HESI FUNDAMENTALS EXAM WITH ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) WITH RATIONALES/ EVOLVE
HESI FUNDAMENTALS EXAM 2026-2027
(NEWEST!)
The UAPs working on a chronic neuro unit ask the nurse to help
them
determine the safest way to transfer an elderly client w/ 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.
D. Move the chair parallel to the right side of the bed, and stand
the client on the right foot.
D. Move the chair parallel to the right side of the bed, and stand
the client on the right foot.
( (D) uses the client's stronger side, the right side, for weight-
bearing during the transfer, and is the safest approach to take. (A,
B, and C) are unsafe methods of transfer and include the use of
poor body mechanics by the
caregiver.)
,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?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped,
and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium
for gurgling.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
A male client tells the nurse that he does not know where he is or
what year it is. What data should the nurse document that is most
accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
D. is disoriented to place and time (The client is exhibiting
disorientation (D).
(A) refers to memory of the distant past. The client is able to express
himself without difficulty (B), and does not demonstrate diminished
attention span. (C).
,A client with chronic kidney disease (CKD) selects a scrambled egg
for his breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary management of
CKD.
A. Commend the client for selecting a high biologic value protein.
(Foods such as eggs and milk (A) are high biologic proteins which
are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell
repair. Orange juice is rich in
potassium and should not be encouraged. The client has made a
good diet choice so (D) is not necessary.)
When assisting an 82 year old client to ambulate, it is important
for the nurse to realize that the center of gravity for an elderly
person is the--
Upper torso (The center of gravity for adults is the hips. However, as
the
person grows older, a stooped posture is common because of the
changes from osteoporosis and normal bone degeneration, and the
knees, hips, and elbows flex. This stooped posture results in the
upper torso becoming the center of gravity for older persons.)
, In developing a plan of care for a client with dementia, the nurse
should remember that confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep
B. often follows relocation to new surroundings (Relocation (B)
often results in confusion among elderly clients-- moving is
stressful for anyone. (A) is stereotypical judgement. Stress in the
elderly often manifests itself as confusion, so (C) is wrong.
Adequate sleep is not a prevention (D) for confusion.)
A postoperative client will need to perform daily dressing changes
after discharge. Which outcome statement best demonstrates the
client's readiness to manage his wound care after discharge? The
client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care
C. demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective
assessment of the client's ability to perform a task, while (A and B)
are subjective measures. (D) is important, but is less of a priority
than the the nurse's assessment of the client's ability to complete
wound care.)
QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) WITH RATIONALES/ EVOLVE
HESI FUNDAMENTALS EXAM 2026-2027
(NEWEST!)
The UAPs working on a chronic neuro unit ask the nurse to help
them
determine the safest way to transfer an elderly client w/ 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.
D. Move the chair parallel to the right side of the bed, and stand
the client on the right foot.
D. Move the chair parallel to the right side of the bed, and stand
the client on the right foot.
( (D) uses the client's stronger side, the right side, for weight-
bearing during the transfer, and is the safest approach to take. (A,
B, and C) are unsafe methods of transfer and include the use of
poor body mechanics by the
caregiver.)
,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?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped,
and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium
for gurgling.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
A male client tells the nurse that he does not know where he is or
what year it is. What data should the nurse document that is most
accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
D. is disoriented to place and time (The client is exhibiting
disorientation (D).
(A) refers to memory of the distant past. The client is able to express
himself without difficulty (B), and does not demonstrate diminished
attention span. (C).
,A client with chronic kidney disease (CKD) selects a scrambled egg
for his breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary management of
CKD.
A. Commend the client for selecting a high biologic value protein.
(Foods such as eggs and milk (A) are high biologic proteins which
are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell
repair. Orange juice is rich in
potassium and should not be encouraged. The client has made a
good diet choice so (D) is not necessary.)
When assisting an 82 year old client to ambulate, it is important
for the nurse to realize that the center of gravity for an elderly
person is the--
Upper torso (The center of gravity for adults is the hips. However, as
the
person grows older, a stooped posture is common because of the
changes from osteoporosis and normal bone degeneration, and the
knees, hips, and elbows flex. This stooped posture results in the
upper torso becoming the center of gravity for older persons.)
, In developing a plan of care for a client with dementia, the nurse
should remember that confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep
B. often follows relocation to new surroundings (Relocation (B)
often results in confusion among elderly clients-- moving is
stressful for anyone. (A) is stereotypical judgement. Stress in the
elderly often manifests itself as confusion, so (C) is wrong.
Adequate sleep is not a prevention (D) for confusion.)
A postoperative client will need to perform daily dressing changes
after discharge. Which outcome statement best demonstrates the
client's readiness to manage his wound care after discharge? The
client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care
C. demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective
assessment of the client's ability to perform a task, while (A and B)
are subjective measures. (D) is important, but is less of a priority
than the the nurse's assessment of the client's ability to complete
wound care.)
