Page | 1 + i +i
2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
+i +i +i +i +i +i +i
3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QU
+i +i +i +i +i +i +i +i
ESTIONS AND CORRECT SOLUTIONS| GUARANTEED V +i +i +i +i +i
ALUE PACK| ACE YOUR GRADES. +i +i +i +i
(WITH RATIONALES) +i
1. An elderly client with a fractured left hip is on strict bedrest. Which n
+i +i +i +i +i +i +i +i +i +i +i +i +i
ursing measure is essential to the client's nursing care?
+i +i +i +i +i +i +i +i
A. Massage any reddened areas for at least five minutes. +i +i +i +i +i +i +i +i
B. Encourage active range of motion exercises on extremities. +i +i +i +i +i +i +i
C. Position the client laterally, prone, and dorsally in sequence.
+i +i +i +i +i +i +i +i
D. Gently lift the client when moving into a desired position. -
+i +i +i +i +i +i +i +i +i +i
correct answer -
+i +i +i
To avoid shearing forces when repositioning, the client should be lifte
+i +i +i +i +i +i +i +i +i +i +i
d gently across a surface (D). Reddened areas should not be massag
+i +i +i +i +i +i +i +i +i +i +i
ed (A) since this may increase the damage to already traumatized skin
+i +i +i +i +i +i +i +i +i +i +i
. To control pain and muscle spasms, active range of motion (B) may b
+i +i +i +i +i +i +i +i +i +i +i +i +i
e limited on the affected leg. The position described in (C) is contraindi
+i +i +i +i +i +i +i +i +i +i +i +i
cated for a client with a fractured left hip.
+i +i +i +i +i +i +i +i
Correct Answer: D +i +i
2. The nurse is administering medications through a nasogastric tube (
+i +i +i +i +i +i +i +i +i
NGT) which is connected to suction. After ensuring correct tube pla
+i +i +i +i +i +i +i +i +i +i
cement, what action should the nurse take next?
+i +i +i +i +i +i +i
A. Clamp the tube for 20 minutes. +i +i +i +i +i
B. Flush the tube with water. +i +i +i +i
, Page | 2 + i +i
C. Administer the medications as prescribed. +i +i +i +i
D. Crush the tablets and dissolve in sterile water. - correct answer -
+i +i +i +i +i +i +i +i +i +i +i
The NGT should be flushed before, after and in between each medicat
+i +i +i +i +i +i +i +i +i +i +i +i
ion administered (B). Once all medications are administered, the NGT
+i +i +i +i +i +i +i +i +i +i
should be clamped for 20 minutes (A). (C and D) may be implemented o
+i +i +i +i +i +i +i +i +i +i +i +i +i
nly after the tubing has been flushed.
+i +i +i +i +i +i
Correct Answer: B +i +i
3. A client who is in hospice care complains of increasing amounts of pain. T
+i +i +i +i +i +i +i +i +i +i +i +i +i
he healthcare provider prescribes an analgesic every four hours as need
+i +i +i +i +i +i +i +i +i +i
ed. Which action should the nurse implement?
