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ACTUAL EVOLVE HESI FUNDAMENTALS EXAM VERSION 1, 2, &
3
QUESTION BANK NEWEST 2026 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALL ANSWERED/ ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS
A resident in a skilled nursing facility for short-term rehabilitation after a
hip replacement tells the nurse, "I don't want any more blood taken for
those useless tests." Which narrative documentation should the nurse
enter in the client's medical record?
A. Healthcare provider notified of failure to collect specimens for
prescribed blood studies.
B. Blood specimens not collected because client no longer wants
blood tests performed.
C. Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
D. Client irritable, uncooperative, and refuses to have blood collected.
Healthcare provider notified. - correct answer - When a client refuses a
treatment, the exact words of the client regarding the client's refusal of
care should be documented in a narrative format (C). (A, B, and D) do not
address the concepts of informatics and legal issues.
Correct Answer: C
At the beginning of the shift, the nurse assesses a client who is
admitted from the post-anesthesia care unit (PACU). When should the
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nurse document the client's findings?
A. A the beginning, middle, and end of the shift.
B. After client priorities are identified for the development of the
nursing care plan.
C. At the end of the shift so full attention can be given to the client's needs.
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D. Immediately after the assessments are completed. - correct answer -
Documentation should occur immediately after any component of the
nursing process, so assessments should be entered in the client's medical
record as readily as findings are obtained (D). (A, B, and C) do not address
the concepts of legal recommendations for information management and
informatics.
Correct Answer: D
A Sub-Saharan African widowed immigrant woman lives with her
deceased husband's brother and his family, which includes the brother-in-
law's children and the widow's adult children. Each family member speaks
fluent English. Surgery was recommended for the client. What is the best
plan to obtain consent for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client.
B. Encourage the client to make her own decision regarding surgery.
C. Ask the family members to provide a clarification of the
surgeon's explanation to the client.
D. Tell the surgeon that the brother-in-law will decide after explanation of
the proposed surgery is provided to him and the widow. - correct answer
-Customary law in some rural sub-Saharan countries encompasses wife
inheritance and polygamy; the widow becomes the inherited wife of her
husband's brother. In those rural areas women live in a patriarchal family
where decisions are made by men. Most likely, the brother-in-law will
make the decision for his inherited wife, so (D) provides the surgeon with
culturally sensitive information. (A) all family members speak fluent
English therefore there is no need for translation. It is culturally
insensitive to encourage the woman to go against her wishes and her
cultural worldview, as in (B). Family members are more likely to
misinterpret medical information (C).
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P a g e | 175
Correct Answer: D
Which response by a client with a nursing diagnosis of "Spiritual
distress," indicates to the nurse that a desired outcome measure has
been met?
A. Express concern about the meaning and importance of life.
B. Remains angry at God for the continuation of the illness.
C. Accepts that punishment from God is not related to illness.
D. Refuses to participate in religious rituals that have no meaning. -
correct answer - Acceptance that she is not being punished by God
indicates a desired outcome (C) for some degree of resolution of spiritual
distress. (A, B, and D) do not support the concept of grief, loss, and
cultural/spiritual acceptance.
Correct Answer: C
During shift change report, the nurse receives report that a client has
abnormal heart sounds. Which placement of the stethoscope should
the nurse use to hear the client's hear sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest,
D. Position the diaphragm of the stethoscope at Erb's point on the chest. -
correct answer - Abdominal heart sounds are best heard with the bell of
the
ACTUAL EVOLVE HESI FUNDAMENTALS EXAM VERSION 1, 2, &
3
QUESTION BANK NEWEST 2026 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALL ANSWERED/ ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS
A resident in a skilled nursing facility for short-term rehabilitation after a
hip replacement tells the nurse, "I don't want any more blood taken for
those useless tests." Which narrative documentation should the nurse
enter in the client's medical record?
A. Healthcare provider notified of failure to collect specimens for
prescribed blood studies.
B. Blood specimens not collected because client no longer wants
blood tests performed.
C. Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
D. Client irritable, uncooperative, and refuses to have blood collected.
Healthcare provider notified. - correct answer - When a client refuses a
treatment, the exact words of the client regarding the client's refusal of
care should be documented in a narrative format (C). (A, B, and D) do not
address the concepts of informatics and legal issues.
Correct Answer: C
At the beginning of the shift, the nurse assesses a client who is
admitted from the post-anesthesia care unit (PACU). When should the
,2|Page
nurse document the client's findings?
A. A the beginning, middle, and end of the shift.
B. After client priorities are identified for the development of the
nursing care plan.
C. At the end of the shift so full attention can be given to the client's needs.
,3|Page
D. Immediately after the assessments are completed. - correct answer -
Documentation should occur immediately after any component of the
nursing process, so assessments should be entered in the client's medical
record as readily as findings are obtained (D). (A, B, and C) do not address
the concepts of legal recommendations for information management and
informatics.
Correct Answer: D
A Sub-Saharan African widowed immigrant woman lives with her
deceased husband's brother and his family, which includes the brother-in-
law's children and the widow's adult children. Each family member speaks
fluent English. Surgery was recommended for the client. What is the best
plan to obtain consent for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client.
B. Encourage the client to make her own decision regarding surgery.
C. Ask the family members to provide a clarification of the
surgeon's explanation to the client.
D. Tell the surgeon that the brother-in-law will decide after explanation of
the proposed surgery is provided to him and the widow. - correct answer
-Customary law in some rural sub-Saharan countries encompasses wife
inheritance and polygamy; the widow becomes the inherited wife of her
husband's brother. In those rural areas women live in a patriarchal family
where decisions are made by men. Most likely, the brother-in-law will
make the decision for his inherited wife, so (D) provides the surgeon with
culturally sensitive information. (A) all family members speak fluent
English therefore there is no need for translation. It is culturally
insensitive to encourage the woman to go against her wishes and her
cultural worldview, as in (B). Family members are more likely to
misinterpret medical information (C).
, 4|Page
P a g e | 175
Correct Answer: D
Which response by a client with a nursing diagnosis of "Spiritual
distress," indicates to the nurse that a desired outcome measure has
been met?
A. Express concern about the meaning and importance of life.
B. Remains angry at God for the continuation of the illness.
C. Accepts that punishment from God is not related to illness.
D. Refuses to participate in religious rituals that have no meaning. -
correct answer - Acceptance that she is not being punished by God
indicates a desired outcome (C) for some degree of resolution of spiritual
distress. (A, B, and D) do not support the concept of grief, loss, and
cultural/spiritual acceptance.
Correct Answer: C
During shift change report, the nurse receives report that a client has
abnormal heart sounds. Which placement of the stethoscope should
the nurse use to hear the client's hear sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest,
D. Position the diaphragm of the stethoscope at Erb's point on the chest. -
correct answer - Abdominal heart sounds are best heard with the bell of
the
