EVOLVE HESI FUNDAMENTALS ACTUAL EXAM
2026/2027 WITH QUESTIONS AND VERIFIED
ANSWERS GRADED A+
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. -
CORRECT 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. - CORRECT
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. - CORRECT 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
medicationfree 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. - CORRECT 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
The nurse is assessing the nutritional status of several clients. Which
client has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
, D. An elderly man being treated for a peptic ulcer. - CORRECT
ANSWER A lactating woman (B) has the greatest need for
additional protein intake. (A, C, and D) are all conditions that require
protein, but do not have the increased metabolic protein demands of
lactation.
Correct Answer: B
A client is in the radiology department at 0900 when the prescription
levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be
administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance
form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in
the
morning.
C. Notify the charge nurse and complete an incident report to explain
the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300. - CORRECT ANSWER To ensure that a therapeutic
level of medication is maintained, the nurse should administer the
missed dose as soon as possible, and revise the administration
schedule accordingly to prevent dangerously increasing the level of
the medication in the bloodstream (D). The nurse should document
the reason for the late dose, but (A and C) are not warranted. (B)
could result in increased blood levels of the drug.
2026/2027 WITH QUESTIONS AND VERIFIED
ANSWERS GRADED A+
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. -
CORRECT 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. - CORRECT
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. - CORRECT 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
medicationfree 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. - CORRECT 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
The nurse is assessing the nutritional status of several clients. Which
client has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
, D. An elderly man being treated for a peptic ulcer. - CORRECT
ANSWER A lactating woman (B) has the greatest need for
additional protein intake. (A, C, and D) are all conditions that require
protein, but do not have the increased metabolic protein demands of
lactation.
Correct Answer: B
A client is in the radiology department at 0900 when the prescription
levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be
administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance
form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in
the
morning.
C. Notify the charge nurse and complete an incident report to explain
the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300. - CORRECT ANSWER To ensure that a therapeutic
level of medication is maintained, the nurse should administer the
missed dose as soon as possible, and revise the administration
schedule accordingly to prevent dangerously increasing the level of
the medication in the bloodstream (D). The nurse should document
the reason for the late dose, but (A and C) are not warranted. (B)
could result in increased blood levels of the drug.
