Page | 1 x 1 x1
2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
x1 x1 x1 x1 x1 x1 x1
3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED Q
x1 x1 x1 x1 x1 x1 x1 x1
UESTIONS AND CORRECT SOLUTIONS| GUARANTEED x1 x1 x1 x1 x1
VALUE PACK| ACE YOUR GRADES. x1 x1 x1 x1
(WITH RATIONALES) x1
1. An elderly client with a fractured left hip is on strict bedrest. Which
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nursing measure is essential to the client's nursing care?
x1 x1 x1 x1 x1 x1 x1 x1 x1
A. Massage any reddened areas for at least five minutes. x1 x1 x1 x1 x1 x1 x1 x1
B. Encourage active range of motion exercises on extremities. x1 x1 x1 x1 x1 x1 x1
C. Position the client laterally, prone, and dorsally in sequence.
x1 x1 x1 x1 x1 x1 x1 x1
D. Gently lift the client when moving into a desired position. -
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
correct answer -
x1 x1 x1
To avoid shearing forces when repositioning, the client should be lift
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ed gently across a surface (D). Reddened areas should not be mass
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
aged (A) since this may increase the damage to already traumatized
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
skin. To control pain and muscle spasms, active range of motion (B)
1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
may be limited on the affected leg. The position described in (C) is c
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ontraindicated for a client with a fractured left hip. x1 x1 x1 x1 x1 x1 x1 x1
Correct Answer: D x1 x1
2. The nurse is administering medications through a nasogastric tube
x1 x1 x1 x1 x1 x1 x1 x1
(NGT) which is connected to suction. After ensuring correct tube
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
placement, what action should the nurse take next? x1 x1 x1 x1 x1 x1 x1
A. Clamp the tube for 20 minutes. x1 x1 x1 x1 x1
B. Flush the tube with water. x1 x1 x1 x1
, Page | 2 x 1 x1
C. Administer the medications as prescribed. x1 x1 x1 x1
D. Crush the tablets and dissolve in sterile water. - correct answer -
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
The NGT should be flushed before, after and in between each medic
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ation administered (B). Once all medications are administered, the N
x1 x1 x1 x1 x1 x1 x1 x1 x1
GT should be clamped for 20 minutes (A). (C and D) may be impleme
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nted only after the tubing has been flushed.
x1 x1 x1 x1 x1 x1 x1
Correct Answer: B x1 x1
3. A client who is in hospice care complains of increasing amounts of pain.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1The healthcare provider prescribes an analgesic every four hours as n
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
eeded. Which action should the nurse implement?
x1 x1 x1 x1 x1 x1
A. Give an around-the-clock schedule for administration of analgesics.
x1 x1 x1 x1 x1 x1 x1
B. Administer analgesic medication as needed when the pain is severe. x1 x1 x1 x1 x1 x1 x1 x1 x1
C. Provide medication to keep the client sedated and unaware of stimuli.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
D. Offer a medication-free period so that the client can do daily activities.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
- correct answer -
x1 x1 x1
The most effective management of pain is achieved using an around-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the-
clock schedule that provides analgesic medications on a regular basis
x1 x1 x1 x1 x1 x1 x1 x1 x1
(A) and in a timely manner. Analgesics are less effective if pain persi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
sts until it is severe, so an analgesic medication should be administer
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ed before the client's pain peaks (B). Providing comfort is a priority for
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the client who is dying, but sedation that impairs the client's ability to
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
interact and experience the time before life ends should be minimized
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
(C). Offering a medication-
x1 x1 x1 x1
free period allows the serum drug level to fall, which is not an effectiv
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e method to manage chronic pain (D).
x1 x1 x1 x1 x1 x1
Correct Answer: A x1 x1
, Page | 3 x 1 x1
4. When assessing a client with wrist restraints, the nurse observes that
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the fingers on the right hand are blue. What action should the nurse
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
implement first?
x1 x1
A. Loosen the right wrist restraint. x1 x1 x1 x1
B. Apply a pulse oximeter to the right hand.
x1 x1 x1 x1 x1 x1 x1
C. Compare hand color bilaterally. x1 x1 x1
D. Palpate the right radial pulse. - correct answer -
x1 x1 x1 x1 x1 x1 x1 x1
The priority nursing action is to restore circulation by loosening the r
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
estraint (A), because blue fingers (cyanosis) indicates decreased circ
x1 x1 x1 x1 x1 x1 x1 x1
ulation. (C and D) are also important nursing interventions, but do no
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
t have the priority of
x1 x1 x1 x1
(A). Pulse oximetry (B) measures the saturation of hemoglobin with o
x1 x1 x1 x1 x1 x1 x1 x1 x1
xygen and is not indicated in situations where the cyanosis is related t
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
o mechanical compression (the restraints).
x1 x1 x1 x1
Correct Answer: A x1 x1
5. The nurse is assessing the nutritional status of several clients. Which
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
client has the greatest nutritional need for additional intake of protein
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
?
