Fundamentals, Evolve HESI Fundamentals
Practice Qs, Evolve Fundamentals HESI,
Fundamental HESI 2026/2027, PRACTICE
QUESTIONS 2026/2027 (ACTUAL EXAM)
WITH CORRECT DETAILED ANSWERS ||
ALREADY GRADED A+ RECENT VERSION
A nurse observes a student nurse taking a copy of a client's medication
administration record. What response should the nurse provide first? -
ANSWER Explain that the records are hospital property & may not be
removed.
After a client has been premedicated for surgery with an opioid analgesic, the
nurse discovers that the operative permit has not been signed. What action
should the nurse implement? - ANSWER Notify the surgeon that the
consent form has not been signed
Rationale: Once a client has been premedicated for surgery with any type of
sedative, legal informed consent is not possible, so the nurse must notify the
surgeon. Remaining options are not legally viable options for ensuring
informed consent.
, A client who has been on bed rest for several days now has a prescription to
progress daily activity as tolerated. When the nurse assists the client out of
bed for the first time, the client becomes dizzy. What action should the nurse
implement? - ANSWER Advise the client to sit on the side of the bed for a
few minutes before standing again.
The charge nurse observes a UAP bending at the waist to lift a 20lb box.
What instruction should the charge nurse provide? - ANSWER Bend at the
knees when lifting heavy objects
AN older client with RA is complaining of severe joint pain that is caused by
the weight of the linen on her legs. What action should the nurse implement
first? - ANSWER Drape the sheets over the footboard of the bed
A client is admitted to the hospital with intractable pain. What instruction
should the nurse provide the UAP who is assisting with a bed bath? -
ANSWER Take measures to promote as much comfort as possible
A client arrives for a scheduled needle aspiration. He tells the nurse he has
already given verbal consent to the HCP. What action should the nurse
implement? - ANSWER Witness the client's signature on the consent form
In assessing a client's femoral pulse, the nurse must use deep palpation to feel
the pulsation when the client is in the supine position. What action should the
nurse implement? - ANSWER Document the presence & volume of the
pulse palpated
, A nurse is preparing to insert a rectal suppository & observes a small amount
of rectal bleeding. What action should the nurse implement? -
ANSWER Withhold the administration of the suppository until contacting
the HCP
The nurse is preparing to irrigate a client's indwelling urinary catheter using
an open technique. What action should the nurse take after applying gloves? -
ANSWER Draw up the irrigating solution into the syringe.
Rationale: First, apply gloves, then draw up the irrigating solution. The
syringe is attached to the catheter & fluid is instilled using an aseptic
technique. Once instilled, the catheter should be secured to the drainage
tubing. The drainage bag can be emptied whenever I&O measurement is
indicated
When assessing a client with an indwelling urinary catheter, which
observation requires the most immediate intervention by the nurse? -
ANSWER The clamp on the urinary drainage bag is open
While preparing to insert a rectal suppository into a male adult client, the
nurse observes the client holding his breath while bearing down. What action
should the nurse implement? - ANSWER Instruct the client to take slow
deep breaths & stop bearing down
The nurse is completing the care plan for a client who is admitted for BPH.
Which data should the nurse document as a subjective finding? -
ANSWER Complains of inability to empty bladder
, While the nurse is administering a bolus feeding to a client via NG tube, the
client begins to vomit. What action should the nurse implement first? -
ANSWER D/c administration of the bolus feeding
What is the rationale in using the nursing process in planning care for
clients? - ANSWER As a tool to organize thinking & clinical decision
making about clients' healthcare needs
What activity should the nurse use in the evaluation phase of the nursing
process? - ANSWER Examine the effectiveness of nursing interventions
toward meeting client outcomes
Which statement is an example of a correctly written nursing diagnosis
statement? - ANSWER Ineffective coping related to response to positive
biopsy test results
Rationale: "Diagnostic label" followed by "related to" the cause, which
should direct the nurse to the appropriate interventions. Should not include
medical diagnosis. Should not focus on client's response.
What action by the nurse demonstrates culturally sensitive care? -
ANSWER Asks permission before touching a client
A nurse is becoming increasingly frustrated by the family members' efforts to
participate in the care of a hospitalized client. What action should the nurse
implement to cope with these feelings of frustration? - ANSWER Examine
one's own culturally based values, beliefs, attitudes & practices.