2026 EVOLVE HESI FUNDAMENTALS EXAM
PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED
2026 Exam · 399 Questions · With Rationales
ati. EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION N
E HESI FUNDAMENTALS
Question: 1 of 399
A nurse is preparing to administer a blood transfusion to a patient with a history of multiple transfusions. The
patient's vital signs are stable, and the IV access is patent. Which of the following interventions is most critical
A. Pre-medicate with diphenhydramine and acetaminophen as prescribed.
B. Verify the patient's identification using two identifiers and check blood product compatibility with a second nurse.
C. Infuse the blood product slowly over 4 hours to reduce antigen exposure.
D. Obtain a baseline set of vital signs and monitor every 15 minutes during the first hour.
PREVIOUS CONTINUE
A nurse is preparing to administer a blood transfusion to a patient with a history of
multiple transfusions. The patient's vital signs are stable, and the IV access is patent.
Which of the following interventions is most critical for the nurse to implement to
minimize the risk of a transfusion reaction?
A. Pre-medicate with diphenhydramine and acetaminophen as prescribed.
(Correct) B. Verify the patient's identification using two identifiers and check blood product
compatibility with a second nurse.
C. Infuse the blood product slowly over 4 hours to reduce antigen exposure.
D. Obtain a baseline set of vital signs and monitor every 15 minutes during the first hour.
Correct Answer: B
Verification of patient identity and blood product compatibility is the primary safeguard against hemolytic
transfusion reactions, which are often due to ABO incompatibility. Pre-medication may reduce allergic reactions
but does not prevent hemolysis. Slow infusion does not prevent incompatibility. Vital sign monitoring detects
reactions early but does not prevent them.
LVE HESI FUNDAMENTALS EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION
, 2026 EVOLVE HESI FUNDAMENTALS EXAM
PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED
2026 Exam · 399 Questions · With Rationales
ati. EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION N
E HESI FUNDAMENTALS
Question: 2 of 399
A patient with a fractured femur is in skeletal traction. The nurse observes that the weights are resting on the
floor and the traction ropes are not aligned with the pulley. Which action should the nurse take first?
A. Adjust the ropes to align with the pulley and lift the weights off the floor.
B. Notify the healthcare provider of the traction malfunction.
C. Remove the traction and apply a splint to immobilize the leg.
D. Document the findings and reassess in 30 minutes.
PREVIOUS CONTINUE
A patient with a fractured femur is in skeletal traction. The nurse observes that the
weights are resting on the floor and the traction ropes are not aligned with the pulley.
Which action should the nurse take first?
(Correct) A. Adjust the ropes to align with the pulley and lift the weights off the floor.
B. Notify the healthcare provider of the traction malfunction.
C. Remove the traction and apply a splint to immobilize the leg.
D. Document the findings and reassess in 30 minutes.
Correct Answer: A
Traction must maintain proper alignment and free-hanging weights to provide effective counter traction. The
nurse should first correct the mechanical issue to restore traction. Notifying the provider may be necessary if
the nurse cannot correct it, but immediate action is to fix the problem. Removing traction is inappropriate.
Delaying action could compromise fracture alignment.
LVE HESI FUNDAMENTALS EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION
, 2026 EVOLVE HESI FUNDAMENTALS EXAM
PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED
2026 Exam · 399 Questions · With Rationales
ati. EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION N
E HESI FUNDAMENTALS
Question: 3 of 399
A nurse is assessing a patient who has a nasogastric tube connected to low intermittent suction. Which finding
requires immediate intervention?
A. The patient reports nausea and abdominal distension.
B. The gastric output is greenish-yellow and measures 150 mL over 4 hours.
C. The pH of the aspirated fluid is 4.0.
D. The tube is secured to the patient's nose with tape, and the patient states it is uncomfortable.
PREVIOUS CONTINUE
A nurse is assessing a patient who has a nasogastric tube connected to low intermittent
suction. Which finding requires immediate intervention?
