Evolve HESI Fundamentals Practice questions And
Answers 2024-2025 graded A+
Urinary ,.catheterization ,.is ,.prescribed ,.for ,.a ,.postoperative ,.female ,.client ,.who ,.has ,.been ,.unable ,.to ,.vo
id ,.for ,.8 ,.hours. ,.The ,.nurse ,.inserts ,.the ,.catheter, ,.but ,.no ,.urine ,.is ,.seen ,.in ,.the ,.tubing. ,.Which ,.action ,.
will ,.the ,.nurse ,.take ,.next?
A. ,.Clamp ,.the ,.catheter ,.and ,.recheck ,.it ,.in ,.60 ,.minutes.
B. ,.Pull ,.the ,.catheter ,.back ,.3 ,.inches ,.and ,.redirect ,.upward.
C. ,.Leave ,.the ,.catheter ,.in ,.place ,.and ,.reattempt ,.with ,.another ,.catheter.
D. ,.Notify ,.the ,.health ,.care ,.provider ,.of ,.a ,.possible ,.obstruction. ,.- ,.(correct ,.answer) ,.-Answer: ,.C
It ,.is ,.likely ,.that ,.the ,.first ,.catheter ,.is ,.in ,.the ,.vagina, ,.rather ,.than ,.the ,.bladder. ,.Leaving ,.the ,.first ,.cathe
ter ,.in ,.place ,.will ,.help ,.locate ,.the ,.meatus ,.when ,.attempting ,.the ,.second ,.catheterization ,.
(C). ,.The ,.client ,.should ,.have ,.at ,.least ,.240 ,.mL ,.of ,.urine ,.after ,.8 ,.hours. ,.
(A) ,.does ,.not ,.resolve ,.the ,.problem. ,.
(B) ,.will ,.not ,.change ,.the ,.location ,.of ,.the ,.catheter ,.unless ,.it ,.is ,.completely ,.removed, ,.in ,.which ,.case ,.a ,
.new ,.catheter ,.must ,.be ,.used. ,.There ,.is ,.no ,.evidence ,.of ,.a ,.urinary ,.tract ,.obstruction ,.if ,.the ,.catheter ,.c
ould ,.be ,.easily ,.inserted ,.(D).
The ,.nurse ,.is ,.teaching ,.an ,.obese ,.client, ,.newly ,.diagnosed ,.with ,.arteriosclerosis, ,.about ,.reducing ,.the ,.r
isk ,.of ,.a ,.heart ,.attack ,.or ,.stroke. ,.Which ,.health ,.promotion ,.brochure ,.is ,.most ,.important ,.for ,.the ,.nurs
e ,.to ,.provide ,.to ,.this ,.client?
A. ,."Monitoring ,.Your ,.Blood ,.Pressure ,.at ,.Home"
B. ,."Smoking ,.Cessation ,.as ,.a ,.Lifelong ,.Commitment"
C. ,."Decreasing ,.Cholesterol ,.Levels ,.Through ,.Diet"
D. ,."Stress ,.Management ,.for ,.a ,.Healthier ,.You" ,.- ,.(correct ,.answer) ,.-Answer: ,.C
A ,.health ,.promotion ,.brochure ,.about ,.decreasing ,.cholesterol ,.
(C) ,.is ,.most ,.important ,.to ,.provide ,.this ,.client, ,.because ,.the ,.most ,.significant ,.risk ,.factor ,.contributing ,.t
o ,.development ,.of ,.arteriosclerosis ,.is ,.excess ,.dietary ,.fat, ,.particularly ,.saturated ,.fat ,.and ,.cholesterol. ,.
(A) ,.does ,.not ,.address ,.the ,.underlying ,.causes ,.of ,.arteriosclerosis. ,.
,(B ,.and ,.D) ,.are ,.also ,.important ,.factors ,.for ,.reversing ,.arteriosclerosis ,.but ,.are ,.not ,.as ,.important ,.as ,.lo
wering ,.cholesterol ,.(C).
Ten ,.minutes ,.after ,.signing ,.an ,.operative ,.permit ,.for ,.a ,.fractured ,.hip, ,.an ,.older ,.client ,.states, ,."The ,.ali
ens ,.will ,.be ,.coming ,.to ,.get ,.me ,.soon!" ,.and ,.falls ,.asleep. ,.Which ,.action ,.should ,.the ,.nurse ,.implement ,.
next?
