Evolve HESI Fundamentals Practice Exam Prep
EVOLVE HESI FUNDAMENTALS PRACTICE EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is aware that malnutrition is a common problem among clients served
by a community health clinic for the homeless. Which laboratory value is the most
reliable indicator of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level
Answer: A
Long-term protein deficiency is required to cause significantly lowered serum
albumin levels (A). Albumin is made by the liver only when adequate amounts
of amino acids (from protein breakdown) are available. Albumin has a long half-
life, so acute protein loss does not significantly alter serum levels. (B) is a serum
protein with a half-life of only 8 to 10 days, so it will drop with an acute protein
deficiency. Neither (C or D) are clinical measures of protein malnutrition.
The nurse identifies a potential for infection in a patient with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What intervention has
the highest priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful hand washing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns
Answer: B
Careful hand washing technique (B) is the single most effective intervention for
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, Evolve HESI Fundamentals Practice Exam Prep
the prevention of contamination to all clients. (A) reverses the hypovolemia that
initially accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. (C and D) are recommended by various burn
centers as possible ways to reduce the chance of infection. (B) is a proven
technique to prevent infection.
Which serum laboratory value should the nurse monitor carefully for a client who
has a nasogastric (NG) tube to suction for the past week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium
Answer: D
Monitoring serum sodium levels (D) for hyponatremia is indicated during
prolonged NG suctioning because of loss of fluids. Changes in levels of (A, B, or
C) are not typically associated with prolonged NG suctioning.
In completing a client's preoperative routine, the nurse finds that the operative
permit is not signed. The client begins to ask more questions about the surgical
procedure. Which action should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has
questions about the surgery.
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered.
Answer: C
The surgeon should be informed immediately that the permit is not signed (C). It
is the surgeon's responsibility to explain the procedure to the cliesxnt and
obtain the client's signature on the permit. Although the nurse can witness an
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, Evolve HESI Fundamentals Practice Exam Prep
operative permit (A), the procedure must first be explained by the health care
provider or surgeon, including answering the client's questions (B). The client's
questions should be addressed before the permit is signed (D).
The nurse is preparing an older client for discharge. Which method is best for the
nurse to use when evaluating the client's ability to perform a dressing change at
home?
A. Determine how the client feels about changing the dressing.
B. Ask the client to describe the procedure in writing.
C. Seek a family member's evaluation of the client's ability to change the dressing.
D. Observe the client change the dressing unassisted.
Answer: D
Observing the client directly (D) will allow the nurse to determine if mastery of
the skill has been obtained and provide an opportunity to affirm the skill. (A)
may be therapeutic but will not provide an opportunity to evaluate the client's
ability to perform the procedure. (B) may be threatening to an older client and
will not determine his ability. (C) is not as effective as direct observation by the
nurse.
A client in a long-term care facility reports to the nurse that he has not had a
bowel movement in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the health care provider and request a prescription for a large-volume
enema.
C. Assess the client's medical record to determine the client's normal bowel
pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per
day.
Answer: C
This client may not routinely have a daily bowel movement, so the nurse should
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, Evolve HESI Fundamentals Practice Exam Prep
first assess this client's normal bowel habits before attempting any intervention
(C). (A, B, or D) may then be implemented, if warranted.
The nurse is instructing a client with cholecystitis regarding diet choices. Which
meal best meets the dietary needs of this client?
A. Steak, baked beans, and a salad
B. Broiled fish, green beans, and an apple
C. Pork chops, macaroni and cheese, and grapes
D. Avocado salad, milk, and angel food cake
Answer: B
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-
fat diet, such as (B). (A) is a high-protein diet and (C and D) contain high-fat
foods, which are contraindicated for this client.
When bathing an uncircumcised boy older than 3 years, which action should the
nurse take?
A. Remind the child to clean his genital area.
B. Defer perineal care because of the child's age.
C. Retract the foreskin gently to cleanse the penis.
D. Ask the parents why the child is not circumcised.
Answer: C
The foreskin (prepuce) of the penis should be gently retracted to cleanse all
areas that could harbor bacteria (C). The child's cognitive development may not
be at the level at which (A) would be effective. Perineal care needs to be
provided daily regardless of the client's age (B). (D) is not indicated and may be
perceived as intrusive.
