Evolve HESI Fundamentals Practice questions
and correct Answers graded A 2025 UPDATE
GUARANTEED PASS
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. - 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 prepares a 1,000 ml IV of 5% dextrose and water to be infused over
8 hours. The infusion set delivers 10 drops per milliliter. The nurse should
regulate the IV to administer approximately how many drops per minute?
A. 80
,B. 8
C. 21
D. 25 - answer-The accepted formula for figuring drops per minute is: amount
to be infused in one hour × drop factor/time for infusion (min)= drops per
minute. Using this formula: 1,000/8 hours = 125 ml/ hour 125 × 10 (drip factor)
= 1,250 drops in one hour. 1,250/ 60 (number of minutes in one hour) = 20.8 or
21 gtt/min (C).
Correct Answer: C
Which action is most important for the nurse to implement when donning
sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. - answer-Gloved hands held below
waist level are considered unsterile (C). (A and B) are not essential to
maintaining asepsis. While it may be helpful to put the glove on the dominant
hand first, it is not necessary to ensure asepsis (D).
Correct Answer: C
A client with pneumonia has a decrease in oxygen saturation from 94% to 88%
while ambulating. Based on these findings, which intervention should the
nurse implement first?
,A. Assist the ambulating client back to the bed.
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe. - answer-An
oxygen saturation below 90% indicates inadequate oxygenation. First, the
client should be assisted to return to bed (A) to minimize oxygen demands.
Ambulation increases aeration of the lungs to prevent pooling of respiratory
secretions, but the client's activity at this time is depleting oxygen saturation of
the blood, so (B) is contraindicated. Increased activity increases respiratory
effort, and oxygen may be necessary to continue ambulation (C), but first the
client should return to bed to rest. Oxygen saturation levels at different sites
should be evaluated after the client returns to bed (D).
Correct Answer: A
A client with chronic renal failure selects a scrambled egg for his breakfast.
What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CRF. -
answer-Foods such as eggs and milk (A) are high biologic proteins which are
allowed because they are complete proteins and supply the essential amino
acids that are necessary for growth and cell repair. Although a low-protein diet
is followed (B), some protein is essential. Orange juice is rich in potassium, and
should not be encouraged (C). The client has made a good diet choice, so (D) is
not necessary.
, Correct Answer: A
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the
next day. What question is most important for the nurse to include during the
preoperative assessment?
A. "What is your daily calorie consumption?"
B. "What vitamin and mineral supplements do you take?:
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?" - answer-Vitamin and
mineral supplements (B) may impact medications used during the operative
period. (A and C) are appropriate questions for long-term dietary counseling.
The nature of the surgery and anesthesia will determine the need for a clear
liquid diet (D), rather than the client's preference.
Correct Answer: B
During the initial morning assessment, a male client denies dysuria but reports
that his urine appears dark amber. Which intervention should the nurse
implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
and correct Answers graded A 2025 UPDATE
GUARANTEED PASS
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. - 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 prepares a 1,000 ml IV of 5% dextrose and water to be infused over
8 hours. The infusion set delivers 10 drops per milliliter. The nurse should
regulate the IV to administer approximately how many drops per minute?
A. 80
,B. 8
C. 21
D. 25 - answer-The accepted formula for figuring drops per minute is: amount
to be infused in one hour × drop factor/time for infusion (min)= drops per
minute. Using this formula: 1,000/8 hours = 125 ml/ hour 125 × 10 (drip factor)
= 1,250 drops in one hour. 1,250/ 60 (number of minutes in one hour) = 20.8 or
21 gtt/min (C).
Correct Answer: C
Which action is most important for the nurse to implement when donning
sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. - answer-Gloved hands held below
waist level are considered unsterile (C). (A and B) are not essential to
maintaining asepsis. While it may be helpful to put the glove on the dominant
hand first, it is not necessary to ensure asepsis (D).
Correct Answer: C
A client with pneumonia has a decrease in oxygen saturation from 94% to 88%
while ambulating. Based on these findings, which intervention should the
nurse implement first?
,A. Assist the ambulating client back to the bed.
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe. - answer-An
oxygen saturation below 90% indicates inadequate oxygenation. First, the
client should be assisted to return to bed (A) to minimize oxygen demands.
Ambulation increases aeration of the lungs to prevent pooling of respiratory
secretions, but the client's activity at this time is depleting oxygen saturation of
the blood, so (B) is contraindicated. Increased activity increases respiratory
effort, and oxygen may be necessary to continue ambulation (C), but first the
client should return to bed to rest. Oxygen saturation levels at different sites
should be evaluated after the client returns to bed (D).
Correct Answer: A
A client with chronic renal failure selects a scrambled egg for his breakfast.
What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CRF. -
answer-Foods such as eggs and milk (A) are high biologic proteins which are
allowed because they are complete proteins and supply the essential amino
acids that are necessary for growth and cell repair. Although a low-protein diet
is followed (B), some protein is essential. Orange juice is rich in potassium, and
should not be encouraged (C). The client has made a good diet choice, so (D) is
not necessary.
, Correct Answer: A
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the
next day. What question is most important for the nurse to include during the
preoperative assessment?
A. "What is your daily calorie consumption?"
B. "What vitamin and mineral supplements do you take?:
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?" - answer-Vitamin and
mineral supplements (B) may impact medications used during the operative
period. (A and C) are appropriate questions for long-term dietary counseling.
The nature of the surgery and anesthesia will determine the need for a clear
liquid diet (D), rather than the client's preference.
Correct Answer: B
During the initial morning assessment, a male client denies dysuria but reports
that his urine appears dark amber. Which intervention should the nurse
implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
