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2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
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3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED
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QUESTIONS AND CORRECT SOLUTIONS| GUARANTEE w# w# w# w#
D VALUE PACK| ACE YOUR GRADES.
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(WITH RATIONALES) w#
1. An elderly client with a fractured left hip is on strict bedrest. Whi
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ch nursing measure is essential to the client's nursing care?
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A. Massage any reddened areas for at least five minutes.
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B. Encourage active range of motion exercises on extremities. w# w# w# w# w# w# w#
C. Position the client laterally, prone, and dorsally in sequence.
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D. Gently lift the client when moving into a desired position. -
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correct answer -
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To avoid shearing forces when repositioning, the client should be l
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ifted gently across a surface (D). Reddened areas should not be m
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assaged (A) since this may increase the damage to already trauma
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tized skin. To control pain and muscle spasms, active range of moti
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on (B) may be limited on the affected leg. The position described in
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(C) is contraindicated for a client with a fractured left hip.
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Correct Answer: D w# w#
2. The nurse is administering medications through a nasogastric tub
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e (NGT) which is connected to suction. After ensuring correct tu
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be placement, what action should the nurse take next?
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A. Clamp the tube for 20 minutes. w# w# w# w# w#
B. Flush the tube with water. w# w# w# w#
, Page | 2 w # w#
C. Administer the medications as prescribed. w# w# w# w#
D. Crush the tablets and dissolve in sterile water. - correct answer -
w# w# w# w# w# w# w# w# w# w# w#
The NGT should be flushed before, after and in between each med
w# w# w# w# w# w# w# w# w# w# w# w#
ication administered (B). Once all medications are administered, the
w# w# w# w# w# w# w# w# w
NGT should be clamped for 20 minutes (A). (C and D) may be impl
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emented only after the tubing has been flushed.
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Correct Answer: B w# w#
3. A client who is in hospice care complains of increasing amounts of pai
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n. The healthcare provider prescribes an analgesic every four hours a
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s needed. Which action should the nurse implement?
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A. Give an around-the-clock schedule for administration of analgesics.
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B. Administer analgesic medication as needed when the pain is severe.
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C. Provide medication to keep the client sedated and unaware of stimuli.
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D. Offer a medication-free period so that the client can do daily activities.
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- correct answer -
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The most effective management of pain is achieved using an aroun
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d-the-
clock schedule that provides analgesic medications on a regular basi
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s (A) and in a timely manner. Analgesics are less effective if pain pe
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rsists until it is severe, so an analgesic medication should be admini
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stered before the client's pain peaks (B). Providing comfort is a prior
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ity for the client who is dying, but sedation that impairs the client's a
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bility to interact and experience the time before life ends should be
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minimized (C). Offering a medication- w# w# w# w#
free period allows the serum drug level to fall, which is not an effecti
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ve method to manage chronic pain (D).
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Correct Answer: A w# w#
, Page | 3 w # w#
4. When assessing a client with wrist restraints, the nurse observes th
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at the fingers on the right hand are blue. What action should the n
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urse implement first?
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A. Loosen the right wrist restraint. w# w# w# w#
B. Apply a pulse oximeter to the right hand.
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C. Compare hand color bilaterally. w# w# w#
D. Palpate the right radial pulse. - correct answer -
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The priority nursing action is to restore circulation by loosening th
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e restraint (A), because blue fingers (cyanosis) indicates decreased
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circulation. (C and D) are also important nursing interventions, but
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do not have the priority of
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(A). Pulse oximetry (B) measures the saturation of hemoglobin with
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oxygen and is not indicated in situations where the cyanosis is relat
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ed to mechanical compression (the restraints).
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Correct Answer: A w# w#
5. The nurse is assessing the nutritional status of several clients. Whic
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h client has the greatest nutritional need for additional intake of prot
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ein?
A. A college-age track runner with a sprained ankle.
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B. A lactating woman nursing her 3-day-old infant.
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C. A school-aged child with Type 2 diabetes.
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D. An elderly man being treated for a peptic ulcer. - correct answer -
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A lactating woman (B) has the greatest need for additional protein
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intake. (A, C, and D) are all conditions that require protein, but do
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not have the increased metabolic protein demands of lactation.
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Correct Answer: B w# w#
, Page | 4 w # w#
6. A client is in the radiology department at 0900 when the prescripti
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on levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be ad
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ministered. The client returns to the unit at 1300. What is the best
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#intervention for the nurse to implement? w# w# w# w# w#
A. Contact the healthcare provider and complete a medication varianc
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e form. w#
B. Administer the Levaquin at 1300 and resume the 0900 schedule in t
w# w# w# w# w# w# w# w# w# w# w#
he morning. w#
C. Notify the charge nurse and complete an incident report to explain t
w# w# w# w# w# w# w# w# w# w# w#
he missed dose. w# w#
D. Give the missed dose at 1300 and change the schedule to administ
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er daily at 1300. - correct answer -
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To ensure that a therapeutic level of medication is maintained, the
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nurse should administer the missed dose as soon as possible, and
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revise the administration schedule accordingly to prevent dangerou
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sly increasing the level of the medication in the bloodstream (D). T
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he nurse should document the reason for the late dose, but (A and
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C) are not warranted. (B) could result in increased blood levels of t
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he drug. w#
Correct Answer: D w# w#
7. While instructing a male client's wife in the performance of passive r
w# w# w# w# w# w# w# w# w# w# w#
ange-of-
motion exercises to his contracted shoulder, the nurse observes that
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# she is holding his arm above and below the elbow. What nursing act
w# w# w# w# w# w# w# w# w# w# w# w#
ion should the nurse implement?