The nurse who is preparing to give an adolescent client a prescribed antipsychotic
medication notes that parental consent has not been obtained. Which action
4|Page
EVOLVE HESI FUNDAMENTALS PRACTICE EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is aware that malnutrition is a common problem among clients served
by a community health clinic for the homeless. Which laboratory value is the most
reliable indicator of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level
Answer: A
Long-term protein deficiency is required to cause significantly lowered serum
albumin levels (A). Albumin is made by the liver only when adequate amounts
of amino acids (from protein breakdown) are available. Albumin has a long half-
life, so acute protein loss does not significantly alter serum levels. (B) is a serum
protein with a half-life of only 8 to 10 days, so it will drop with an acute protein
deficiency. Neither (C or D) are clinical measures of protein malnutrition.
The nurse identifies a potential for infection in a patient with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What intervention has
the highest priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful hand washing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns
Answer: B
Careful hand washing technique (B) is the single most effective intervention for
1|Page
, Evolve HESI Fundamentals Practice Exam Prep
the prevention of contamination to all clients. (A) reverses the hypovolemia that
initially accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. (C and D) are recommended by various burn
centers as possible ways to reduce the chance of infection. (B) is a proven
technique to prevent infection.
Which serum laboratory value should the nurse monitor carefully for a client who
has a nasogastric (NG) tube to suction for the past week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium
Answer: D
Monitoring serum sodium levels (D) for hyponatremia is indicated during
prolonged NG suctioning because of loss of fluids. Changes in levels of (A, B, or
C) are not typically associated with prolonged NG suctioning.
In completing a client's preoperative routine, the nurse finds that the operative
permit is not signed. The client begins to ask more questions about the surgical
procedure. Which action should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has
questions about the surgery.
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered.
Answer: C
The surgeon should be informed immediately that the permit is not signed (C). It
is the surgeon's responsibility to explain the procedure to the cliesxnt and
obtain the client's signature on the permit. Although the nurse can witness an
2|Page
, Evolve HESI Fundamentals Practice Exam Prep
operative permit (A), the procedure must first be explained by the health care
provider or surgeon, including answering the client's questions (B). The client's
questions should be addressed before the permit is signed (D).
The nurse is preparing an older client for discharge. Which method is best for the
nurse to use when evaluating the client's ability to perform a dressing change at
home?
A. Determine how the client feels about changing the dressing.
B. Ask the client to describe the procedure in writing.
C. Seek a family member's evaluation of the client's ability to change the dressing.
D. Observe the client change the dressing unassisted.
Answer: D
Observing the client directly (D) will allow the nurse to determine if mastery of
the skill has been obtained and provide an opportunity to affirm the skill. (A)
may be therapeutic but will not provide an opportunity to evaluate the client's
ability to perform the procedure. (B) may be threatening to an older client and
will not determine his ability. (C) is not as effective as direct observation by the
nurse.
A client in a long-term care facility reports to the nurse that he has not had a
bowel movement in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the health care provider and request a prescription for a large-volume
enema.
C. Assess the client's medical record to determine the client's normal bowel
pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per
day.
Answer: C
This client may not routinely have a daily bowel movement, so the nurse should
3|Page
, Evolve HESI Fundamentals Practice Exam Prep
first assess this client's normal bowel habits before attempting any intervention
(C). (A, B, or D) may then be implemented, if warranted.
The nurse is instructing a client with cholecystitis regarding diet choices. Which
meal best meets the dietary needs of this client?
A. Steak, baked beans, and a salad
B. Broiled fish, green beans, and an apple
C. Pork chops, macaroni and cheese, and grapes
D. Avocado salad, milk, and angel food cake
Answer: B
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-
fat diet, such as (B). (A) is a high-protein diet and (C and D) contain high-fat
foods, which are contraindicated for this client.
When bathing an uncircumcised boy older than 3 years, which action should the
nurse take?
A. Remind the child to clean his genital area.
B. Defer perineal care because of the child's age.
C. Retract the foreskin gently to cleanse the penis.
D. Ask the parents why the child is not circumcised.
Answer: C
The foreskin (prepuce) of the penis should be gently retracted to cleanse all
areas that could harbor bacteria (C). The child's cognitive development may not
be at the level at which (A) would be effective. Perineal care needs to be
provided daily regardless of the client's age (B). (D) is not indicated and may be
perceived as intrusive.
The nurse who is preparing to give an adolescent client a prescribed antipsychotic
medication notes that parental consent has not been obtained. Which action
4|Page
