Evolve Fundamentals HESI EXAM PREP
EVOLVE FUNDAMENTALS HESI 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!!
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed
dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300.
To ensure that a therapeutic level of medication is maintained, the nurse should
administer the missed dose as soon as possible, and revise the administration
schedule accordingly to prevent dangerously increasing the level of the medication
in the bloodstream (D). The nurse should document the reason for the late dose,
but (A and C) are not warranted. (B) could result in increased blood levels of the
drug.
Correct Answer: D
While instructing a male client's wife in the performance of passive range-of-
motion exercises to his contracted shoulder, the nurse observes that she is holding
his arm above and below the elbow. What nursing action should the nurse
implement?
1|Page
, Evolve Fundamentals HESI EXAM PREP
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
The wife is performing the passive ROM correctly, therefore the nurse should
acknowledge this fact (A). The joint that is being exercised should be uncovered (B)
while the rest of the body should remain covered for warmth and privacy. (C and
D) do not provide adequate support to the joint while still allowing for joint
movement.
Correct Answer: A
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
Venous return is usually better in the upper extremities. Cannulation of the veins in
the lower extremities increases the risk of thrombus formation (B) which, if
dislodged, could be life-threatening. Superficial veins are often very easy (A) to find
in the feet and legs. Handling a leg or foot with an IV (C) is probably not any more
difficult than handling an arm or hand. Even if the nurse did believe moving a
cannulated leg was more difficult, this is not the most important reason for using
the upper extremities. Pain (D) is not a consideration.
Correct Answer: B
2|Page
, Evolve Fundamentals HESI EXAM PREP
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
within the client's usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
The most important action is to ensure that an accurate BP reading is obtained.
The nurse should reassess the BP with the correct size cuff (B). Reassessment
should not be postponed (A). Though (C and D) are likely indicated, these actions
do not have the priority of (B).
Correct Answer: B
Twenty minutes after beginning a heat application, the client states that the
heating pad no longer feels warm enough. What is the best response by the
nurse?
A. "That means you have derived the maximum benefit, and the heat can be
removed."
B. "Your blood vessels are becoming dilated and removing the heat from the site."
C. "We will increase the temperature 5 degrees when the pad no longer feels
warm."
D. "The body's receptors adapt over time as they are exposed to heat."
(D) describes thermal adaptation, which occurs 20 to 30 minutes after heat
application. (A and B) provide false information. (C) is not based on a knowledge
of physiology and is an unsafe action that may harm the client.
Correct Answer: D
3|Page
, Evolve Fundamentals HESI EXAM PREP
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A. "If I exercise at least two times weekly for one hour, I will lower my
cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase."
Limiting saturated fat from animal food sources to no more than 4 ounces per
week (C) is an important diet modification for lowering cholesterol. To be effective
in reducing cholesterol, the client should exercise 30 minutes per day, or at least 4
to 6 times per week (A). Red meat and all proteins do not need to be eliminated (B)
to lower cholesterol, but should be restricted to lean cuts of red meat and smaller
portions (2-ounce servings). The low density lipoproteins (D) need to decrease
rather than increase.
Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client with left-sided weakness from the bed
to the chair. What method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left before
sitting.
4|Page
EVOLVE FUNDAMENTALS HESI 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!!
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed
dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300.
To ensure that a therapeutic level of medication is maintained, the nurse should
administer the missed dose as soon as possible, and revise the administration
schedule accordingly to prevent dangerously increasing the level of the medication
in the bloodstream (D). The nurse should document the reason for the late dose,
but (A and C) are not warranted. (B) could result in increased blood levels of the
drug.
Correct Answer: D
While instructing a male client's wife in the performance of passive range-of-
motion exercises to his contracted shoulder, the nurse observes that she is holding
his arm above and below the elbow. What nursing action should the nurse
implement?
1|Page
, Evolve Fundamentals HESI EXAM PREP
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
The wife is performing the passive ROM correctly, therefore the nurse should
acknowledge this fact (A). The joint that is being exercised should be uncovered (B)
while the rest of the body should remain covered for warmth and privacy. (C and
D) do not provide adequate support to the joint while still allowing for joint
movement.
Correct Answer: A
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
Venous return is usually better in the upper extremities. Cannulation of the veins in
the lower extremities increases the risk of thrombus formation (B) which, if
dislodged, could be life-threatening. Superficial veins are often very easy (A) to find
in the feet and legs. Handling a leg or foot with an IV (C) is probably not any more
difficult than handling an arm or hand. Even if the nurse did believe moving a
cannulated leg was more difficult, this is not the most important reason for using
the upper extremities. Pain (D) is not a consideration.
Correct Answer: B
2|Page
, Evolve Fundamentals HESI EXAM PREP
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
within the client's usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
The most important action is to ensure that an accurate BP reading is obtained.
The nurse should reassess the BP with the correct size cuff (B). Reassessment
should not be postponed (A). Though (C and D) are likely indicated, these actions
do not have the priority of (B).
Correct Answer: B
Twenty minutes after beginning a heat application, the client states that the
heating pad no longer feels warm enough. What is the best response by the
nurse?
A. "That means you have derived the maximum benefit, and the heat can be
removed."
B. "Your blood vessels are becoming dilated and removing the heat from the site."
C. "We will increase the temperature 5 degrees when the pad no longer feels
warm."
D. "The body's receptors adapt over time as they are exposed to heat."
(D) describes thermal adaptation, which occurs 20 to 30 minutes after heat
application. (A and B) provide false information. (C) is not based on a knowledge
of physiology and is an unsafe action that may harm the client.
Correct Answer: D
3|Page
, Evolve Fundamentals HESI EXAM PREP
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A. "If I exercise at least two times weekly for one hour, I will lower my
cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase."
Limiting saturated fat from animal food sources to no more than 4 ounces per
week (C) is an important diet modification for lowering cholesterol. To be effective
in reducing cholesterol, the client should exercise 30 minutes per day, or at least 4
to 6 times per week (A). Red meat and all proteins do not need to be eliminated (B)
to lower cholesterol, but should be restricted to lean cuts of red meat and smaller
portions (2-ounce servings). The low density lipoproteins (D) need to decrease
rather than increase.
Correct Answer: C
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client with left-sided weakness from the bed
to the chair. What method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left before
sitting.
4|Page
