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EVOLVE FUNDAMENTALS HESI EXAM QUESTIONS
NEWEST 2026 EXAM QUESTIONS LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED 100 %
The UAPs working on a chronic neuro unit ask the nurse to help them
determine the safest way to transfer an elderly client with 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) 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.
Correct Answer: D
An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction should
the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile
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soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist
level.
The left sided Sims' position allows the enema solution to follow the anatomical
course of the intestines and allows the best overall results, so the UAP should
reposition the client in the Sims' position, which distributes the client's weight to the
anterior ilium (C). (A) is inaccurate. (B and D) should be implemented once the client
is positioned.
Correct Answer: C
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?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Blood transfusions are forbidden (B) in the Jehovah's Witness religion. Judaism
prohibits (A). Buddhism forbids the use of (C) and drugs. Many of these sects are
vegetarian (D), but the direct impact on nursing care is (B).
Correct Answer: B
The nurse observes that a male client has removed the covering from an ice
pack applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
The first action taken by the nurse should be to assess the skin for any possible
thermal injury (A). If no injury to the skin has occurred, the nurse can take the other
actions (B, C, and D) as needed.
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Correct Answer: A
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?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min.
(D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg. Determine the
dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min. Determine how many mcg
are contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The client is to receive
413.65 mcg/min, and there are 200 mcg/ml; so the client is to receive 2.07ml per
minute. With a drip factor of 60 gtt/ml, then 60 × 2.07 = 124.28 gtt/min (D) OR, using
dimensional analysis: gtt/min = 60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5
mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.
Correct Answer: D
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 healthcare provider.
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.
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the
small bore feeding tube upward into the esophagus, placing the client at increased
risk for aspiration. Checking the sample of fluid withdrawn from the tube (after
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clearing the tube with 30 ml of air) for acidic (stomach) or alkaline (intestine) values
is a more sensitive method for these tubes, and the nurse should assess tube
placement in this way prior to taking any other action (C). (A and B) are not
indicated. The auscultating method (D) has been found to be unreliable for small-
bore feeding tubes.
Correct Answer: C
A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of
the medication each day. Since, at the time of discharge, timed-release
capsules are not available, which dosing schedule should the nurse advise the
client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
C. Before breakfast, before lunch and before dinner.
D. With breakfast, with lunch, and with dinner.
Theophylline should be administered on a regular around-the-clock schedule (B) to
provide the best bronchodilating effect and reduce the potential for adverse effects.
(A, C, and D) do not provide around-the-clock dosing. Food may alter absorption of
the medication (D).
Correct Answer: B
An obese male client discusses with the nurse his plans to begin a long-term
weight loss regimen. In addition to dietary changes, he plans to begin an
intensive aerobic exercise program 3 to 4 times a week and to take stress
management classes. After praising the client for his decision, which
instruction is most important for the nurse to provide?
A. "Be sure to have a complete physical examination before beginning your
planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your stress
level, making you want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to spend
EVOLVE FUNDAMENTALS HESI EXAM QUESTIONS
NEWEST 2026 EXAM QUESTIONS LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED 100 %
The UAPs working on a chronic neuro unit ask the nurse to help them
determine the safest way to transfer an elderly client with 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) 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.
Correct Answer: D
An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction should
the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile
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soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist
level.
The left sided Sims' position allows the enema solution to follow the anatomical
course of the intestines and allows the best overall results, so the UAP should
reposition the client in the Sims' position, which distributes the client's weight to the
anterior ilium (C). (A) is inaccurate. (B and D) should be implemented once the client
is positioned.
Correct Answer: C
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?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
Blood transfusions are forbidden (B) in the Jehovah's Witness religion. Judaism
prohibits (A). Buddhism forbids the use of (C) and drugs. Many of these sects are
vegetarian (D), but the direct impact on nursing care is (B).
Correct Answer: B
The nurse observes that a male client has removed the covering from an ice
pack applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
The first action taken by the nurse should be to assess the skin for any possible
thermal injury (A). If no injury to the skin has occurred, the nurse can take the other
actions (B, C, and D) as needed.
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Correct Answer: A
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?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min.
(D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg. Determine the
dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min. Determine how many mcg
are contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The client is to receive
413.65 mcg/min, and there are 200 mcg/ml; so the client is to receive 2.07ml per
minute. With a drip factor of 60 gtt/ml, then 60 × 2.07 = 124.28 gtt/min (D) OR, using
dimensional analysis: gtt/min = 60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5
mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.
Correct Answer: D
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 healthcare provider.
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.
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the
small bore feeding tube upward into the esophagus, placing the client at increased
risk for aspiration. Checking the sample of fluid withdrawn from the tube (after
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clearing the tube with 30 ml of air) for acidic (stomach) or alkaline (intestine) values
is a more sensitive method for these tubes, and the nurse should assess tube
placement in this way prior to taking any other action (C). (A and B) are not
indicated. The auscultating method (D) has been found to be unreliable for small-
bore feeding tubes.
Correct Answer: C
A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of
the medication each day. Since, at the time of discharge, timed-release
capsules are not available, which dosing schedule should the nurse advise the
client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
C. Before breakfast, before lunch and before dinner.
D. With breakfast, with lunch, and with dinner.
Theophylline should be administered on a regular around-the-clock schedule (B) to
provide the best bronchodilating effect and reduce the potential for adverse effects.
(A, C, and D) do not provide around-the-clock dosing. Food may alter absorption of
the medication (D).
Correct Answer: B
An obese male client discusses with the nurse his plans to begin a long-term
weight loss regimen. In addition to dietary changes, he plans to begin an
intensive aerobic exercise program 3 to 4 times a week and to take stress
management classes. After praising the client for his decision, which
instruction is most important for the nurse to provide?
A. "Be sure to have a complete physical examination before beginning your
planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your stress
level, making you want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to spend