(Correct) A. The patient reports nausea and abdominal distension.
B. The gastric output is greenish-yellow and measures 150 mL over 4 hours.
C. The pH of the aspirated fluid is 4.0.
D. The tube is secured to the patient's nose with tape, and the patient states it is uncomfortable.
Correct Answer: A
Nausea and abdominal distension may indicate that the suction is not functioning properly or that the tube is not
draining adequately, risking gastric dilation and vomiting. Greenish-yellow output and pH 4.0 are normal.
Discomfort is common but not immediately dangerous.
LVE HESI FUNDAMENTALS EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION
, 2026 EVOLVE HESI FUNDAMENTALS EXAM
PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED
2026 Exam · 399 Questions · With Rationales
ati. EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION N
E HESI FUNDAMENTALS
Question: 4 of 399
A patient with a history of heart failure is receiving furosemide 40 mg IV push. Which laboratory value is most
important for the nurse to monitor before administering the next dose?
A. Serum potassium level of 3.2 mEq/L
B. Serum sodium level of 138 mEq/L
C. Serum creatinine level of 1.0 mg/dL
D. BUN level of 18 mg/dL
PREVIOUS CONTINUE
A patient with a history of heart failure is receiving furosemide 40 mg IV push. Which
laboratory value is most important for the nurse to monitor before administering the next
dose?
(Correct) A. Serum potassium level of 3.2 mEq/L
B. Serum sodium level of 138 mEq/L
C. Serum creatinine level of 1.0 mg/dL
D. BUN level of 18 mg/dL
Correct Answer: A
Furosemide causes potassium depletion, and hypokalemia (K+ <3.5) increases the risk of cardiac arrhythmias,
especially in heart failure patients. Sodium, creatinine, and BUN are important but not as immediately critical for
safe administration of the next dose.
LVE HESI FUNDAMENTALS EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION
PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED
2026 Exam · 399 Questions · With Rationales
ati. EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION N
E HESI FUNDAMENTALS
Question: 1 of 399
A nurse is preparing to administer a blood transfusion to a patient with a history of multiple transfusions. The
patient's vital signs are stable, and the IV access is patent. Which of the following interventions is most critical
A. Pre-medicate with diphenhydramine and acetaminophen as prescribed.
B. Verify the patient's identification using two identifiers and check blood product compatibility with a second nurse.
C. Infuse the blood product slowly over 4 hours to reduce antigen exposure.
D. Obtain a baseline set of vital signs and monitor every 15 minutes during the first hour.
PREVIOUS CONTINUE
A nurse is preparing to administer a blood transfusion to a patient with a history of
multiple transfusions. The patient's vital signs are stable, and the IV access is patent.
Which of the following interventions is most critical for the nurse to implement to
minimize the risk of a transfusion reaction?
A. Pre-medicate with diphenhydramine and acetaminophen as prescribed.
(Correct) B. Verify the patient's identification using two identifiers and check blood product
compatibility with a second nurse.
C. Infuse the blood product slowly over 4 hours to reduce antigen exposure.
D. Obtain a baseline set of vital signs and monitor every 15 minutes during the first hour.
Correct Answer: B
Verification of patient identity and blood product compatibility is the primary safeguard against hemolytic
transfusion reactions, which are often due to ABO incompatibility. Pre-medication may reduce allergic reactions
but does not prevent hemolysis. Slow infusion does not prevent incompatibility. Vital sign monitoring detects
reactions early but does not prevent them.
LVE HESI FUNDAMENTALS EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION
, 2026 EVOLVE HESI FUNDAMENTALS EXAM
PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED
2026 Exam · 399 Questions · With Rationales
ati. EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION N
E HESI FUNDAMENTALS
Question: 2 of 399
A patient with a fractured femur is in skeletal traction. The nurse observes that the weights are resting on the
floor and the traction ropes are not aligned with the pulley. Which action should the nurse take first?
