER -B
Rationale: Because the nurse can only stand on one side of the
bed, bed rails should be up on the opposite side to ensure that
the client does not fall out of bed. Option A can cause client
injury to the skin or joint. Options C and D are useful
techniques while turning a client but have less priority in
terms of safety than use of the bed rails.
The nurse identifies a potential for infection in a client with
partial-thickness (second-degree) and full-thickness (third-
degree) burns. What intervention has the highest priority in
decreasing the client's risk of infection?
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A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - ANSWER -B
Rationale: Careful handwashing technique is the single most
effective intervention for the prevention of contamination to
all clients. Option A reverses the hypovolemia that initially
accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to
reduce the chance of infection. Option B is a proven technique
to prevent infection.
The nurse is aware that malnutrition is a common problem
among clients served by a community health clinic for the
homeless. Which laboratory value is the most reliable indicator
of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level - ANSWER -A
Rationale: Long-term protein deficiency is required to cause
significantly lowered serum albumin levels. Albumin is made
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by the liver only when adequate amounts of amino acids
(from protein breakdown) are available. Albumin has a long
half-life, so acute protein loss does not significantly alter
serum levels. Option B is a serum protein with a half-life of
only 8 to 10 days, so it will drop with an acute protein
deficiency. Options C and D are not clinical measures of
protein malnutrition.
In completing a client's preoperative routine, the nurse finds
that the operative permit is not signed. The client begins to ask
more questions about the surgical procedure. Which action
should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed
and the client has questions about the surgery.
D. Reassure the client that the surgeon will answer any
questions before the anesthesia is administered. - ANSWER -C
Rationale: The surgeon should be informed immediately that
the permit is not signed. It is the surgeon's responsibility to
explain the procedure to the client and obtain the client's
signature on the permit. Although the nurse can witness an
operative permit, the procedure must first be explained by the
health care provider or surgeon, including answering the
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client's questions. The client's questions should be addressed
before the permit is signed.
The nurse is assessing several clients prior to surgery. Which
factor in a client's history poses the greatest threat for
complications to occur during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months - ANSWER -
B
Rationale:
Anticoagulants increase the risk for bleeding during surgery,
which can pose a threat for the development of surgical
complications. The health care provider should be informed
that the client is taking these drugs. Although clients who take
birth control pills may be more susceptible to the
development of thrombi, such problems usually occur
postoperatively. A client with option C or D is at less of a
surgical risk than with option B.
When assisting a client from the bed to a chair, which
procedure is best for the nurse to follow?
Evolve HESI Fundamentals Practice
Exam Questions & Answers | 100%
Verified solutions |Questions with
Correct Answers 2026 latest update!!
When turning an immobile bedridden client without assistance,
which action by the nurse best ensures client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly. - ANSWER -B
Rationale: Because the nurse can only stand on one side of the
bed, bed rails should be up on the opposite side to ensure that
the client does not fall out of bed. Option A can cause client
injury to the skin or joint. Options C and D are useful
techniques while turning a client but have less priority in
terms of safety than use of the bed rails.
The nurse identifies a potential for infection in a client with
partial-thickness (second-degree) and full-thickness (third-
degree) burns. What intervention has the highest priority in
decreasing the client's risk of infection?
,2|Page
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - ANSWER -B
Rationale: Careful handwashing technique is the single most
effective intervention for the prevention of contamination to
all clients. Option A reverses the hypovolemia that initially
accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to
reduce the chance of infection. Option B is a proven technique
to prevent infection.
The nurse is aware that malnutrition is a common problem
among clients served by a community health clinic for the
homeless. Which laboratory value is the most reliable indicator
of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level - ANSWER -A
Rationale: Long-term protein deficiency is required to cause
significantly lowered serum albumin levels. Albumin is made
,3|Page
by the liver only when adequate amounts of amino acids
(from protein breakdown) are available. Albumin has a long
half-life, so acute protein loss does not significantly alter
serum levels. Option B is a serum protein with a half-life of
only 8 to 10 days, so it will drop with an acute protein
deficiency. Options C and D are not clinical measures of
protein malnutrition.
In completing a client's preoperative routine, the nurse finds
that the operative permit is not signed. The client begins to ask
more questions about the surgical procedure. Which action
should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed
and the client has questions about the surgery.
D. Reassure the client that the surgeon will answer any
questions before the anesthesia is administered. - ANSWER -C
Rationale: The surgeon should be informed immediately that
the permit is not signed. It is the surgeon's responsibility to
explain the procedure to the client and obtain the client's
signature on the permit. Although the nurse can witness an
operative permit, the procedure must first be explained by the
health care provider or surgeon, including answering the
, 4|Page
client's questions. The client's questions should be addressed
before the permit is signed.
The nurse is assessing several clients prior to surgery. Which
factor in a client's history poses the greatest threat for
complications to occur during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months - ANSWER -
B
Rationale:
Anticoagulants increase the risk for bleeding during surgery,
which can pose a threat for the development of surgical
complications. The health care provider should be informed
that the client is taking these drugs. Although clients who take
birth control pills may be more susceptible to the
development of thrombi, such problems usually occur
postoperatively. A client with option C or D is at less of a
surgical risk than with option B.
When assisting a client from the bed to a chair, which
procedure is best for the nurse to follow?
