EVOLVE HESI FUNDAMENTALS EXAM QUESTIONS
COMPLETE WITH 100% VERIFIED ANSWERS
Table of Contents
Section Domain Approx. Page
Questions Reference
1 Nursing Process 30 Page 1
2 Safety and Infection 30 Page 5
Control
3 Medication 30 Page 9
Administration
4 Basic Care and Comfort 30 Page 13
5 Psychosocial Integrity 25 Page 17
6 Health Promotion 25 Page 21
7 Legal and Ethical Practice 30 Page 25
Section 1: Nursing Process (Questions 1-30)
1. Which action by the nurse represents the assessment phase of the
nursing process?
A. Administering a prescribed pain medication.
B. Auscultating the client's lung sounds.
C. Developing a prioritized care plan.
,D. Evaluating the client's response to therapy.
Correct Answer: B
Rationale: Auscultating lung sounds is a data collection technique used
during the assessment phase to gather objective information.
2. The nurse identifies "Impaired Gas Exchange" as a client problem.
This represents which phase of the nursing process?
A. Assessment.
B. Planning.
C. Diagnosis.
D. Evaluation.
Correct Answer: C
Rationale: Identifying a client problem based on collected data is the
nursing diagnosis phase.
3. Which nursing action is a priority during the planning phase of the
nursing process?
A. Setting measurable, client-centered goals.
B. Collecting subjective data from the family.
C. Administering prescribed intravenous fluids.
D. Documenting the client's vital signs.
Correct Answer: A
Rationale: Goal setting and outcome identification occur during the
planning phase.
4. A nurse is evaluating the effectiveness of a client's pain
management plan. Which finding indicates the plan is effective?
A. The client reports pain as an 8 out of 10.
B. The client is grimacing when moving.
C. The client reports pain as a 2 out of 10.
,D. The client refuses to ambulate.
Correct Answer: C
Rationale: A decrease in the client's reported pain level indicates the
intervention was effective.
5. Which of the following is an example of subjective data?
A. Blood pressure of 120/80 mmHg.
B. Client states, "I feel very nauseous."
C. Presence of a red rash on the abdomen.
D. Temperature of 101.2°F.
Correct Answer: B
Rationale: Subjective data includes the client's verbal descriptions of
their feelings and perceptions.
6. The nurse is prioritizing care for four clients. Which client should the
nurse assess first?
A. A client requesting assistance with a bed bath.
B. A client reporting sudden shortness of breath.
C. A client requesting a pain medication for a headache.
D. A client who needs discharge teaching.
Correct Answer: B
Rationale: Sudden shortness of breath indicates a potential airway or
breathing emergency, which is the highest priority.
7. Which action demonstrates the implementation phase of the
nursing process?
A. Administering an enema to a constipated client.
B. Reviewing the client's medical history.
C. Writing a nursing diagnosis.
D. Comparing client outcomes to expected goals.
, Correct Answer: A
Rationale: Implementation involves carrying out the planned nursing
interventions.
8. The nurse is conducting a focused assessment. What is the primary
purpose of this type of assessment?
A. To gather a comprehensive health history.
B. To gather data about a specific client problem.
C. To evaluate the effectiveness of discharge teaching.
D. To establish a baseline for future comparisons.
Correct Answer: B
Rationale: A focused assessment gathers data related to a specific,
identified client issue.
9. Which nursing diagnosis is written correctly?
A. Pneumonia related to infection.
B. Ineffective Airway Clearance related to excessive secretions.
C. The client is anxious.
D. Needs help with ambulation.
Correct Answer: B
Rationale: A correctly written nursing diagnosis includes the problem
statement and the related factor (etiology).
10. A nurse is revising a client's care plan. Which step of the nursing
process is the nurse performing?
A. Assessment.
B. Diagnosis.
C. Planning.
D. Evaluation.
Correct Answer: D
COMPLETE WITH 100% VERIFIED ANSWERS
Table of Contents
Section Domain Approx. Page
Questions Reference
1 Nursing Process 30 Page 1
2 Safety and Infection 30 Page 5
Control
3 Medication 30 Page 9
Administration
4 Basic Care and Comfort 30 Page 13
5 Psychosocial Integrity 25 Page 17
6 Health Promotion 25 Page 21
7 Legal and Ethical Practice 30 Page 25
Section 1: Nursing Process (Questions 1-30)
1. Which action by the nurse represents the assessment phase of the
nursing process?
A. Administering a prescribed pain medication.
B. Auscultating the client's lung sounds.
C. Developing a prioritized care plan.
,D. Evaluating the client's response to therapy.
Correct Answer: B
Rationale: Auscultating lung sounds is a data collection technique used
during the assessment phase to gather objective information.
2. The nurse identifies "Impaired Gas Exchange" as a client problem.
This represents which phase of the nursing process?
A. Assessment.
B. Planning.
C. Diagnosis.
D. Evaluation.
Correct Answer: C
Rationale: Identifying a client problem based on collected data is the
nursing diagnosis phase.
3. Which nursing action is a priority during the planning phase of the
nursing process?
A. Setting measurable, client-centered goals.
B. Collecting subjective data from the family.
C. Administering prescribed intravenous fluids.
D. Documenting the client's vital signs.
Correct Answer: A
Rationale: Goal setting and outcome identification occur during the
planning phase.
4. A nurse is evaluating the effectiveness of a client's pain
management plan. Which finding indicates the plan is effective?
A. The client reports pain as an 8 out of 10.
B. The client is grimacing when moving.
C. The client reports pain as a 2 out of 10.
,D. The client refuses to ambulate.
Correct Answer: C
Rationale: A decrease in the client's reported pain level indicates the
intervention was effective.
5. Which of the following is an example of subjective data?
A. Blood pressure of 120/80 mmHg.
B. Client states, "I feel very nauseous."
C. Presence of a red rash on the abdomen.
D. Temperature of 101.2°F.
Correct Answer: B
Rationale: Subjective data includes the client's verbal descriptions of
their feelings and perceptions.
6. The nurse is prioritizing care for four clients. Which client should the
nurse assess first?
A. A client requesting assistance with a bed bath.
B. A client reporting sudden shortness of breath.
C. A client requesting a pain medication for a headache.
D. A client who needs discharge teaching.
Correct Answer: B
Rationale: Sudden shortness of breath indicates a potential airway or
breathing emergency, which is the highest priority.
7. Which action demonstrates the implementation phase of the
nursing process?
A. Administering an enema to a constipated client.
B. Reviewing the client's medical history.
C. Writing a nursing diagnosis.
D. Comparing client outcomes to expected goals.
, Correct Answer: A
Rationale: Implementation involves carrying out the planned nursing
interventions.
8. The nurse is conducting a focused assessment. What is the primary
purpose of this type of assessment?
A. To gather a comprehensive health history.
B. To gather data about a specific client problem.
C. To evaluate the effectiveness of discharge teaching.
D. To establish a baseline for future comparisons.
Correct Answer: B
Rationale: A focused assessment gathers data related to a specific,
identified client issue.
9. Which nursing diagnosis is written correctly?
A. Pneumonia related to infection.
B. Ineffective Airway Clearance related to excessive secretions.
C. The client is anxious.
D. Needs help with ambulation.
Correct Answer: B
Rationale: A correctly written nursing diagnosis includes the problem
statement and the related factor (etiology).
10. A nurse is revising a client's care plan. Which step of the nursing
process is the nurse performing?
A. Assessment.
B. Diagnosis.
C. Planning.
D. Evaluation.
Correct Answer: D
