EVOLVE HESI Fundamentals Versions 1, 2 & 3 | Actual Exam Sets with 400 Questions, Correct Detailed Answers with Rationales | A+ Graded | 2025/2026

EVOLVE HESI Fundamentals Versions 1, 2 & 3 |
Actual Exam Sets with 400 Questions, Correct
Detailed Answers with Rationales | A+ Graded |
2025/2026


Section 1: Introduction
This exclusive collection includes 400 actual exam-style questions with correct,
detailed answers and rationales to enhance understanding, boost confidence, and
ensure mastery of core nursing concepts. Each question is the most current exam
format and tested competencies based on the latest HESI standards for
2025/2026.
Whether you're preparing for your first attempt or aiming to strengthen your
fundamentals, this guide serves as an A+ graded study companion to help you
succeed with clarity, depth, and confidence.


Section 2: Exam Questions and Answers


Question 1 (Safety): A nurse is assisting a client with ambulation. Which action
ensures client safety?
A) Allowing the client to walk barefoot
B) Using a gait belt
C) Keeping the bed in the highest position
D) Removing obstacles after ambulation
Correct Answer: B) Using a gait belt
Rationale: A gait belt provides secure support, reducing fall risk during
ambulation.

,Question 2 (Safety): Which intervention prevents falls in an elderly client?
A) Dim lighting in the room
B) Non-slip footwear
C) Cluttered pathways
D) No handrails in the bathroom
Correct Answer: B) Non-slip footwear
Rationale: Non-slip footwear increases traction, reducing fall risk.


Question 3 (Safety): A client is at risk for falls. What should the nurse prioritize?
A) Keep the call light out of reach
B) Raise all bed side rails
C) Assess fall risk using a tool
D) Encourage independent ambulation
Correct Answer: C) Assess fall risk using a tool
Rationale: Using a fall risk assessment tool (e.g., Morse Scale) identifies specific
risks.


Question 4 (Safety): A nurse is transferring a client to a wheelchair. What is the
first step?
A) Lock the wheelchair brakes
B) Lower the bed to the lowest position
C) Raise the wheelchair footrests
D) Assist the client to stand immediately
Correct Answer: A) Lock the wheelchair brakes
Rationale: Locking brakes prevents the wheelchair from moving during transfer.


Question 5 (Safety): Which action ensures safe medication administration?
A) Administering without checking allergies
B) Verifying client identity with two identifiers
C) Using a single identifier
D) Skipping medication reconciliation

,Correct Answer: B) Verifying client identity with two identifiers
Rationale: Two identifiers (e.g., name, ID band) prevent medication errors.


Question 6 (Safety): A client has a seizure disorder. What should the nurse do
during a seizure?
A) Restrain the client’s limbs
B) Place a tongue depressor in the mouth
C) Protect the client’s head
D) Administer oxygen immediately
Correct Answer: C) Protect the client’s head
Rationale: Protecting the head prevents injury during a seizure.


Question 7 (Safety): What is a priority when using restraints?
A) Apply restraints tightly
B) Check circulation every 2 hours
C) Obtain a provider order
D) Leave restraints on indefinitely
Correct Answer: C) Obtain a provider order
Rationale: Restraints require a provider order per safety regulations.


Question 8 (Infection Control): Which action prevents the spread of infection?
A) Reusing disposable gloves
B) Performing hand hygiene before client contact
C) Leaving soiled linens on the floor
D) Using the same equipment for multiple clients
Correct Answer: B) Performing hand hygiene before client contact
Rationale: Hand hygiene is the most effective way to prevent infection spread.


Question 9 (Infection Control): A client is on contact precautions. What should
the nurse wear?

, A) Mask only
B) Gown and gloves
C) Shoe covers only
D) No protective equipment
Correct Answer: B) Gown and gloves
Rationale: Contact precautions require gown and gloves to prevent pathogen
transmission.


Question 10 (Infection Control): When should a nurse wear a mask?
A) During routine vital signs
B) When entering a droplet precaution room
C) While charting at the station
D) During a bed bath
Correct Answer: B) When entering a droplet precaution room
Rationale: Masks are required for droplet precautions (e.g., influenza).


Question 11 (Infection Control): A client has MRSA. What should the nurse do?
A) Use standard precautions only
B) Implement contact precautions
C) Share equipment with other clients
D) Avoid hand hygiene after contact
Correct Answer: B) Implement contact precautions
Rationale: MRSA requires contact precautions to prevent spread.


Question 12 (Nursing Process): What is the first step in the nursing process?
A) Evaluation
B) Assessment
C) Planning
D) Implementation