A. A college-age track runner with a sprained ankle.
x1 x1 x1 x1 x1 x1 x1
B. A lactating woman nursing her 3-day-old infant.
x1 x1 x1 x1 x1 x1
C. A school-aged child with Type 2 diabetes.
x1 x1 x1 x1 x1 x1
D. An elderly man being treated for a peptic ulcer. - correct answer -
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
A lactating woman (B) has the greatest need for additional protein i
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ntake. (A, C, and D) are all conditions that require protein, but do not
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
have the increased metabolic protein demands of lactation.
1 x1 x1 x1 x1 x1 x1 x1
Correct Answer: B x1 x1
, Page | 4 x 1 x1
6. A client is in the radiology department at 0900 when the prescription
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be admini
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
stered. The client returns to the unit at 1300. What is the best interv
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ention for the nurse to implement?
x1 x1 x1 x1 x1
A. Contact the healthcare provider and complete a medication variance
x1 x1 x1 x1 x1 x1 x1 x1
form. x1
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
morning.
x1
C. Notify the charge nurse and complete an incident report to explain the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
missed dose.
x1 x1
D. Give the missed dose at 1300 and change the schedule to administer
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
daily at 1300. - correct answer -
x1 x1 x1 x1 x1 x1 x1
To ensure that a therapeutic level of medication is maintained, the n
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
urse should administer the missed dose as soon as possible, and re
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
vise the administration schedule accordingly to prevent dangerously
x1 x1 x1 x1 x1 x1 x1 x1
increasing the level of the medication in the bloodstream (D). The nu
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
rse should document the reason for the late dose, but (A and C) are
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
not warranted. (B) could result in increased blood levels of the drug.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Correct Answer: D x1 x1
7. While instructing a male client's wife in the performance of passive ra
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nge-of-
motion exercises to his contracted shoulder, the nurse observes that s
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
he is holding his arm above and below the elbow. What nursing action
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
should the nurse implement?
1 x1 x1 x1
A. Acknowledge that she is supporting the arm correctly. x1 x1 x1 x1 x1 x1 x1
B. Encourage her to keep the joint covered to maintain warmth.
x1 x1 x1 x1 x1 x1 x1 x1 x1
C. Reinforce the need to grip directly under the joint for better support.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
2025 EVOLVE HESI FUNDAMENTALS VERSION 1, 2 &
x1 x1 x1 x1 x1 x1 x1
3| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED Q
x1 x1 x1 x1 x1 x1 x1 x1
UESTIONS AND CORRECT SOLUTIONS| GUARANTEED x1 x1 x1 x1 x1
VALUE PACK| ACE YOUR GRADES. x1 x1 x1 x1
(WITH RATIONALES) x1
1. An elderly client with a fractured left hip is on strict bedrest. Which
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nursing measure is essential to the client's nursing care?
x1 x1 x1 x1 x1 x1 x1 x1 x1
A. Massage any reddened areas for at least five minutes. x1 x1 x1 x1 x1 x1 x1 x1
B. Encourage active range of motion exercises on extremities. x1 x1 x1 x1 x1 x1 x1
C. Position the client laterally, prone, and dorsally in sequence.
x1 x1 x1 x1 x1 x1 x1 x1
D. Gently lift the client when moving into a desired position. -
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
correct answer -
x1 x1 x1
To avoid shearing forces when repositioning, the client should be lift
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ed gently across a surface (D). Reddened areas should not be mass
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
aged (A) since this may increase the damage to already traumatized
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
skin. To control pain and muscle spasms, active range of motion (B)
1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
may be limited on the affected leg. The position described in (C) is c
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ontraindicated for a client with a fractured left hip. x1 x1 x1 x1 x1 x1 x1 x1
Correct Answer: D x1 x1
2. The nurse is administering medications through a nasogastric tube
x1 x1 x1 x1 x1 x1 x1 x1
(NGT) which is connected to suction. After ensuring correct tube
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
placement, what action should the nurse take next? x1 x1 x1 x1 x1 x1 x1
A. Clamp the tube for 20 minutes. x1 x1 x1 x1 x1
B. Flush the tube with water. x1 x1 x1 x1
, Page | 2 x 1 x1
C. Administer the medications as prescribed. x1 x1 x1 x1
D. Crush the tablets and dissolve in sterile water. - correct answer -
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
The NGT should be flushed before, after and in between each medic
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ation administered (B). Once all medications are administered, the N
x1 x1 x1 x1 x1 x1 x1 x1 x1
GT should be clamped for 20 minutes (A). (C and D) may be impleme
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nted only after the tubing has been flushed.