A. Adjust the ropes to align with the pulley and lift the weights off the floor.
B. Notify the healthcare provider of the traction malfunction.
C. Remove the traction and apply a splint to immobilize the leg.
D. Document the findings and reassess in 30 minutes.
PREVIOUS CONTINUE
A patient with a fractured femur is in skeletal traction. The nurse observes that the
weights are resting on the floor and the traction ropes are not aligned with the pulley.
Which action should the nurse take first?
(Correct) A. Adjust the ropes to align with the pulley and lift the weights off the floor.
B. Notify the healthcare provider of the traction malfunction.
C. Remove the traction and apply a splint to immobilize the leg.
D. Document the findings and reassess in 30 minutes.
Correct Answer: A
Traction must maintain proper alignment and free-hanging weights to provide effective counter traction. The
nurse should first correct the mechanical issue to restore traction. Notifying the provider may be necessary if
the nurse cannot correct it, but immediate action is to fix the problem. Removing traction is inappropriate.
Delaying action could compromise fracture alignment.
LVE HESI FUNDAMENTALS EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION
, 2026 EVOLVE HESI FUNDAMENTALS EXAM
PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED
2026 Exam · 399 Questions · With Rationales
ati. EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION N
E HESI FUNDAMENTALS
Question: 3 of 399
A nurse is assessing a patient who has a nasogastric tube connected to low intermittent suction. Which finding
requires immediate intervention?
A. The patient reports nausea and abdominal distension.
B. The gastric output is greenish-yellow and measures 150 mL over 4 hours.
C. The pH of the aspirated fluid is 4.0.
D. The tube is secured to the patient's nose with tape, and the patient states it is uncomfortable.
PREVIOUS CONTINUE
A nurse is assessing a patient who has a nasogastric tube connected to low intermittent
suction. Which finding requires immediate intervention?
(Correct) A. The patient reports nausea and abdominal distension.
B. The gastric output is greenish-yellow and measures 150 mL over 4 hours.
C. The pH of the aspirated fluid is 4.0.
D. The tube is secured to the patient's nose with tape, and the patient states it is uncomfortable.
Correct Answer: A
Nausea and abdominal distension may indicate that the suction is not functioning properly or that the tube is not
draining adequately, risking gastric dilation and vomiting. Greenish-yellow output and pH 4.0 are normal.
Discomfort is common but not immediately dangerous.
LVE HESI FUNDAMENTALS EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION
, 2026 EVOLVE HESI FUNDAMENTALS EXAM
PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED
2026 Exam · 399 Questions · With Rationales
ati. EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION N
E HESI FUNDAMENTALS
Question: 4 of 399
A patient with a history of heart failure is receiving furosemide 40 mg IV push. Which laboratory value is most
important for the nurse to monitor before administering the next dose?
A. Serum potassium level of 3.2 mEq/L
B. Serum sodium level of 138 mEq/L
C. Serum creatinine level of 1.0 mg/dL
D. BUN level of 18 mg/dL
PREVIOUS CONTINUE
A patient with a history of heart failure is receiving furosemide 40 mg IV push. Which
laboratory value is most important for the nurse to monitor before administering the next
dose?
(Correct) A. Serum potassium level of 3.2 mEq/L
B. Serum sodium level of 138 mEq/L
C. Serum creatinine level of 1.0 mg/dL
D. BUN level of 18 mg/dL
Correct Answer: A
Furosemide causes potassium depletion, and hypokalemia (K+ <3.5) increases the risk of cardiac arrhythmias,
especially in heart failure patients. Sodium, creatinine, and BUN are important but not as immediately critical for
safe administration of the next dose.
LVE HESI FUNDAMENTALS EXAM PREP|VERSION 1, 2& 3 |&As|ALREADY GRADED A+|HESI EVOLVE FUNDAMENTALS EXAM PREPARATION