A. ,.Make ,.the ,.client ,.comfortable ,.and ,.allow ,.the ,.client ,.to ,.sleep.
B. ,.Assess ,.the ,.client's ,.neurologic ,.status.
C. ,.Notify ,.the ,.surgeon ,.about ,.the ,.comment.
D. ,.Ask ,.the ,.client's ,.family ,.to ,.co-sign ,.the ,.operative ,.permit. ,.- ,.(correct ,.answer) ,.-Answer: ,.B
This ,.statement ,.may ,.indicate ,.that ,.the ,.client ,.is ,.confused. ,.Informed ,.consent ,.must ,.be ,.provided ,.by ,.a
,.mentally ,.competent ,.individual, ,.so ,.the ,.nurse ,.should ,.further ,.assess ,.the ,.client's ,.neurologic ,.status ,.
(B) ,.to ,.be ,.sure ,.that ,.the ,.client ,.understands ,.and ,.can ,.legally ,.provide ,.consent ,.for ,.surgery. ,.
(A) ,.does ,.not ,.provide ,.sufficient ,.follow-
up. ,.If ,.the ,.nurse ,.determines ,.that ,.the ,.client ,.is ,.confused, ,.the ,.surgeon ,.must ,.be ,.notified ,.
(C) ,.and ,.permission ,.obtained ,.from ,.the ,.next ,.of ,.kin ,.(D).
The ,.nurse-manager ,.of ,.a ,.skilled ,.nursing ,.
(chronic ,.care) ,.unit ,.is ,.instructing ,.UAPs ,.on ,.ways ,.to ,.prevent ,.complications ,.of ,.immobility. ,.Which ,.int
ervention ,.should ,.be ,.included ,.in ,.this ,.instruction?
A. ,.Perform ,.range-of-motion ,.exercises ,.to ,.prevent ,.contractures.
B. ,.Decrease ,.the ,.client's ,.fluid ,.intake ,.to ,.prevent ,.diarrhea.
C. ,.Massage ,.the ,.client's ,.legs ,.to ,.reduce ,.embolism ,.occurrence.
D. ,.Turn ,.the ,.client ,.from ,.side ,.to ,.back ,.every ,.shift. ,.- ,.(correct ,.answer) ,.-Answer: ,.A
Performing ,.range-of-motion ,.exercises ,.(A) ,.is ,.beneficial ,.in ,.reducing ,.contractures ,.around ,.joints. ,.
(B, ,.C, ,.and ,.D) ,.are ,.all ,.potentially ,.harmful ,.practices ,.that ,.place ,.the ,.immobile ,.client ,.at ,.risk ,.of ,.compli
cations.
The ,.nurse ,.is ,.assisting ,.a ,.client ,.to ,.the ,.bathroom. ,.When ,.the ,.client ,.is ,.5 ,.feet ,.from ,.the ,.bathroom ,.do
or, ,.he ,.states, ,."I ,.feel ,.faint." ,.Before ,.the ,.nurse ,.can ,.get ,.the ,.client ,.to ,.a ,.chair, ,.the ,.client ,.starts ,.to ,.fal
l. ,.Which ,.is ,.the ,.priority ,.action ,.for ,.the ,.nurse ,.to ,.take?
A. ,.Check ,.the ,.client's ,.carotid ,.pulse.
B. ,.Encourage ,.the ,.client ,.to ,.get ,.to ,.the ,.toilet.
C. ,.In ,.a ,.loud ,.voice, ,.call ,.for ,.help.
, D. ,.Gently ,.lower ,.the ,.client ,.to ,.the ,.floor. ,.- ,.(correct ,.answer) ,.-Answer: ,.D
(D) ,.is ,.the ,.most ,.prudent ,.intervention ,.and ,.is ,.the ,.priority ,.nursing ,.action ,.to ,.prevent ,.injury ,.to ,.the ,.cl
ient ,.and ,.the ,.nurse. ,.Lowering ,.the ,.client ,.to ,.the ,.floor ,.should ,.be ,.done ,.when ,.the ,.client ,.cannot ,.supp
ort ,.his ,.own ,.weight. ,.The ,.client ,.should ,.be ,.placed ,.in ,.a ,.bed ,.or ,.chair ,.only ,.when ,.sufficient ,.help ,.is ,.av
ailable ,.to ,.prevent ,.injury. ,.
