EVOLVE HESI FUNDAMENTALS ACTUAL EXAM
2023/2024 QUESTIONS WITH DETAILED ANSWERS
AND RATIONALES
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. -
CORRECT ANSWER To avoid shearing forces when repositioning, the client should
be lifted gently across a surface (D). Reddened areas should not be massaged (A) since
this may increase the damage to already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the affected leg. The position
described in (C) is contraindicated for a client with a fractured left hip.
Correct Answer: D
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.
, EVOLVE HESI FUNDAMENTALS ACTUAL EXAM
2023/2024 QUESTIONS WITH DETAILED ANSWERS
AND RATIONALES
D. Crush the tablets and dissolve in sterile water. -
CORRECT 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.
, EVOLVE HESI FUNDAMENTALS ACTUAL EXAM
2023/2024 QUESTIONS WITH DETAILED ANSWERS
AND RATIONALES
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.
- CORRECT 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?
, EVOLVE HESI FUNDAMENTALS ACTUAL EXAM
2023/2024 QUESTIONS WITH DETAILED ANSWERS
AND RATIONALES
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. -
CORRECT 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).
2023/2024 QUESTIONS WITH DETAILED ANSWERS
AND RATIONALES
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. -
CORRECT ANSWER To avoid shearing forces when repositioning, the client should
be lifted gently across a surface (D). Reddened areas should not be massaged (A) since
this may increase the damage to already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the affected leg. The position
described in (C) is contraindicated for a client with a fractured left hip.
Correct Answer: D
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.
, EVOLVE HESI FUNDAMENTALS ACTUAL EXAM
2023/2024 QUESTIONS WITH DETAILED ANSWERS
AND RATIONALES
D. Crush the tablets and dissolve in sterile water. -
CORRECT 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.
, EVOLVE HESI FUNDAMENTALS ACTUAL EXAM
2023/2024 QUESTIONS WITH DETAILED ANSWERS
AND RATIONALES
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.
- CORRECT 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?
, EVOLVE HESI FUNDAMENTALS ACTUAL EXAM
2023/2024 QUESTIONS WITH DETAILED ANSWERS
AND RATIONALES
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. -
CORRECT 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).