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A. Acknowledge that she is supporting the arm correctly. w# w# w# w# w# w# w#
B. Encourage her to keep the joint covered to maintain warmth.
w# w# w# w# w# w# w# w# w#
C. Reinforce the need to grip directly under the joint for better support.
w# w# w# w# w# w# w# w# w# w# w#
2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
w# w# w# w# w# w# w#
3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED
w# w# w# w# w# w# w# w#
QUESTIONS AND CORRECT SOLUTIONS| GUARANTEE w# w# w# w#
D VALUE PACK| ACE YOUR GRADES.
w# w# w# w# w#
(WITH RATIONALES) w#
1. An elderly client with a fractured left hip is on strict bedrest. Whi
w# w# w# w# w# w# w# w# w# w# w# w#
ch nursing measure is essential to the client's nursing care?
w# w# w# w# w# w# w# w# w#
A. Massage any reddened areas for at least five minutes.
w# w# w# w# w# w# w# w#
B. Encourage active range of motion exercises on extremities. w# w# w# w# w# w# w#
C. Position the client laterally, prone, and dorsally in sequence.
w# w# w# w# w# w# w# w#
D. Gently lift the client when moving into a desired position. -
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correct answer -
w# w# w#
To avoid shearing forces when repositioning, the client should be l
w# w# w# w# w# w# w# w# w# w# w#
ifted gently across a surface (D). Reddened areas should not be m
w# w# w# w# w# w# w# w# w# w# w#
assaged (A) since this may increase the damage to already trauma
w# w# w# w# w# w# w# w# w# w#
tized skin. To control pain and muscle spasms, active range of moti
w# w# w# w# w# w# w# w# w# w# w#
on (B) may be limited on the affected leg. The position described in
w# w# w# w# w# w# w# w# w# w# w# w#
(C) is contraindicated for a client with a fractured left hip.
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Correct Answer: D w# w#
2. The nurse is administering medications through a nasogastric tub
w# w# w# w# w# w# w# w#
e (NGT) which is connected to suction. After ensuring correct tu
w# w# w# w# w# w# w# w# w# w#
be placement, what action should the nurse take next?
w# w# w# w# w# w# w# w#
A. Clamp the tube for 20 minutes. w# w# w# w# w#
B. Flush the tube with water. w# w# w# w#
, Page | 2 w # w#
C. Administer the medications as prescribed. w# w# w# w#
D. Crush the tablets and dissolve in sterile water. - correct answer -
w# w# w# w# w# w# w# w# w# w# w#
The NGT should be flushed before, after and in between each med
w# w# w# w# w# w# w# w# w# w# w# w#
ication administered (B). Once all medications are administered, the
w# w# w# w# w# w# w# w# w
NGT should be clamped for 20 minutes (A). (C and D) may be impl
# w# w# w# w# w# w# w# w# w# w# w# w# w#
emented only after the tubing has been flushed.
w# w# w# w# w# w# w#
Correct Answer: B w# w#
3. A client who is in hospice care complains of increasing amounts of pai
w# w# w# w# w# w# w# w# w# w# w# w#
n. The healthcare provider prescribes an analgesic every four hours a
w# w# w# w# w# w# w# w# w# w#
s needed. Which action should the nurse implement?
w# w# w# w# w# w# w#
A. Give an around-the-clock schedule for administration of analgesics.
w# w# w# w# w# w# w#
B. Administer analgesic medication as needed when the pain is severe.
w# w# w# w# w# w# w# w# w#
C. Provide medication to keep the client sedated and unaware of stimuli.
w# w# w# w# w# w# w# w# w# w#
D. Offer a medication-free period so that the client can do daily activities.
w# w# w# w# w# w# w# w# w# w# w#
- correct answer -
w# w# w#
The most effective management of pain is achieved using an aroun
w# w# w# w# w# w# w# w# w# w# w#
d-the-
clock schedule that provides analgesic medications on a regular basi
w# w# w# w# w# w# w# w# w#
s (A) and in a timely manner. Analgesics are less effective if pain pe
w# w# w# w# w# w# w# w# w# w# w# w# w#
rsists until it is severe, so an analgesic medication should be admini
w# w# w# w# w# w# w# w# w# w# w#
stered before the client's pain peaks (B). Providing comfort is a prior
w# w# w# w# w# w# w# w# w# w# w#
ity for the client who is dying, but sedation that impairs the client's a
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bility to interact and experience the time before life ends should be
w# w# w# w# w# w# w# w# w# w# w# w#
minimized (C). Offering a medication- w# w# w# w#
free period allows the serum drug level to fall, which is not an effecti
w# w# w# w# w# w# w# w# w# w# w# w# w#
ve method to manage chronic pain (D).
