Evolve Fundamentals HESI 2025/2026
Exam Questions and Correct Answers |
New Update
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. - 🧠 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. - 🧠 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. -
🧠 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
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, ability to interact and experience the time before life ends should be
minimized (C). Offering a medication-free 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. - 🧠 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
Exam Questions and Correct Answers |
New Update
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. - 🧠 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. - 🧠 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. -
🧠 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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, ability to interact and experience the time before life ends should be
minimized (C). Offering a medication-free 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. - 🧠 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
