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