EVOLVE HESI FUNDAMENTALS
EXAMINATION TEST 2026 COMPLETE
STUDY GUIDE WITH SOLVED Q&A
◉ The nurse is administering medications through a nasogastric
tube (NGT) which is connected to suction. After ensuring correct
tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
Answer: The NGT should be flushed before, after and in between
each medication administered (B). Once all medications are
administered, the NGT should be clamped for 20 minutes (A). (C and
D) may be implemented only after the tubing has been flushed.
Correct
Answer: B
,◉ 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?
A. Give an around-the-clock schedule for administration of
analgesics.
B. Administer analgesic medication as needed when the pain is
severe.
C. Provide medication to keep the client sedated and unaware of
stimuli.
D. Offer a medication-free period so that the client can do daily
activities.
Answer: The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a
regular basis (A) and in a timely manner. Analgesics are less effective
if pain persists until it is severe, so an analgesic medication should
be administered before the client's pain peaks (B). Providing
comfort is a priority for the client who is dying, but sedation that
impairs the client's ability to interact and experience the time before
life ends should be minimized (C). Offering a medication-free period
allows the serum drug level to fall, which is not an effective method
to manage chronic pain (D).
Correct
Answer: A
,◉ When assessing a client with wrist restraints, the nurse observes
that the fingers on the right hand are blue. What action should the
nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
Answer: The priority nursing action is to restore circulation by
loosening the restraint (A), because blue fingers (cyanosis) indicates
decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse oximetry (B)
measures the saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to mechanical
compression (the restraints).
Correct
Answer: A
◉ The nurse is assessing the nutritional status of several clients.
Which client has the greatest nutritional need for additional intake
of protein?
A. A college-age track runner with a sprained ankle.
, B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
Answer: A lactating woman (B) has the greatest need for additional
protein intake. (A, C, and D) are all conditions that require protein,
but do not have the increased metabolic protein demands of
lactation.
Correct
Answer: B
◉ 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?
A. Contact the healthcare provider and complete a medication
variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule
in the morning.
C. Notify the charge nurse and complete an incident report to
explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to
administer daily at 1300.
EXAMINATION TEST 2026 COMPLETE
STUDY GUIDE WITH SOLVED Q&A
◉ The nurse is administering medications through a nasogastric
tube (NGT) which is connected to suction. After ensuring correct
tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
Answer: The NGT should be flushed before, after and in between
each medication administered (B). Once all medications are
administered, the NGT should be clamped for 20 minutes (A). (C and
D) may be implemented only after the tubing has been flushed.
Correct
Answer: B
,◉ 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?
A. Give an around-the-clock schedule for administration of
analgesics.
B. Administer analgesic medication as needed when the pain is
severe.
C. Provide medication to keep the client sedated and unaware of
stimuli.
D. Offer a medication-free period so that the client can do daily
activities.
Answer: The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a
regular basis (A) and in a timely manner. Analgesics are less effective
if pain persists until it is severe, so an analgesic medication should
be administered before the client's pain peaks (B). Providing
comfort is a priority for the client who is dying, but sedation that
impairs the client's ability to interact and experience the time before
life ends should be minimized (C). Offering a medication-free period
allows the serum drug level to fall, which is not an effective method
to manage chronic pain (D).
Correct
Answer: A
,◉ When assessing a client with wrist restraints, the nurse observes
that the fingers on the right hand are blue. What action should the
nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
Answer: The priority nursing action is to restore circulation by
loosening the restraint (A), because blue fingers (cyanosis) indicates
decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse oximetry (B)
measures the saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to mechanical
compression (the restraints).
Correct
Answer: A
◉ The nurse is assessing the nutritional status of several clients.
Which client has the greatest nutritional need for additional intake
of protein?
A. A college-age track runner with a sprained ankle.
, B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
Answer: A lactating woman (B) has the greatest need for additional
protein intake. (A, C, and D) are all conditions that require protein,
but do not have the increased metabolic protein demands of
lactation.
Correct
Answer: B
◉ 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?
A. Contact the healthcare provider and complete a medication
variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule
in the morning.
C. Notify the charge nurse and complete an incident report to
explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to
administer daily at 1300.
