2024 EVOLVE HESI
FUNDAMENTALS VERSION 1,2&
3 EXAM 2025 LATEST NEWEST
UPDATE WITH ACTUAL
QUESTIONS AND DETAILED
VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT)
//BRAND NEW!! /ALREADY
GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
, Turn the client on his side before starting oral care
A nurse in a long-term care facility is caring for a client who is unresponsive. When
performing oral hygiene for the client, which of the following actions should the nurse take?
provide the client with an electric toothbrush
A nurse is providing oral care for a client who had has impaired upper extremity strength.
Which of the following actions should the nurse take?
Paralytic ileus
The nurse is caring for a client on the third day following abdominal surgery and assesses the
absence of bowel sounds, abdominal distention, and the client passing no flatus. These
findings indicate the client is experiencing which of the following postoperative
complication?
3+
A nurse is collecting data from a client about pitting edema and notes and indentation of 6
mm (0.25 in) At the point of pressure. Which of the following numbers should the nurse
document to indicate the intensity of the client's edema?
Use pictures to reinforce instructions given to the client
A nurse is assisting with the plan of care for a client who does not speak the same language
as the nurse. Which of the following intervention should the nurse include in the plan?
Arrange to complete the data collection with only the client and a translator present
A nurse is interviewing a female client who does not speak the same language as the nurse.
The client's partner is translating what the nurse is saying to the client. Which of the
following actions should the nurse take?
RN
A nurse manager is assigning care responsibilities for the upcoming shift. A client is awaiting
transfer back to the unit from the PACU following a hip arthroplasty period to which of the
following staff members should the nurse assign the client?
Assisting an older adult client to take acetaminophen the AP crushed in applesauce
A nurse is planning care for a group of clients. When planning the assignment for an assistive
personnel (AP), which of the following activities should the nurse consider unsafe for the AP
to perform?
Assisting a client with feeding
, A nurse in a long-term care facility is planning care for several clients. Which of the
following activities should the nurse plan to delegate to an assistive personnel (AP)?
Reassure the client
A nurse observes and assistive personnel (AP) taking the call light away from a client and
reprimanding him for using it frequently. Which of the following actions should the nurse
take first?
No one
With whom should a nurse should share her password for access to the facilities computer
system?
It is not permissible because there is no nurse-client relationship between the siblings and the
nurse
A nurse's sibling has a diagnostic test at the nurse's facility. The sibling asked the nurse to
look up the results in the computer. The nurse should identify which of the following as the
reason for her decision about her sibling's request?
Documentation provides a communication tool for the healthcare team.
electronic medical record. Which of the following nursing statement identifies the purpose of
the document?
Client found lying on the floor with a 3-mm laceration 1 cm above the left eyebrow. Client
oriented to name only.
A nurse is caring for a client who received a sedative medication at bedtime and becomes
confused during the night. The client falls while getting out of bed, sustaining A laceration to
the head that requires tutoring. Which of the following notations should the nurse make when
documenting in the client's medical record?
Sharing passwords for computer access with colleagues
A nurse is documenting information in a client's electronic medical record. Which of the
following actions should the nurse identify as jeopardizing the confidentiality of the client's
data?
Prepares to cleanse the client's body
A nurse is supervising A newly licensed nurse who is female while she performs postmortem
care on a male client who is Muslim. Which of the following actions by the newly license
nurse should prompt the nurse to intervene?
Halitosis
, When providing care for a client who had facial fractures, the nurse notices a strong mouth
odor. Which of the following term should the nurse use to document this finding?
Has your son had a sore throat recently?;
rationale- Rheumatic fever typically develops 2 to 6 weeks after an untreated or ineffectively
treated streptococcal infection of the respiratory tract
A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever.
When obtaining the clients history, it is appropriate for the nurse to ask the parent which of
the following questions?
Bid, 30mL
A nurse is documenting in a client's medical record which of the following abbreviations are
acceptable for the nurse to use?
Notify the surgeon that the client wishes to withdraw consent for the procedure
After signing an informed consent form, a client tells the nurse, "I have changed my mind
and do not want to have the procedure." Which of the following actions should the nurse
take?
BUN 28 mg/dL
A nurse is collecting data from a client who is receiving intermittent enteral feedings. Which
of the following laboratory values should the nurse identify as an indication that the client
needs a change in the formula?
100 mL
A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and
is prescribed to receive 40 mL of fluid replacement every 4 hr for each 100 mL of output.
The clients output over the last 4 hr was 250 mL. How much water should the nurse
administer to the client?
Verify provider order to discontinue the tube
A nurse is preparing to remove an NG tube for a client. Which of the following actions
should the nurse take first?
Change the feeding bag every 24 hr
A nurse is contributing to the plan of care for a client prescribed continuous enteral feedings.
