HESI RN FUNDAMENTALS EXAM 1 &2 2026 WITH 500
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) WITH RATIONALES/
EVOLVE HESI FUNDAMENTALS EXAM 2026-
2027(NEWEST!) BEST FOR EXAM PREPARATION
The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
peripheral IV rate by gravity has slowed, even though the venous access site is
healthy. What should the nurse do next?
A.
Apply a warm compress proximal to the site.
B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate.
B
Rationale: The nurse should first check the tubing and height of the bag on the
IV pole, which are common factors that may slow the rate. Gravity infusion rates
are influenced by the height of the bag, tubing clamp closure or kinks, needle
size or position, fluid viscosity, client blood pressure (crying in the pediatric
client), and infiltration. Venospasm can slow the rate and
often responds to warmth over the vessel, but the nurse should first adjust the IV
pole height. The nurse may need to adjust the stabilizing tape on a positional
needle or flush the venous access with normal saline, but less invasive actions
should be implemented first.
,The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs on
ways to prevent complications of immobility. Which action should be
included in this instruction?
A.
Perform range-of-motion exercises to prevent contractures.
B.
Decrease the client's fluid intake to prevent diarrhea.
C.
Massage the client's legs to reduce embolism occurrence.
D.
Turn the client from side to back every shift.
A
Rationale: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. Options B, C, and D are all potentially harmful
practices that place the immobile client at risk of complications.
,The nurse administered 10 mg of diazepam to the preoperative client. What
steps will the nurse take next? (Select all that apply.)
A.
Place the client in the bed next to the nurse's station.
B.
Instruct the client not to get out of bed.
C.
Place the call bell within the client's reach.
D.
Place the side rails up, according to institutional policy.
E.
Assist the client to the bathroom
B, C, D
Rationale: Diazepam is a common preoperative medication. Close
observation by placing the client close to the nurse's station is not
necessary. The medication has a sedative effect and the client should not
get out of bed, even with assistance. The remaining selections are correct.
, A terminally ill client tells the nurse, "I am so tired and in so much pain!
Please help me to die." Which is the best response for the nurse to provide? A.
Administer the prescribed maximum dose of pain medication. B.
Talk with the client about thoughts and feelings about death. C.
Collaborate with the health care provider about initiating antidepressant
therapy.
D.
Refer the client to the ethics committee of her local health care facility.
B
Rationale: The nurse should first assess the client's feelings about death and
determine the extent to which this statement expresses the client's true
feelings. The client may need additional pain management, but further
assessment is needed before implementing option A. Options C and D are
both premature interventions and should not be implemented until further
assessment is obtained.
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) WITH RATIONALES/
EVOLVE HESI FUNDAMENTALS EXAM 2026-
2027(NEWEST!) BEST FOR EXAM PREPARATION
The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
peripheral IV rate by gravity has slowed, even though the venous access site is
healthy. What should the nurse do next?
A.
Apply a warm compress proximal to the site.
B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate.
B
Rationale: The nurse should first check the tubing and height of the bag on the
IV pole, which are common factors that may slow the rate. Gravity infusion rates
are influenced by the height of the bag, tubing clamp closure or kinks, needle
size or position, fluid viscosity, client blood pressure (crying in the pediatric
client), and infiltration. Venospasm can slow the rate and
often responds to warmth over the vessel, but the nurse should first adjust the IV
pole height. The nurse may need to adjust the stabilizing tape on a positional
needle or flush the venous access with normal saline, but less invasive actions
should be implemented first.
,The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs on
ways to prevent complications of immobility. Which action should be
included in this instruction?
A.
Perform range-of-motion exercises to prevent contractures.
B.
Decrease the client's fluid intake to prevent diarrhea.
C.
Massage the client's legs to reduce embolism occurrence.
D.
Turn the client from side to back every shift.
A
Rationale: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. Options B, C, and D are all potentially harmful
practices that place the immobile client at risk of complications.
,The nurse administered 10 mg of diazepam to the preoperative client. What
steps will the nurse take next? (Select all that apply.)
A.
Place the client in the bed next to the nurse's station.
B.
Instruct the client not to get out of bed.
C.
Place the call bell within the client's reach.
D.
Place the side rails up, according to institutional policy.
E.
Assist the client to the bathroom
B, C, D
Rationale: Diazepam is a common preoperative medication. Close
observation by placing the client close to the nurse's station is not
necessary. The medication has a sedative effect and the client should not
get out of bed, even with assistance. The remaining selections are correct.
, A terminally ill client tells the nurse, "I am so tired and in so much pain!
Please help me to die." Which is the best response for the nurse to provide? A.
Administer the prescribed maximum dose of pain medication. B.
Talk with the client about thoughts and feelings about death. C.
Collaborate with the health care provider about initiating antidepressant
therapy.
D.
Refer the client to the ethics committee of her local health care facility.
B
Rationale: The nurse should first assess the client's feelings about death and
determine the extent to which this statement expresses the client's true
feelings. The client may need additional pain management, but further
assessment is needed before implementing option A. Options C and D are
both premature interventions and should not be implemented until further
assessment is obtained.
