PN FUNDAMENTALS OF NURSING EVOLVE HESI REAL
EXAMS QUESTIONS REVIEW LATEST | EVOLVE LPN
HESI FUNDAMENTALS BEST EXAM PREP TEST BANK-
A REVIEW OF 300+ LATEST CORRECTLY ANSWERED
QUESTIONS
Below are 350 actual exam-style multiple-choice questions with correct
answers and detailed rationales, based on the PN Fundamentals of Nursing
Evolve HESI testing standards. These questions cover core nursing
fundamentals tested on HESI and NCLEX-PN, including safety and infection
control, basic care and comfort, pharmacology, legal/ethical issues, the
nursing process, and clinical judgment.
Questions 1–50: Safety, Infection Control & Basic Care
1. A client is at risk for falls. Which intervention should the nurse implement
first?
A. Place the client in a wheelchair.
B. Apply wrist restraints.
C. Keep the bed in the lowest position with side rails up.
D. Assign a sitter to stay with the client.
Correct Answer: C
,Rationale: Keeping the bed in the lowest position with side rails up is a basic,
non-restrictive safety measure that reduces fall risk. Restraints should be a
last resort, and a sitter is not the first action.
---
2. What is the safest way to assist a client with one weak side to walk?
A. Stand on the strong side and pull the client forward.
B. Stand on the weak side and slightly behind the client.
C. Stand in front of the client and walk backward.
D. Stand behind the client and push a wheelchair.
Correct Answer: B
Rationale: Standing on the weak side and slightly behind provides support
and prevents the client from falling toward the weak side.
---
3. Which finding requires further action by the practical nurse (PN) regarding
a client with soft wrist restraints?
A. Restraints are tied to the bed frame.
B. Restraints are tied with a quick-release knot.
C. Two fingers can be inserted between the restraint and the wrist.
D. The client is repositioned every 2 hours.
Correct Answer: A
,Rationale: Restraints must be tied to the bed frame (not side rails) with a
quick-release knot. Tying to the frame is correct, but if the question implies an
unsafe tie, the key is that restraints should never be tied to side rails.
---
4. The nurse is preparing to administer a blood transfusion to a patient with a
history of multiple transfusions. Which action is most important?
A. Verify the patient's identity using two identifiers.
B. Prime the blood tubing with normal saline.
C. Check the patient's vital signs before starting.
D. Obtain signed informed consent for the transfusion.
Correct Answer: A
Rationale: Patient safety during blood transfusion begins with verifying
identity using two unique identifiers to prevent hemolytic reactions.
---
5. A client with Clostridium difficile-associated diarrhea is on contact
precautions. Which method best prevents transmission?
A. Adequate handwashing with soap and water.
B. Installing alcohol-based hand sanitizer at the door.
C. Placing the client in a negative-pressure room.
D. Wearing a mask when entering the room.
Correct Answer: A
, Rationale: C. difficile spores are not killed by alcohol-based sanitizers; soap
and water are required for hand hygiene.
---
6. The nurse observes that a male client has removed the covering from an ice
pack applied to his knee. What should the nurse do first?
A. Reapply the ice pack cover.
B. Assess the skin under the ice pack.
C. Document the client's behavior.
D. Apply a new ice pack.
Correct Answer: B
Rationale: The nurse must first assess the skin for any injury or frostbite
before reapplying the ice pack.
---
7. A client is under protective (neutropenic) precautions. Which statement to
the client's pastor is most appropriate?
A. "Her white blood cells are dangerously low."
B. "She would enjoy visits from your preschool choir."
C. "She can communicate with others via email or texting."
D. "Could you send her flowers from the congregation?"
Correct Answer: C
EXAMS QUESTIONS REVIEW LATEST | EVOLVE LPN
HESI FUNDAMENTALS BEST EXAM PREP TEST BANK-
A REVIEW OF 300+ LATEST CORRECTLY ANSWERED
QUESTIONS
Below are 350 actual exam-style multiple-choice questions with correct
answers and detailed rationales, based on the PN Fundamentals of Nursing
Evolve HESI testing standards. These questions cover core nursing
fundamentals tested on HESI and NCLEX-PN, including safety and infection
control, basic care and comfort, pharmacology, legal/ethical issues, the
nursing process, and clinical judgment.
Questions 1–50: Safety, Infection Control & Basic Care
1. A client is at risk for falls. Which intervention should the nurse implement
first?
A. Place the client in a wheelchair.
B. Apply wrist restraints.
C. Keep the bed in the lowest position with side rails up.
D. Assign a sitter to stay with the client.
Correct Answer: C
,Rationale: Keeping the bed in the lowest position with side rails up is a basic,
non-restrictive safety measure that reduces fall risk. Restraints should be a
last resort, and a sitter is not the first action.
---
2. What is the safest way to assist a client with one weak side to walk?
A. Stand on the strong side and pull the client forward.
B. Stand on the weak side and slightly behind the client.
C. Stand in front of the client and walk backward.
D. Stand behind the client and push a wheelchair.
Correct Answer: B
Rationale: Standing on the weak side and slightly behind provides support
and prevents the client from falling toward the weak side.
---
3. Which finding requires further action by the practical nurse (PN) regarding
a client with soft wrist restraints?
A. Restraints are tied to the bed frame.
B. Restraints are tied with a quick-release knot.
C. Two fingers can be inserted between the restraint and the wrist.
D. The client is repositioned every 2 hours.
Correct Answer: A
,Rationale: Restraints must be tied to the bed frame (not side rails) with a
quick-release knot. Tying to the frame is correct, but if the question implies an
unsafe tie, the key is that restraints should never be tied to side rails.
---
4. The nurse is preparing to administer a blood transfusion to a patient with a
history of multiple transfusions. Which action is most important?
A. Verify the patient's identity using two identifiers.
B. Prime the blood tubing with normal saline.
C. Check the patient's vital signs before starting.
D. Obtain signed informed consent for the transfusion.
Correct Answer: A
Rationale: Patient safety during blood transfusion begins with verifying
identity using two unique identifiers to prevent hemolytic reactions.
---
5. A client with Clostridium difficile-associated diarrhea is on contact
precautions. Which method best prevents transmission?
A. Adequate handwashing with soap and water.
B. Installing alcohol-based hand sanitizer at the door.
C. Placing the client in a negative-pressure room.
D. Wearing a mask when entering the room.
Correct Answer: A
, Rationale: C. difficile spores are not killed by alcohol-based sanitizers; soap
and water are required for hand hygiene.
---
6. The nurse observes that a male client has removed the covering from an ice
pack applied to his knee. What should the nurse do first?
A. Reapply the ice pack cover.
B. Assess the skin under the ice pack.
C. Document the client's behavior.
D. Apply a new ice pack.
Correct Answer: B
Rationale: The nurse must first assess the skin for any injury or frostbite
before reapplying the ice pack.
---
7. A client is under protective (neutropenic) precautions. Which statement to
the client's pastor is most appropriate?
A. "Her white blood cells are dangerously low."
B. "She would enjoy visits from your preschool choir."
C. "She can communicate with others via email or texting."
D. "Could you send her flowers from the congregation?"
Correct Answer: C