(A) ,.is ,.important ,.but ,.should ,.be ,.done ,.after ,.the ,.client ,.is ,.in ,.a ,.safe ,.position. ,.Because ,.the ,.client ,.is ,.n
ot ,.supporting ,.himself, ,.(B) ,.is ,.impractical. ,.
(C) ,.is ,.likely ,.to ,.cause ,.chaos ,.on ,.the ,.unit ,.and ,.might ,.alarm ,.the ,.other ,.clients.
A ,.female ,.nurse ,.is ,.assigned ,.to ,.care ,.for ,.a ,.close ,.friend, ,.who ,.says, ,."I ,.am ,.worried ,.that ,.friends ,.will ,.fi
nd ,.out ,.about ,.my ,.diagnosis." ,.The ,.nurse ,.tells ,.her ,.friend ,.that ,.legally ,.she ,.must ,.protect ,.a ,.client's ,.co
nfidentiality. ,.Which ,.resource ,.describes ,.the ,.nurse's ,.legal ,.responsibilities?
A. ,.Code ,.of ,.Ethics ,.for ,.Nurses
B. ,.State ,.Nurse ,.Practice ,.Act
C. ,.Patient's ,.Bill ,.of ,.Rights
D. ,.ANA ,.Standards ,.of ,.Practice ,.- ,.(correct ,.answer) ,.-Answer: ,.B
The ,.State ,.Nurse ,.Practice ,.Act ,.
(B) ,.contains ,.legal ,.requirements ,.for ,.the ,.protection ,.of ,.client ,.confidentiality ,.and ,.the ,.consequences ,.f
or ,.breaches ,.in ,.confidentiality. ,.
(A) ,.outlines ,.ethical ,.standards ,.for ,.nursing ,.care ,.but ,.does ,.not ,.include ,.legal ,.guidelines. ,.
(C ,.and ,.D) ,.describe ,.expectations ,.for ,.nursing ,.practice ,.but ,.do ,.not ,.address ,.legal ,.implications.
The ,.nurse ,.is ,.teaching ,.a ,.client ,.how ,.to ,.perform ,.progressive ,.muscle ,.relaxation ,.techniques ,.to ,.relieve
,.insomnia. ,.A ,.week ,.later ,.the ,.client ,.reports ,.that ,.he ,.is ,.still ,.unable ,.to ,.sleep, ,.despite ,.following ,.the ,.s
ame ,.routine ,.every ,.night. ,.Which ,.action ,.should ,.the ,.nurse ,.take ,.first?
A. ,.Instruct ,.the ,.client ,.to ,.add ,.regular ,.exercise ,.as ,.a ,.daily ,.routine.
B. ,.Determine ,.if ,.the ,.client ,.has ,.been ,.keeping ,.a ,.sleep ,.diary.
C. ,.Encourage ,.the ,.client ,.to ,.continue ,.the ,.routine ,.until ,.sleep ,.is ,.achieved.
D. ,.Ask ,.the ,.client ,.to ,.describe ,.the ,.routine ,.that ,.the ,.client ,.is ,.currently ,.following. ,.- ,.
(correct ,.answer) ,.-Answer: ,.D
The ,.nurse ,.should ,.first ,.evaluate ,.whether ,.the ,.client ,.has ,.been ,.adhering ,.to ,.the ,.original ,.instructions ,.
(D). ,.A ,.verbal ,.report ,.of ,.the ,.client's ,.routine ,.will ,.provide ,.more ,.specific ,.information ,.than ,.the ,.client's
,.written ,.diary ,.(B). ,.The ,.nurse ,.can ,.then ,.determine ,.which ,.changes ,.need ,.to ,.be ,.made ,.
(A). ,.The ,.routine ,.practiced ,.by ,.the ,.client ,.is ,.clearly ,.unsuccessful, ,.so ,.encouragement ,.alone ,.is ,.insuffici
ent ,.(C).
