TEST BANK/RN HESI EVOLVE FUNDAMENTALS
COMPLETE ALL 400 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Question 1
A nurse is caring for a client who is immobile. Which intervention is most appropriate to
prevent skin breakdown?
A. Place the client in high Fowler's position.
B. Reposition the client every 2 hours.
C. Massage over bony prominences.
D. Limit fluid intake to reduce incontinence.
Correct Answer: B. Reposition the client every 2 hours.
Rationale: Frequent repositioning improves circulation and prevents pressure ulcers.
Question 2
Which action by the nurse demonstrates the ethical principle of autonomy?
A. Restraining a confused patient for safety
B. Allowing a patient to refuse a treatment
C. Reporting a medication error
D. Treating all patients equally
Correct Answer: B. Allowing a patient to refuse a treatment
Rationale: Autonomy means respecting the patient’s right to make their own decisions.
Question 3
Which technique is most effective for assessing a client's abdomen?
A. Palpation, auscultation, inspection, percussion
B. Inspection, palpation, percussion, auscultation
C. Inspection, auscultation, percussion, palpation
D. Percussion, inspection, palpation, auscultation
1
,Correct Answer: C. Inspection, auscultation, percussion, palpation
Rationale: This order prevents altering bowel sounds before assessment.
Question 4
What is the most accurate method for measuring core body temperature?
A. Oral
B. Tympanic
C. Axillary
D. Rectal
Correct Answer: D. Rectal
Rationale: Rectal temperature is closest to core body temperature.
Question 5
A nurse is preparing to administer a medication through a nasogastric (NG) tube. What is the
priority action?
A. Flush with 10 mL of air
B. Confirm NG tube placement
C. Administer the medication with food
D. Elevate the head of the bed to 30° after
Correct Answer: B. Confirm NG tube placement
Rationale: Ensuring correct placement prevents aspiration and medication errors.
Question 6
A nurse is using SBAR communication. What does "R" stand for?
A. Responsibility
B. Reasoning
C. Recommendation
D. Review
Correct Answer: C. Recommendation
Rationale: SBAR = Situation, Background, Assessment, Recommendation.
Question 7
2
, A newly licensed nurse receives a gift from a patient's family. What is the most appropriate
action?
A. Accept the gift privately
B. Politely decline the gift
C. Share it with the unit
D. Ask the patient to keep it until discharge
Correct Answer: B. Politely decline the gift
Rationale: Accepting gifts can create ethical and professional issues.
Question 8
Which intervention promotes effective client teaching?
A. Teach immediately after surgery
B. Use medical terminology
C. Assess the client’s readiness to learn
D. Provide detailed written instructions only
Correct Answer: C. Assess the client’s readiness to learn
Rationale: Learning is most effective when the client is ready and able to receive information.
Question 9
What is the priority nursing diagnosis for a client with difficulty swallowing?
A. Risk for falls
B. Risk for infection
C. Impaired swallowing
D. Risk for aspiration
Correct Answer: D. Risk for aspiration
Rationale: Difficulty swallowing increases risk of inhaling food or fluids into the lungs.
Question 10
A nurse prepares to insert an indwelling catheter in a female client. What is the first step after
donning sterile gloves?
A. Clean the perineal area
B. Lubricate the catheter tip
3