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Correct Answer: A w# w#
, Page | 3 w # w#
4. When assessing a client with wrist restraints, the nurse observes th
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at the fingers on the right hand are blue. What action should the n
w# w# w# w# w# w# w# w# w# w# w# w# w#
urse implement first?
w# w#
A. Loosen the right wrist restraint. w# w# w# w#
B. Apply a pulse oximeter to the right hand.
w# w# w# w# w# w# w#
C. Compare hand color bilaterally. w# w# w#
D. Palpate the right radial pulse. - correct answer -
w# w# w# w# w# w# w# w#
The priority nursing action is to restore circulation by loosening th
w# w# w# w# w# w# w# w# w# w# w#
e restraint (A), because blue fingers (cyanosis) indicates decreased
w# w# w# w# w# w# w# w#
circulation. (C and D) are also important nursing interventions, but
w# w# w# w# w# w# w# w# w# w# w#
do not have the priority of
w# w# w# w# w#
(A). Pulse oximetry (B) measures the saturation of hemoglobin with
w# w# w# w# w# w# w# w# w#
oxygen and is not indicated in situations where the cyanosis is relat
w# w# w# w# w# w# w# w# w# w# w#
ed to mechanical compression (the restraints).
w# w# w# w# w#
Correct Answer: A w# w#
5. The nurse is assessing the nutritional status of several clients. Whic
w# w# w# w# w# w# w# w# w# w#
h client has the greatest nutritional need for additional intake of prot
w# w# w# w# w# w# w# w# w# w# w#
ein?
A. A college-age track runner with a sprained ankle.
w# w# w# w# w# w# w#
B. A lactating woman nursing her 3-day-old infant.
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C. A school-aged child with Type 2 diabetes.
w# w# w# w# w# w#
D. An elderly man being treated for a peptic ulcer. - correct answer -
w# w# w# w# w# w# w# w# w# w# w# w#
A lactating woman (B) has the greatest need for additional protein
w# w# w# w# w# w# w# w# w# w# w# w
intake. (A, C, and D) are all conditions that require protein, but do
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not have the increased metabolic protein demands of lactation.
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Correct Answer: B w# w#
, Page | 4 w # w#
6. A client is in the radiology department at 0900 when the prescripti
w# w# w# w# w# w# w# w# w# w# w#
on levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be ad
w# w# w# w# w# w# w# w# w# w# w#
ministered. The client returns to the unit at 1300. What is the best
w# w# w# w# w# w# w# w# w# w# w# w# w
#intervention for the nurse to implement? w# w# w# w# w#
A. Contact the healthcare provider and complete a medication varianc
w# w# w# w# w# w# w# w#
e form. w#
B. Administer the Levaquin at 1300 and resume the 0900 schedule in t
w# w# w# w# w# w# w# w# w# w# w#
he morning. w#
C. Notify the charge nurse and complete an incident report to explain t
w# w# w# w# w# w# w# w# w# w# w#
he missed dose. w# w#
D. Give the missed dose at 1300 and change the schedule to administ
w# w# w# w# w# w# w# w# w# w# w#
er daily at 1300. - correct answer -
w# w# w# w# w# w# w#
To ensure that a therapeutic level of medication is maintained, the
w# w# w# w# w# w# w# w# w# w# w# w
nurse should administer the missed dose as soon as possible, and
# w# w# w# w# w# w# w# w# w# w#
revise the administration schedule accordingly to prevent dangerou
w# w# w# w# w# w# w# w#
sly increasing the level of the medication in the bloodstream (D). T
w# w# w# w# w# w# w# w# w# w# w#
he nurse should document the reason for the late dose, but (A and
w# w# w# w# w# w# w# w# w# w# w# w# w
C) are not warranted. (B) could result in increased blood levels of t
# w# w# w# w# w# w# w# w# w# w# w# w#
he drug. w#
Correct Answer: D w# w#
7. While instructing a male client's wife in the performance of passive r
w# w# w# w# w# w# w# w# w# w# w#
ange-of-
motion exercises to his contracted shoulder, the nurse observes that
w# w# w# w# w# w# w# w# w# w
# she is holding his arm above and below the elbow. What nursing act
w# w# w# w# w# w# w# w# w# w# w# w#
ion should the nurse implement?
w# w# w# w#
A. Acknowledge that she is supporting the arm correctly. w# w# w# w# w# w# w#
B. Encourage her to keep the joint covered to maintain warmth.
w# w# w# w# w# w# w# w# w#
C. Reinforce the need to grip directly under the joint for better support.
w# w# w# w# w# w# w# w# w# w# w#