Answers 2024-2025 graded A+
Urinary ,.catheterization ,.is ,.prescribed ,.for ,.a ,.postoperative ,.female ,.client ,.who ,.has ,.been ,.unable ,.to ,.vo
id ,.for ,.8 ,.hours. ,.The ,.nurse ,.inserts ,.the ,.catheter, ,.but ,.no ,.urine ,.is ,.seen ,.in ,.the ,.tubing. ,.Which ,.action ,.
will ,.the ,.nurse ,.take ,.next?
A. ,.Clamp ,.the ,.catheter ,.and ,.recheck ,.it ,.in ,.60 ,.minutes.
B. ,.Pull ,.the ,.catheter ,.back ,.3 ,.inches ,.and ,.redirect ,.upward.
C. ,.Leave ,.the ,.catheter ,.in ,.place ,.and ,.reattempt ,.with ,.another ,.catheter.
D. ,.Notify ,.the ,.health ,.care ,.provider ,.of ,.a ,.possible ,.obstruction. ,.- ,.(correct ,.answer) ,.-Answer: ,.C
It ,.is ,.likely ,.that ,.the ,.first ,.catheter ,.is ,.in ,.the ,.vagina, ,.rather ,.than ,.the ,.bladder. ,.Leaving ,.the ,.first ,.cathe
ter ,.in ,.place ,.will ,.help ,.locate ,.the ,.meatus ,.when ,.attempting ,.the ,.second ,.catheterization ,.
(C). ,.The ,.client ,.should ,.have ,.at ,.least ,.240 ,.mL ,.of ,.urine ,.after ,.8 ,.hours. ,.
(A) ,.does ,.not ,.resolve ,.the ,.problem. ,.
(B) ,.will ,.not ,.change ,.the ,.location ,.of ,.the ,.catheter ,.unless ,.it ,.is ,.completely ,.removed, ,.in ,.which ,.case ,.a ,
.new ,.catheter ,.must ,.be ,.used. ,.There ,.is ,.no ,.evidence ,.of ,.a ,.urinary ,.tract ,.obstruction ,.if ,.the ,.catheter ,.c
ould ,.be ,.easily ,.inserted ,.(D).
The ,.nurse ,.is ,.teaching ,.an ,.obese ,.client, ,.newly ,.diagnosed ,.with ,.arteriosclerosis, ,.about ,.reducing ,.the ,.r
isk ,.of ,.a ,.heart ,.attack ,.or ,.stroke. ,.Which ,.health ,.promotion ,.brochure ,.is ,.most ,.important ,.for ,.the ,.nurs
e ,.to ,.provide ,.to ,.this ,.client?
A. ,."Monitoring ,.Your ,.Blood ,.Pressure ,.at ,.Home"
B. ,."Smoking ,.Cessation ,.as ,.a ,.Lifelong ,.Commitment"
C. ,."Decreasing ,.Cholesterol ,.Levels ,.Through ,.Diet"
D. ,."Stress ,.Management ,.for ,.a ,.Healthier ,.You" ,.- ,.(correct ,.answer) ,.-Answer: ,.C
A ,.health ,.promotion ,.brochure ,.about ,.decreasing ,.cholesterol ,.
(C) ,.is ,.most ,.important ,.to ,.provide ,.this ,.client, ,.because ,.the ,.most ,.significant ,.risk ,.factor ,.contributing ,.t
o ,.development ,.of ,.arteriosclerosis ,.is ,.excess ,.dietary ,.fat, ,.particularly ,.saturated ,.fat ,.and ,.cholesterol. ,.
(A) ,.does ,.not ,.address ,.the ,.underlying ,.causes ,.of ,.arteriosclerosis. ,.
,(B ,.and ,.D) ,.are ,.also ,.important ,.factors ,.for ,.reversing ,.arteriosclerosis ,.but ,.are ,.not ,.as ,.important ,.as ,.lo
wering ,.cholesterol ,.(C).
Ten ,.minutes ,.after ,.signing ,.an ,.operative ,.permit ,.for ,.a ,.fractured ,.hip, ,.an ,.older ,.client ,.states, ,."The ,.ali
ens ,.will ,.be ,.coming ,.to ,.get ,.me ,.soon!" ,.and ,.falls ,.asleep. ,.Which ,.action ,.should ,.the ,.nurse ,.implement ,.
next?