+i +i +i +i +i +i
A. Give an around-the-clock schedule for administration of analgesics.
+i +i +i +i +i +i +i
B. Administer analgesic medication as needed when the pain is severe. +i +i +i +i +i +i +i +i +i
C. Provide medication to keep the client sedated and unaware of stimuli.
+i +i +i +i +i +i +i +i +i +i
D. Offer a medication-free period so that the client can do daily activities.
+i +i +i +i +i +i +i +i +i +i +i
- correct answer -
+i +i +i
The most effective management of pain is achieved using an around-
+i +i +i +i +i +i +i +i +i +i +i
the-
clock schedule that provides analgesic medications on a regular basis (
+i +i +i +i +i +i +i +i +i +i
A) and in a timely manner. Analgesics are less effective if pain persists
+i +i +i +i +i +i +i +i +i +i +i +i +i
until it is severe, so an analgesic medication should be administered be
+i +i +i +i +i +i +i +i +i +i +i
fore the client's pain peaks (B). Providing comfort is a priority for the cli
+i +i +i +i +i +i +i +i +i +i +i +i +i
ent who is dying, but sedation that impairs the client's ability to interact
+i +i +i +i +i +i +i +i +i +i +i +i +i
and experience the time before life ends should be minimized (C). Offer
+i +i +i +i +i +i +i +i +i +i +i
ing a medication- +i +i
free period allows the serum drug level to fall, which is not an effective
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
method to manage chronic pain (D). +i +i +i +i +i
Correct Answer: A +i +i
, Page | 3 + i +i
4. When assessing a client with wrist restraints, the nurse observes that t
+i +i +i +i +i +i +i +i +i +i +i
he fingers on the right hand are blue. What action should the nurse im
+i +i +i +i +i +i +i +i +i +i +i +i +i
plement first? +i
A. Loosen the right wrist restraint. +i +i +i +i
B. Apply a pulse oximeter to the right hand.
+i +i +i +i +i +i +i
C. Compare hand color bilaterally. +i +i +i
D. Palpate the right radial pulse. - correct answer -
+i +i +i +i +i +i +i +i
The priority nursing action is to restore circulation by loosening the re
+i +i +i +i +i +i +i +i +i +i +i +i
straint (A), because blue fingers (cyanosis) indicates decreased circul
+i +i +i +i +i +i +i +i
ation. (C and D) are also important nursing interventions, but do not ha
+i +i +i +i +i +i +i +i +i +i +i +i
ve the priority of
+i +i +i
(A). Pulse oximetry (B) measures the saturation of hemoglobin with ox
+i +i +i +i +i +i +i +i +i
ygen and is not indicated in situations where the cyanosis is related to
+i +i +i +i +i +i +i +i +i +i +i +i +i
mechanical compression (the restraints). +i +i +i
Correct Answer: A +i +i
5. The nurse is assessing the nutritional status of several clients. Which c
+i +i +i +i +i +i +i +i +i +i +i
lient has the greatest nutritional need for additional intake of protein?
+i +i +i +i +i +i +i +i +i +i
A. A college-age track runner with a sprained ankle.
+i +i +i +i +i +i +i
B. A lactating woman nursing her 3-day-old infant.
+i +i +i +i +i +i
C. A school-aged child with Type 2 diabetes.
+i +i +i +i +i +i
D. An elderly man being treated for a peptic ulcer. - correct answer -
+i +i +i +i +i +i +i +i +i +i +i +i
A lactating woman (B) has the greatest need for additional protein int
+i +i +i +i +i +i +i +i +i +i +i +i
ake. (A, C, and D) are all conditions that require protein, but do not hav
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
e the increased metabolic protein demands of lactation.
+i +i +i +i +i +i +i
Correct Answer: B +i +i
, Page | 4 + i +i
6. A client is in the radiology department at 0900 when the prescription l
+i +i +i +i +i +i +i +i +i +i +i +i
evofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administe
+i +i +i +i +i +i +i +i +i +i
red. The client returns to the unit at 1300. What is the best interventio
+i +i +i +i +i +i +i +i +i +i +i +i +i
n for the nurse to implement?
+i +i +i +i +i
A. Contact the healthcare provider and complete a medication variance f
+i +i +i +i +i +i +i +i +i
orm.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the +i +i +i +i +i +i +i +i +i +i +i +i
morning.
C. Notify the charge nurse and complete an incident report to explain the
+i +i +i +i +i +i +i +i +i +i +i +i
missed dose. +i
D. Give the missed dose at 1300 and change the schedule to administer d
+i +i +i +i +i +i +i +i +i +i +i +i
aily at 1300. - correct answer -
+i +i +i +i +i +i
To ensure that a therapeutic level of medication is maintained, the nur
+i +i +i +i +i +i +i +i +i +i +i +i
se should administer the missed dose as soon as possible, and revise
+i +i +i +i +i +i +i +i +i +i +i +i
the administration schedule accordingly to prevent dangerously increa
+i +i +i +i +i +i +i
sing the level of the medication in the bloodstream (D). The nurse sho
+i +i +i +i +i +i +i +i +i +i +i +i
uld document the reason for the late dose, but (A and C) are not warra
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
nted. (B) could result in increased blood levels of the drug.
+i +i +i +i +i +i +i +i +i +i
Correct Answer: D +i +i
7. While instructing a male client's wife in the performance of passive rang
+i +i +i +i +i +i +i +i +i +i +i
e-of-
motion exercises to his contracted shoulder, the nurse observes that sh
+i +i +i +i +i +i +i +i +i +i
e is holding his arm above and below the elbow. What nursing action sh
+i +i +i +i +i +i +i +i +i +i +i +i +i
ould the nurse implement?
