EVOLVE HESI FUNDAMENTALS
COMPREHENSIVE EXAM 2026 STUDY
GUIDE QUESTIONS AND ANSWERS TESTED
SOLUTIONS
●● 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
,Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: Frontal lobe
●● A client is receiving a cephalosporin antibiotic IV and complains of
pain and irritation at the infusion site. The nurse observes erythema,
COMPREHENSIVE EXAM 2026 STUDY
GUIDE QUESTIONS AND ANSWERS TESTED
SOLUTIONS
●● 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
,Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: Frontal lobe
●● A client is receiving a cephalosporin antibiotic IV and complains of
pain and irritation at the infusion site. The nurse observes erythema,
