Evolve HESI Fundamentals Practice Exam
Questions With Accurate Answers 2025\2026
A+ Grade.
A hospitalized male client is receiving nasogastric tube feedings via a small-
bore tube and a continuous pump infusion. He reports that he had a bad bout
of severe coughing a few minutes ago, but feels fine now. What action is best
for the nurse to take?
- accurate answers-After clearing the tube with 30 ml of air, check the pH of
fluid withdrawn from the tube.
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?
- accurate answers-Give the missed dose at 1300 and change the schedule to
administer daily at 1300.
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
- accurate answers-Give an around-the-clock schedule for administration of
analgesics.
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
- accurate answers-determine the etiology of the problem
What is the most important reason for starting intravenous infusions in the
upper extremities rather than the lower extremities of adults?
- accurate answers-A decreased flow rate could result in the formation of a
thrombosis.
The nurse notices that the mother of a 9-year-old Vietnamese child always
looks at the floor when she talks to the nurse. What action should the nurse
take?
- accurate answers-Continue asking the mother questions about the child.
, Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?
- accurate answers-Assess for bladder distention.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which
concern should the nurse have for planning care in terms of the client's
beliefs?
- accurate answers-Blood transfusions are forbidden.
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?
- accurate answers-Acknowledge that she is supporting the arm correctly.
An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings though a gastrostomy tube.
What is the best client position for administration of the bolus tube feedings?
- accurate answers-Fowler's.
An adult male client with a history of hypertension tells the nurse that he is
tired of taking antihypertensive medications and is going to try spiritual
meditation instead. What should be the nurse's first response?
- accurate answers-It is important that you continue your medication while
learning to meditate.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to
administer the IVPB dose over 20 minutes. For how many ml/hr should the
infusion pump be set to deliver the secondary infusion?
- accurate answers-150
The nurse is completing a mental assessment for a client who is
demonstrating slow thought processes, personality changes, and emotional
lability. Which area of the brain controls these neuro-cognitive functions?
- accurate answers-Frontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of pain and
irritation at the infusion site. The nurse observes erythema, swelling, and a
Questions With Accurate Answers 2025\2026
A+ Grade.
A hospitalized male client is receiving nasogastric tube feedings via a small-
bore tube and a continuous pump infusion. He reports that he had a bad bout
of severe coughing a few minutes ago, but feels fine now. What action is best
for the nurse to take?
- accurate answers-After clearing the tube with 30 ml of air, check the pH of
fluid withdrawn from the tube.
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?
- accurate answers-Give the missed dose at 1300 and change the schedule to
administer daily at 1300.
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
- accurate answers-Give an around-the-clock schedule for administration of
analgesics.
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
- accurate answers-determine the etiology of the problem
What is the most important reason for starting intravenous infusions in the
upper extremities rather than the lower extremities of adults?
- accurate answers-A decreased flow rate could result in the formation of a
thrombosis.
The nurse notices that the mother of a 9-year-old Vietnamese child always
looks at the floor when she talks to the nurse. What action should the nurse
take?
- accurate answers-Continue asking the mother questions about the child.
, Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?
- accurate answers-Assess for bladder distention.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which
concern should the nurse have for planning care in terms of the client's
beliefs?
- accurate answers-Blood transfusions are forbidden.
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?
- accurate answers-Acknowledge that she is supporting the arm correctly.
An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings though a gastrostomy tube.
What is the best client position for administration of the bolus tube feedings?
- accurate answers-Fowler's.
An adult male client with a history of hypertension tells the nurse that he is
tired of taking antihypertensive medications and is going to try spiritual
meditation instead. What should be the nurse's first response?
- accurate answers-It is important that you continue your medication while
learning to meditate.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation
arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to
administer the IVPB dose over 20 minutes. For how many ml/hr should the
infusion pump be set to deliver the secondary infusion?
- accurate answers-150
The nurse is completing a mental assessment for a client who is
demonstrating slow thought processes, personality changes, and emotional
lability. Which area of the brain controls these neuro-cognitive functions?
- accurate answers-Frontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of pain and
irritation at the infusion site. The nurse observes erythema, swelling, and a