Which of the following action should the nurse plan to take?
lower the height of the solution container; rationale- slows the flow of water
FUNDAMENTALS VERSION 1,2&
3 EXAM 2025 LATEST NEWEST
UPDATE WITH ACTUAL
QUESTIONS AND DETAILED
VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT)
//BRAND NEW!! /ALREADY
GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
, Turn the client on his side before starting oral care
A nurse in a long-term care facility is caring for a client who is unresponsive. When
performing oral hygiene for the client, which of the following actions should the nurse take?
provide the client with an electric toothbrush
A nurse is providing oral care for a client who had has impaired upper extremity strength.
Which of the following actions should the nurse take?
Paralytic ileus
The nurse is caring for a client on the third day following abdominal surgery and assesses the
absence of bowel sounds, abdominal distention, and the client passing no flatus. These
findings indicate the client is experiencing which of the following postoperative
complication?
3+
A nurse is collecting data from a client about pitting edema and notes and indentation of 6
mm (0.25 in) At the point of pressure. Which of the following numbers should the nurse
document to indicate the intensity of the client's edema?
Use pictures to reinforce instructions given to the client
A nurse is assisting with the plan of care for a client who does not speak the same language
as the nurse. Which of the following intervention should the nurse include in the plan?
Arrange to complete the data collection with only the client and a translator present
A nurse is interviewing a female client who does not speak the same language as the nurse.
The client's partner is translating what the nurse is saying to the client. Which of the
following actions should the nurse take?
RN
A nurse manager is assigning care responsibilities for the upcoming shift. A client is awaiting
transfer back to the unit from the PACU following a hip arthroplasty period to which of the
following staff members should the nurse assign the client?
Assisting an older adult client to take acetaminophen the AP crushed in applesauce
A nurse is planning care for a group of clients. When planning the assignment for an assistive
personnel (AP), which of the following activities should the nurse consider unsafe for the AP
to perform?
Assisting a client with feeding
, A nurse in a long-term care facility is planning care for several clients. Which of the
following activities should the nurse plan to delegate to an assistive personnel (AP)?
Reassure the client
A nurse observes and assistive personnel (AP) taking the call light away from a client and
reprimanding him for using it frequently. Which of the following actions should the nurse
take first?
No one
With whom should a nurse should share her password for access to the facilities computer
system?
It is not permissible because there is no nurse-client relationship between the siblings and the
nurse
A nurse's sibling has a diagnostic test at the nurse's facility. The sibling asked the nurse to
look up the results in the computer. The nurse should identify which of the following as the
reason for her decision about her sibling's request?
Documentation provides a communication tool for the healthcare team.
electronic medical record. Which of the following nursing statement identifies the purpose of
the document?
Client found lying on the floor with a 3-mm laceration 1 cm above the left eyebrow. Client
oriented to name only.
A nurse is caring for a client who received a sedative medication at bedtime and becomes
confused during the night. The client falls while getting out of bed, sustaining A laceration to
the head that requires tutoring. Which of the following notations should the nurse make when
documenting in the client's medical record?
Sharing passwords for computer access with colleagues
A nurse is documenting information in a client's electronic medical record. Which of the
following actions should the nurse identify as jeopardizing the confidentiality of the client's
data?
Prepares to cleanse the client's body
A nurse is supervising A newly licensed nurse who is female while she performs postmortem
care on a male client who is Muslim. Which of the following actions by the newly license
nurse should prompt the nurse to intervene?
Halitosis
, When providing care for a client who had facial fractures, the nurse notices a strong mouth
odor. Which of the following term should the nurse use to document this finding?
Has your son had a sore throat recently?;
rationale- Rheumatic fever typically develops 2 to 6 weeks after an untreated or ineffectively
treated streptococcal infection of the respiratory tract
A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever.
When obtaining the clients history, it is appropriate for the nurse to ask the parent which of
the following questions?
Bid, 30mL
A nurse is documenting in a client's medical record which of the following abbreviations are
acceptable for the nurse to use?
Notify the surgeon that the client wishes to withdraw consent for the procedure
After signing an informed consent form, a client tells the nurse, "I have changed my mind
and do not want to have the procedure." Which of the following actions should the nurse
take?
BUN 28 mg/dL
A nurse is collecting data from a client who is receiving intermittent enteral feedings. Which
of the following laboratory values should the nurse identify as an indication that the client
needs a change in the formula?
100 mL
A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and
is prescribed to receive 40 mL of fluid replacement every 4 hr for each 100 mL of output.
The clients output over the last 4 hr was 250 mL. How much water should the nurse
administer to the client?
Verify provider order to discontinue the tube
A nurse is preparing to remove an NG tube for a client. Which of the following actions
should the nurse take first?
Change the feeding bag every 24 hr
A nurse is contributing to the plan of care for a client prescribed continuous enteral feedings.
Which of the following action should the nurse plan to take?
lower the height of the solution container; rationale- slows the flow of water