A. ,.Make ,.the ,.client ,.comfortable ,.and ,.allow ,.the ,.client ,.to ,.sleep.
B. ,.Assess ,.the ,.client's ,.neurologic ,.status.
C. ,.Notify ,.the ,.surgeon ,.about ,.the ,.comment.
D. ,.Ask ,.the ,.client's ,.family ,.to ,.co-sign ,.the ,.operative ,.permit. ,.- ,.(correct ,.answer) ,.-Answer: ,.B
This ,.statement ,.may ,.indicate ,.that ,.the ,.client ,.is ,.confused. ,.Informed ,.consent ,.must ,.be ,.provided ,.by ,.a
,.mentally ,.competent ,.individual, ,.so ,.the ,.nurse ,.should ,.further ,.assess ,.the ,.client's ,.neurologic ,.status ,.
(B) ,.to ,.be ,.sure ,.that ,.the ,.client ,.understands ,.and ,.can ,.legally ,.provide ,.consent ,.for ,.surgery. ,.
(A) ,.does ,.not ,.provide ,.sufficient ,.follow-
up. ,.If ,.the ,.nurse ,.determines ,.that ,.the ,.client ,.is ,.confused, ,.the ,.surgeon ,.must ,.be ,.notified ,.
(C) ,.and ,.permission ,.obtained ,.from ,.the ,.next ,.of ,.kin ,.(D).
The ,.nurse-manager ,.of ,.a ,.skilled ,.nursing ,.
(chronic ,.care) ,.unit ,.is ,.instructing ,.UAPs ,.on ,.ways ,.to ,.prevent ,.complications ,.of ,.immobility. ,.Which ,.int
ervention ,.should ,.be ,.included ,.in ,.this ,.instruction?
A. ,.Perform ,.range-of-motion ,.exercises ,.to ,.prevent ,.contractures.
B. ,.Decrease ,.the ,.client's ,.fluid ,.intake ,.to ,.prevent ,.diarrhea.
C. ,.Massage ,.the ,.client's ,.legs ,.to ,.reduce ,.embolism ,.occurrence.
D. ,.Turn ,.the ,.client ,.from ,.side ,.to ,.back ,.every ,.shift. ,.- ,.(correct ,.answer) ,.-Answer: ,.A
Performing ,.range-of-motion ,.exercises ,.(A) ,.is ,.beneficial ,.in ,.reducing ,.contractures ,.around ,.joints. ,.
(B, ,.C, ,.and ,.D) ,.are ,.all ,.potentially ,.harmful ,.practices ,.that ,.place ,.the ,.immobile ,.client ,.at ,.risk ,.of ,.compli
cations.
The ,.nurse ,.is ,.assisting ,.a ,.client ,.to ,.the ,.bathroom. ,.When ,.the ,.client ,.is ,.5 ,.feet ,.from ,.the ,.bathroom ,.do
or, ,.he ,.states, ,."I ,.feel ,.faint." ,.Before ,.the ,.nurse ,.can ,.get ,.the ,.client ,.to ,.a ,.chair, ,.the ,.client ,.starts ,.to ,.fal
l. ,.Which ,.is ,.the ,.priority ,.action ,.for ,.the ,.nurse ,.to ,.take?
A. ,.Check ,.the ,.client's ,.carotid ,.pulse.
B. ,.Encourage ,.the ,.client ,.to ,.get ,.to ,.the ,.toilet.
C. ,.In ,.a ,.loud ,.voice, ,.call ,.for ,.help.
, D. ,.Gently ,.lower ,.the ,.client ,.to ,.the ,.floor. ,.- ,.(correct ,.answer) ,.-Answer: ,.D
(D) ,.is ,.the ,.most ,.prudent ,.intervention ,.and ,.is ,.the ,.priority ,.nursing ,.action ,.to ,.prevent ,.injury ,.to ,.the ,.cl
ient ,.and ,.the ,.nurse. ,.Lowering ,.the ,.client ,.to ,.the ,.floor ,.should ,.be ,.done ,.when ,.the ,.client ,.cannot ,.supp
ort ,.his ,.own ,.weight. ,.The ,.client ,.should ,.be ,.placed ,.in ,.a ,.bed ,.or ,.chair ,.only ,.when ,.sufficient ,.help ,.is ,.av
ailable ,.to ,.prevent ,.injury. ,.