+i +i +i
A. Acknowledge that she is supporting the arm correctly. +i +i +i +i +i +i +i
B. Encourage her to keep the joint covered to maintain warmth. +i +i +i +i +i +i +i +i +i
C. Reinforce the need to grip directly under the joint for better support.
+i +i +i +i +i +i +i +i +i +i +i
2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
+i +i +i +i +i +i +i
3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QU
+i +i +i +i +i +i +i +i
ESTIONS AND CORRECT SOLUTIONS| GUARANTEED V +i +i +i +i +i
ALUE PACK| ACE YOUR GRADES. +i +i +i +i
(WITH RATIONALES) +i
1. An elderly client with a fractured left hip is on strict bedrest. Which n
+i +i +i +i +i +i +i +i +i +i +i +i +i
ursing measure is essential to the client's nursing care?
+i +i +i +i +i +i +i +i
A. Massage any reddened areas for at least five minutes. +i +i +i +i +i +i +i +i
B. Encourage active range of motion exercises on extremities. +i +i +i +i +i +i +i
C. Position the client laterally, prone, and dorsally in sequence.
+i +i +i +i +i +i +i +i
D. Gently lift the client when moving into a desired position. -
+i +i +i +i +i +i +i +i +i +i
correct answer -
+i +i +i
To avoid shearing forces when repositioning, the client should be lifte
+i +i +i +i +i +i +i +i +i +i +i
d gently across a surface (D). Reddened areas should not be massag
+i +i +i +i +i +i +i +i +i +i +i
ed (A) since this may increase the damage to already traumatized skin
+i +i +i +i +i +i +i +i +i +i +i
. To control pain and muscle spasms, active range of motion (B) may b
+i +i +i +i +i +i +i +i +i +i +i +i +i
e limited on the affected leg. The position described in (C) is contraindi
+i +i +i +i +i +i +i +i +i +i +i +i
cated for a client with a fractured left hip.
+i +i +i +i +i +i +i +i
Correct Answer: D +i +i
2. The nurse is administering medications through a nasogastric tube (
+i +i +i +i +i +i +i +i +i
NGT) which is connected to suction. After ensuring correct tube pla
+i +i +i +i +i +i +i +i +i +i
cement, what action should the nurse take next?
+i +i +i +i +i +i +i
A. Clamp the tube for 20 minutes. +i +i +i +i +i
B. Flush the tube with water. +i +i +i +i
, Page | 2 + i +i
C. Administer the medications as prescribed. +i +i +i +i
D. Crush the tablets and dissolve in sterile water. - correct answer -
+i +i +i +i +i +i +i +i +i +i +i
The NGT should be flushed before, after and in between each medicat
+i +i +i +i +i +i +i +i +i +i +i +i
ion administered (B). Once all medications are administered, the NGT
+i +i +i +i +i +i +i +i +i +i
should be clamped for 20 minutes (A). (C and D) may be implemented o
+i +i +i +i +i +i +i +i +i +i +i +i +i
nly after the tubing has been flushed.
+i +i +i +i +i +i
Correct Answer: B +i +i
3. A client who is in hospice care complains of increasing amounts of pain. T
+i +i +i +i +i +i +i +i +i +i +i +i +i
he healthcare provider prescribes an analgesic every four hours as need
+i +i +i +i +i +i +i +i +i +i
ed. Which action should the nurse implement?
