Evolve HESI Fundamentals Practice
Exam With Latest Updates Questions
& Answers 2025/2026
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, swelling, and a red streak along the
vessel above the IV access site. Which action should the nurse take at this time? -
ANSWER//Initiate an alternate site for the IV infusion of the medication.
A female client asks the nurse to find someone who can translate into her native
language her concerns about a treatment. Which action should the nurse take? -
ANSWER//Request and document the name of the certified translator.
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a
fracture resulting from a fall. In reviewing hip precautions with the client, which
instruction should the nurse include in this client's teaching plan? - ANSWER//Place a
pillow between your knees while lying in bed to prevent hip dislocation.
An elderly resident of a long-term care facility is no longer able to perform self-care and
is becoming progressively weaker. The resident previously requested that no
resuscitative efforts be performed, and the family requests hospice care. What action
should the nurse implement first? - ANSWER//Notify the healthcare provider of the
family's request.
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first? - ANSWER//Nutritional
history.
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours.
The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to
administer approximately how many drops per minute? - ANSWER//21
, Three days following surgery, a male client observes his colostomy for the first time. He
becomes quite upset and tells the nurse that it is much bigger than he expected. What
is the best response by the nurse? - ANSWER//Instruct the client that the stoma will
become smaller when the initial swelling diminishes.
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix
20 mg/2 ml. How many milliliters should the nurse administer? - ANSWER//1.5ml
Which assessment data would provide the most accurate determination of proper
placement of a nasogastric tube? - ANSWER//Examining a chest x-ray obtained after
the tubing was inserted.
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution
at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60
gtt/ml, how many drops per minute should the client receive? - ANSWER//124 gtt/min.
At the time of the first dressing change, the client refuses to look at her mastectomy
incision. The nurse tells the client that the incision is healing well, but the client refuses
to talk about it. What would be an appropriate response to this client's silence? -
ANSWER//It is OK if you don't want to talk about your surgery. I will be available when
you are ready.
Examination of a client complaining of itching on his right arm reveals a rash made up of
multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should
the nurse record this finding? - ANSWER//Localized red rash comprised of flat areas,
pinpoint to 0.5 cm in diameter.
The nurse is teaching a client with numerous allergies how to avoid allergens. Which
instruction should be included in this teaching plan? - ANSWER//Avoid any types of
sprays, powders, and perfumes.
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while
ambulating. Based on these findings, which intervention should the nurse implement
first? - ANSWER//Assist the ambulating client back to the bed.
The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the inhaler? -
ANSWER//During the inhalation
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective? - ANSWER//I will limit my intake of beef to 4 ounces per week.
Exam With Latest Updates Questions
& Answers 2025/2026
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, swelling, and a red streak along the
vessel above the IV access site. Which action should the nurse take at this time? -
ANSWER//Initiate an alternate site for the IV infusion of the medication.
A female client asks the nurse to find someone who can translate into her native
language her concerns about a treatment. Which action should the nurse take? -
ANSWER//Request and document the name of the certified translator.
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a
fracture resulting from a fall. In reviewing hip precautions with the client, which
instruction should the nurse include in this client's teaching plan? - ANSWER//Place a
pillow between your knees while lying in bed to prevent hip dislocation.
An elderly resident of a long-term care facility is no longer able to perform self-care and
is becoming progressively weaker. The resident previously requested that no
resuscitative efforts be performed, and the family requests hospice care. What action
should the nurse implement first? - ANSWER//Notify the healthcare provider of the
family's request.
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first? - ANSWER//Nutritional
history.
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours.
The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to
administer approximately how many drops per minute? - ANSWER//21
, Three days following surgery, a male client observes his colostomy for the first time. He
becomes quite upset and tells the nurse that it is much bigger than he expected. What
is the best response by the nurse? - ANSWER//Instruct the client that the stoma will
become smaller when the initial swelling diminishes.
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix
20 mg/2 ml. How many milliliters should the nurse administer? - ANSWER//1.5ml
Which assessment data would provide the most accurate determination of proper
placement of a nasogastric tube? - ANSWER//Examining a chest x-ray obtained after
the tubing was inserted.
The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution
at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60
gtt/ml, how many drops per minute should the client receive? - ANSWER//124 gtt/min.
At the time of the first dressing change, the client refuses to look at her mastectomy
incision. The nurse tells the client that the incision is healing well, but the client refuses
to talk about it. What would be an appropriate response to this client's silence? -
ANSWER//It is OK if you don't want to talk about your surgery. I will be available when
you are ready.
Examination of a client complaining of itching on his right arm reveals a rash made up of
multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should
the nurse record this finding? - ANSWER//Localized red rash comprised of flat areas,
pinpoint to 0.5 cm in diameter.
The nurse is teaching a client with numerous allergies how to avoid allergens. Which
instruction should be included in this teaching plan? - ANSWER//Avoid any types of
sprays, powders, and perfumes.
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while
ambulating. Based on these findings, which intervention should the nurse implement
first? - ANSWER//Assist the ambulating client back to the bed.
The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the inhaler? -
ANSWER//During the inhalation
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective? - ANSWER//I will limit my intake of beef to 4 ounces per week.