(A) ,.is ,.important ,.but ,.should ,.be ,.done ,.after ,.the ,.client ,.is ,.in ,.a ,.safe ,.position. ,.Because ,.the ,.client ,.is ,.n
ot ,.supporting ,.himself, ,.(B) ,.is ,.impractical. ,.
(C) ,.is ,.likely ,.to ,.cause ,.chaos ,.on ,.the ,.unit ,.and ,.might ,.alarm ,.the ,.other ,.clients.
A ,.female ,.nurse ,.is ,.assigned ,.to ,.care ,.for ,.a ,.close ,.friend, ,.who ,.says, ,."I ,.am ,.worried ,.that ,.friends ,.will ,.fi
nd ,.out ,.about ,.my ,.diagnosis." ,.The ,.nurse ,.tells ,.her ,.friend ,.that ,.legally ,.she ,.must ,.protect ,.a ,.client's ,.co
nfidentiality. ,.Which ,.resource ,.describes ,.the ,.nurse's ,.legal ,.responsibilities?
A. ,.Code ,.of ,.Ethics ,.for ,.Nurses
B. ,.State ,.Nurse ,.Practice ,.Act
C. ,.Patient's ,.Bill ,.of ,.Rights
D. ,.ANA ,.Standards ,.of ,.Practice ,.- ,.(correct ,.answer) ,.-Answer: ,.B
The ,.State ,.Nurse ,.Practice ,.Act ,.
(B) ,.contains ,.legal ,.requirements ,.for ,.the ,.protection ,.of ,.client ,.confidentiality ,.and ,.the ,.consequences ,.f
or ,.breaches ,.in ,.confidentiality. ,.
(A) ,.outlines ,.ethical ,.standards ,.for ,.nursing ,.care ,.but ,.does ,.not ,.include ,.legal ,.guidelines. ,.
(C ,.and ,.D) ,.describe ,.expectations ,.for ,.nursing ,.practice ,.but ,.do ,.not ,.address ,.legal ,.implications.
The ,.nurse ,.is ,.teaching ,.a ,.client ,.how ,.to ,.perform ,.progressive ,.muscle ,.relaxation ,.techniques ,.to ,.relieve
,.insomnia. ,.A ,.week ,.later ,.the ,.client ,.reports ,.that ,.he ,.is ,.still ,.unable ,.to ,.sleep, ,.despite ,.following ,.the ,.s
ame ,.routine ,.every ,.night. ,.Which ,.action ,.should ,.the ,.nurse ,.take ,.first?
A. ,.Instruct ,.the ,.client ,.to ,.add ,.regular ,.exercise ,.as ,.a ,.daily ,.routine.
B. ,.Determine ,.if ,.the ,.client ,.has ,.been ,.keeping ,.a ,.sleep ,.diary.
C. ,.Encourage ,.the ,.client ,.to ,.continue ,.the ,.routine ,.until ,.sleep ,.is ,.achieved.
D. ,.Ask ,.the ,.client ,.to ,.describe ,.the ,.routine ,.that ,.the ,.client ,.is ,.currently ,.following. ,.- ,.
(correct ,.answer) ,.-Answer: ,.D
The ,.nurse ,.should ,.first ,.evaluate ,.whether ,.the ,.client ,.has ,.been ,.adhering ,.to ,.the ,.original ,.instructions ,.
(D). ,.A ,.verbal ,.report ,.of ,.the ,.client's ,.routine ,.will ,.provide ,.more ,.specific ,.information ,.than ,.the ,.client's
,.written ,.diary ,.(B). ,.The ,.nurse ,.can ,.then ,.determine ,.which ,.changes ,.need ,.to ,.be ,.made ,.
(A). ,.The ,.routine ,.practiced ,.by ,.the ,.client ,.is ,.clearly ,.unsuccessful, ,.so ,.encouragement ,.alone ,.is ,.insuffici
ent ,.(C).