+i +i +i +i +i +i
A. Give an around-the-clock schedule for administration of analgesics.
+i +i +i +i +i +i +i
B. Administer analgesic medication as needed when the pain is severe. +i +i +i +i +i +i +i +i +i
C. Provide medication to keep the client sedated and unaware of stimuli.
+i +i +i +i +i +i +i +i +i +i
D. Offer a medication-free period so that the client can do daily activities.
+i +i +i +i +i +i +i +i +i +i +i
- correct answer -
+i +i +i
The most effective management of pain is achieved using an around-
+i +i +i +i +i +i +i +i +i +i +i
the-
clock schedule that provides analgesic medications on a regular basis (
+i +i +i +i +i +i +i +i +i +i
A) and in a timely manner. Analgesics are less effective if pain persists
+i +i +i +i +i +i +i +i +i +i +i +i +i
until it is severe, so an analgesic medication should be administered be
+i +i +i +i +i +i +i +i +i +i +i
fore the client's pain peaks (B). Providing comfort is a priority for the cli
+i +i +i +i +i +i +i +i +i +i +i +i +i
ent who is dying, but sedation that impairs the client's ability to interact
+i +i +i +i +i +i +i +i +i +i +i +i +i
and experience the time before life ends should be minimized (C). Offer
+i +i +i +i +i +i +i +i +i +i +i
ing a medication- +i +i
free period allows the serum drug level to fall, which is not an effective
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
method to manage chronic pain (D). +i +i +i +i +i
Correct Answer: A +i +i
, Page | 3 + i +i
4. When assessing a client with wrist restraints, the nurse observes that t
+i +i +i +i +i +i +i +i +i +i +i
he fingers on the right hand are blue. What action should the nurse im
+i +i +i +i +i +i +i +i +i +i +i +i +i
plement first? +i
A. Loosen the right wrist restraint. +i +i +i +i
B. Apply a pulse oximeter to the right hand.
+i +i +i +i +i +i +i
C. Compare hand color bilaterally. +i +i +i
D. Palpate the right radial pulse. - correct answer -
+i +i +i +i +i +i +i +i
The priority nursing action is to restore circulation by loosening the re
+i +i +i +i +i +i +i +i +i +i +i +i
straint (A), because blue fingers (cyanosis) indicates decreased circul
+i +i +i +i +i +i +i +i
ation. (C and D) are also important nursing interventions, but do not ha
+i +i +i +i +i +i +i +i +i +i +i +i
ve the priority of
+i +i +i
(A). Pulse oximetry (B) measures the saturation of hemoglobin with ox
+i +i +i +i +i +i +i +i +i
ygen and is not indicated in situations where the cyanosis is related to
+i +i +i +i +i +i +i +i +i +i +i +i +i
mechanical compression (the restraints). +i +i +i
Correct Answer: A +i +i
5. The nurse is assessing the nutritional status of several clients. Which c
+i +i +i +i +i +i +i +i +i +i +i
lient has the greatest nutritional need for additional intake of protein?
+i +i +i +i +i +i +i +i +i +i
A. A college-age track runner with a sprained ankle.
+i +i +i +i +i +i +i
B. A lactating woman nursing her 3-day-old infant.
+i +i +i +i +i +i
C. A school-aged child with Type 2 diabetes.
+i +i +i +i +i +i
D. An elderly man being treated for a peptic ulcer. - correct answer -
+i +i +i +i +i +i +i +i +i +i +i +i
A lactating woman (B) has the greatest need for additional protein int
+i +i +i +i +i +i +i +i +i +i +i +i
ake. (A, C, and D) are all conditions that require protein, but do not hav
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
e the increased metabolic protein demands of lactation.
+i +i +i +i +i +i +i
Correct Answer: B +i +i
, Page | 4 + i +i
6. A client is in the radiology department at 0900 when the prescription l
+i +i +i +i +i +i +i +i +i +i +i +i
evofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administe
+i +i +i +i +i +i +i +i +i +i
red. The client returns to the unit at 1300. What is the best interventio
+i +i +i +i +i +i +i +i +i +i +i +i +i
n for the nurse to implement?
+i +i +i +i +i
A. Contact the healthcare provider and complete a medication variance f
+i +i +i +i +i +i +i +i +i
orm.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the +i +i +i +i +i +i +i +i +i +i +i +i
morning.
C. Notify the charge nurse and complete an incident report to explain the
+i +i +i +i +i +i +i +i +i +i +i +i
missed dose. +i
D. Give the missed dose at 1300 and change the schedule to administer d
+i +i +i +i +i +i +i +i +i +i +i +i
aily at 1300. - correct answer -
+i +i +i +i +i +i
To ensure that a therapeutic level of medication is maintained, the nur
+i +i +i +i +i +i +i +i +i +i +i +i
se should administer the missed dose as soon as possible, and revise
+i +i +i +i +i +i +i +i +i +i +i +i
the administration schedule accordingly to prevent dangerously increa
+i +i +i +i +i +i +i
sing the level of the medication in the bloodstream (D). The nurse sho
+i +i +i +i +i +i +i +i +i +i +i +i
uld document the reason for the late dose, but (A and C) are not warra
+i +i +i +i +i +i +i +i +i +i +i +i +i +i
nted. (B) could result in increased blood levels of the drug.
+i +i +i +i +i +i +i +i +i +i
Correct Answer: D +i +i
7. While instructing a male client's wife in the performance of passive rang
+i +i +i +i +i +i +i +i +i +i +i
e-of-
motion exercises to his contracted shoulder, the nurse observes that sh
+i +i +i +i +i +i +i +i +i +i
e is holding his arm above and below the elbow. What nursing action sh
+i +i +i +i +i +i +i +i +i +i +i +i +i
ould the nurse implement?
+i +i +i
A. Acknowledge that she is supporting the arm correctly. +i +i +i +i +i +i +i
B. Encourage her to keep the joint covered to maintain warmth. +i +i +i +i +i +i +i +i +i
C. Reinforce the need to grip directly under the joint for better support.
+i +i +i +i +i +i +i +i +i +i +i
