Hesi Fundamentals Practice Test Evolve Practice Test (
2025/2026
latest update ) Q&A
Evolve Practice Test – Fundamentals
ANSWERS
1. The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A) If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase.
Correct answer(s): C
2.
A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood cells)
as rapidly as possible. Which intervention is most important for the nurse to implement?
A) Obtain the pre-transfusion hemoglobin level.
B) Prime the tubing and prepare a blood pump set-up.
C) Monitor vital signs q15 minutes for the first hour.
D) Ensure the accuracy of the blood type match.
Correct answer(s): D
3.
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with
a cuff that is too small, but the blood pressure reading obtained is within the client's usual range.
What action is most important for the nurse to implement?
A) Tell the UAP to use a larger cuff at the next scheduled assessment.
B) Reassess the client's blood pressure using a larger cuff.
C) Have the unit educator review this procedure with the UAPs.
D) Teach the UAP the correct technique for assessing blood pressure.
,Correct answer(s): B
4.
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The
infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to administer
approximately how many drops per minute?
A) 80
B) 8
C) 21
D) 25
Correct answer(s): C
5.
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what
rate should the nurse set the client's intravenous infusion pump?
A) 13 ml/hour.
B) 63 ml/hour.
C) 80 ml/hour.
D) 125 ml/hour.
Correct answer(s): B
6.
When conducting an admission assessment, the nurse should ask the client about the use of
complimentary healing practices. Which statement is accurate regarding the use of these
practices?
A) Complimentary healing practices interfere with the efficacy of the medical model of
treatment.
B) Conventional medications are likely to interact with folk remedies and cause adverse
effects.
C) Many complimentary healing practices can be used in conjunction with conventional
practices.
D) Conventional medical practices will ultimately replace the use of complimentary healing
practices.
Correct answer(s): C
, 7.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion?
Correct answer(s): 150
8.
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen
seconds, large amounts of thick yellow secretions return. What action should the nurse
implement next?
A) Encourage the client to cough to help loosen secretions.
B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining secretions.
D) Re-oxygenate the client before attempting to suction again.
Correct answer(s): D
9.
Which aintervention ais amost aimportant afor athe anurse ato aimplement afor aa amale aclient awho ais
aexperiencing aurinary aretention?
A) Apply aa acondom acatheter.
B) Apply aa askin aprotectant.
C) Encourage aincreased afluid aintake.
D) Assess afor abladder adistention.
Correct aanswer(s): aD
10.
A ayoung amother aof athree achildren acomplains aof aincreased aanxiety aduring aher aannual aphysical
aexam. aWhat ainformation ashould athe anurse aobtain afirst?
A) Sexual aactivity apatterns.
B) Nutritional ahistory.
C) Leisure aactivities.
2025/2026
latest update ) Q&A
Evolve Practice Test – Fundamentals
ANSWERS
1. The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A) If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase.
Correct answer(s): C
2.
A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood cells)
as rapidly as possible. Which intervention is most important for the nurse to implement?
A) Obtain the pre-transfusion hemoglobin level.
B) Prime the tubing and prepare a blood pump set-up.
C) Monitor vital signs q15 minutes for the first hour.
D) Ensure the accuracy of the blood type match.
Correct answer(s): D
3.
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with
a cuff that is too small, but the blood pressure reading obtained is within the client's usual range.
What action is most important for the nurse to implement?
A) Tell the UAP to use a larger cuff at the next scheduled assessment.
B) Reassess the client's blood pressure using a larger cuff.
C) Have the unit educator review this procedure with the UAPs.
D) Teach the UAP the correct technique for assessing blood pressure.
,Correct answer(s): B
4.
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The
infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to administer
approximately how many drops per minute?
A) 80
B) 8
C) 21
D) 25
Correct answer(s): C
5.
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what
rate should the nurse set the client's intravenous infusion pump?
A) 13 ml/hour.
B) 63 ml/hour.
C) 80 ml/hour.
D) 125 ml/hour.
Correct answer(s): B
6.
When conducting an admission assessment, the nurse should ask the client about the use of
complimentary healing practices. Which statement is accurate regarding the use of these
practices?
A) Complimentary healing practices interfere with the efficacy of the medical model of
treatment.
B) Conventional medications are likely to interact with folk remedies and cause adverse
effects.
C) Many complimentary healing practices can be used in conjunction with conventional
practices.
D) Conventional medical practices will ultimately replace the use of complimentary healing
practices.
Correct answer(s): C
, 7.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion?
Correct answer(s): 150
8.
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen
seconds, large amounts of thick yellow secretions return. What action should the nurse
implement next?
A) Encourage the client to cough to help loosen secretions.
B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining secretions.
D) Re-oxygenate the client before attempting to suction again.
Correct answer(s): D
9.
Which aintervention ais amost aimportant afor athe anurse ato aimplement afor aa amale aclient awho ais
aexperiencing aurinary aretention?
A) Apply aa acondom acatheter.
B) Apply aa askin aprotectant.
C) Encourage aincreased afluid aintake.
D) Assess afor abladder adistention.
Correct aanswer(s): aD
10.
A ayoung amother aof athree achildren acomplains aof aincreased aanxiety aduring aher aannual aphysical
aexam. aWhat ainformation ashould athe anurse aobtain afirst?
A) Sexual aactivity apatterns.
B) Nutritional ahistory.
C) Leisure aactivities.