x1 x1 x1 x1 x1 x1 x1
Correct Answer: B x1 x1
3. A client who is in hospice care complains of increasing amounts of pain.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1The healthcare provider prescribes an analgesic every four hours as n
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
eeded. Which action should the nurse implement?
x1 x1 x1 x1 x1 x1
A. Give an around-the-clock schedule for administration of analgesics.
x1 x1 x1 x1 x1 x1 x1
B. Administer analgesic medication as needed when the pain is severe. x1 x1 x1 x1 x1 x1 x1 x1 x1
C. Provide medication to keep the client sedated and unaware of stimuli.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
D. Offer a medication-free period so that the client can do daily activities.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
- correct answer -
x1 x1 x1
The most effective management of pain is achieved using an around-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the-
clock schedule that provides analgesic medications on a regular basis
x1 x1 x1 x1 x1 x1 x1 x1 x1
(A) and in a timely manner. Analgesics are less effective if pain persi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
sts until it is severe, so an analgesic medication should be administer
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ed before the client's pain peaks (B). Providing comfort is a priority for
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the client who is dying, but sedation that impairs the client's ability to
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
interact and experience the time before life ends should be minimized
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
(C). Offering a medication-
x1 x1 x1 x1
free period allows the serum drug level to fall, which is not an effectiv
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e method to manage chronic pain (D).
x1 x1 x1 x1 x1 x1
Correct Answer: A x1 x1
, Page | 3 x 1 x1
4. When assessing a client with wrist restraints, the nurse observes that
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the fingers on the right hand are blue. What action should the nurse
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
implement first?
x1 x1
A. Loosen the right wrist restraint. x1 x1 x1 x1
B. Apply a pulse oximeter to the right hand.
x1 x1 x1 x1 x1 x1 x1
C. Compare hand color bilaterally. x1 x1 x1
D. Palpate the right radial pulse. - correct answer -
x1 x1 x1 x1 x1 x1 x1 x1
The priority nursing action is to restore circulation by loosening the r
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
estraint (A), because blue fingers (cyanosis) indicates decreased circ
x1 x1 x1 x1 x1 x1 x1 x1
ulation. (C and D) are also important nursing interventions, but do no
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
t have the priority of
x1 x1 x1 x1
(A). Pulse oximetry (B) measures the saturation of hemoglobin with o
x1 x1 x1 x1 x1 x1 x1 x1 x1
xygen and is not indicated in situations where the cyanosis is related t
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
o mechanical compression (the restraints).
x1 x1 x1 x1
Correct Answer: A x1 x1
5. The nurse is assessing the nutritional status of several clients. Which
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
client has the greatest nutritional need for additional intake of protein
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
?
A. A college-age track runner with a sprained ankle.
x1 x1 x1 x1 x1 x1 x1
B. A lactating woman nursing her 3-day-old infant.
x1 x1 x1 x1 x1 x1
C. A school-aged child with Type 2 diabetes.
x1 x1 x1 x1 x1 x1
D. An elderly man being treated for a peptic ulcer. - correct answer -
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
A lactating woman (B) has the greatest need for additional protein i
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ntake. (A, C, and D) are all conditions that require protein, but do not
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
have the increased metabolic protein demands of lactation.
1 x1 x1 x1 x1 x1 x1 x1
Correct Answer: B x1 x1
, Page | 4 x 1 x1
6. A client is in the radiology department at 0900 when the prescription
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be admini
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
stered. The client returns to the unit at 1300. What is the best interv
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ention for the nurse to implement?
x1 x1 x1 x1 x1
A. Contact the healthcare provider and complete a medication variance
x1 x1 x1 x1 x1 x1 x1 x1
form. x1
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
morning.
x1
C. Notify the charge nurse and complete an incident report to explain the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
missed dose.
x1 x1
D. Give the missed dose at 1300 and change the schedule to administer
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
daily at 1300. - correct answer -
x1 x1 x1 x1 x1 x1 x1
To ensure that a therapeutic level of medication is maintained, the n
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
urse should administer the missed dose as soon as possible, and re
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
vise the administration schedule accordingly to prevent dangerously
x1 x1 x1 x1 x1 x1 x1 x1
increasing the level of the medication in the bloodstream (D). The nu
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
rse should document the reason for the late dose, but (A and C) are
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
not warranted. (B) could result in increased blood levels of the drug.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Correct Answer: D x1 x1
7. While instructing a male client's wife in the performance of passive ra
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nge-of-
motion exercises to his contracted shoulder, the nurse observes that s
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
he is holding his arm above and below the elbow. What nursing action
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
should the nurse implement?
1 x1 x1 x1
A. Acknowledge that she is supporting the arm correctly. x1 x1 x1 x1 x1 x1 x1
B. Encourage her to keep the joint covered to maintain warmth.
x1 x1 x1 x1 x1 x1 x1 x1 x1
C. Reinforce the need to grip directly under the joint for better support.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
