2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
TEST BANK/RN HESI EVOLVE FUNDAMENTALS
COMPLETE ALL 200 ACCURATE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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, 2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
The nurse identifies a potential for infection in a patient with partial-thickness (second-degree)
and full-thickness (third-degree) burns. What intervention has the highest priority in decreasing
the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful hand washing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - ANSWER-Answer: B
Careful hand washing technique (B) is the single most effective intervention for the prevention
of contamination to all clients. (A) reverses the hypovolemia that initially accompanies burn
trauma but is not related to decreasing the proliferation of infective organisms. (C and D) are
recommended by various burn centers as possible ways to reduce the chance of infection. (B) is
a proven technique to prevent infection.
Which serum laboratory value should the nurse monitor carefully for a client who has a
nasogastric (NG) tube to suction for the past week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium - ANSWER-Answer: D
Monitoring serum sodium levels (D) for hyponatremia is indicated during prolonged NG
suctioning because of loss of fluids. Changes in levels of (A, B, or C) are not typically associated
with prolonged NG suctioning.
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has questions about
the surgery.
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, 2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
D. Reassure the client that the surgeon will answer any questions before the anesthesia is
administered. - ANSWER-Answer: C
The surgeon should be informed immediately that the permit is not signed (C). It is the
surgeon's responsibility to explain the procedure to the cliesxnt and obtain the client's signature
on the permit. Although the nurse can witness an operative permit (A), the procedure must first
be explained by the health care provider or surgeon, including answering the client's questions
(B). The client's questions should be addressed before the permit is signed (D).
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A. Determine how the client feels about changing the dressing.
B. Ask the client to describe the procedure in writing.
C. Seek a family member's evaluation of the client's ability to change the dressing.
D. Observe the client change the dressing unassisted. - ANSWER-Answer: D
Observing the client directly (D) will allow the nurse to determine if mastery of the skill has
been obtained and provide an opportunity to affirm the skill. (A) may be therapeutic but will not
provide an opportunity to evaluate the client's ability to perform the procedure. (B) may be
threatening to an older client and will not determine his ability. (C) is not as effective as direct
observation by the nurse.
A client in a long-term care facility reports to the nurse that he has not had a bowel movement
in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the health care provider and request a prescription for a large-volume enema.
C. Assess the client's medical record to determine the client's normal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day. - ANSWER-
Answer: C
This client may not routinely have a daily bowel movement, so the nurse should first assess this
client's normal bowel habits before attempting any intervention (C). (A, B, or D) may then be
implemented, if warranted.
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, 2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best meets
the dietary needs of this client?
A. Steak, baked beans, and a salad
B. Broiled fish, green beans, and an apple
C. Pork chops, macaroni and cheese, and grapes
D. Avocado salad, milk, and angel food cake - ANSWER-Answer: B
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such as
(B). (A) is a high-protein diet and (C and D) contain high-fat foods, which are contraindicated for
this client.
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
A. Remind the child to clean his genital area.
B. Defer perineal care because of the child's age.
C. Retract the foreskin gently to cleanse the penis.
D. Ask the parents why the child is not circumcised. - ANSWER-Answer: C
The foreskin (prepuce) of the penis should be gently retracted to cleanse all areas that could
harbor bacteria (C). The child's cognitive development may not be at the level at which (A)
would be effective. Perineal care needs to be provided daily regardless of the client's age (B). (D)
is not indicated and may be perceived as intrusive.
The nurse who is preparing to give an adolescent client a prescribed antipsychotic medication
notes that parental consent has not been obtained. Which action should the nurse take?
A. Review the chart for a signed consent for hospitalization.
B. Get the health care provider's permission to give the medication.
C. Do not give the medication and document the reason.
D. Complete an incident report and notify the parents. - ANSWER-Answer: C
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2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
TEST BANK/RN HESI EVOLVE FUNDAMENTALS
COMPLETE ALL 200 ACCURATE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1|Page
, 2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
The nurse identifies a potential for infection in a patient with partial-thickness (second-degree)
and full-thickness (third-degree) burns. What intervention has the highest priority in decreasing
the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful hand washing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - ANSWER-Answer: B
Careful hand washing technique (B) is the single most effective intervention for the prevention
of contamination to all clients. (A) reverses the hypovolemia that initially accompanies burn
trauma but is not related to decreasing the proliferation of infective organisms. (C and D) are
recommended by various burn centers as possible ways to reduce the chance of infection. (B) is
a proven technique to prevent infection.
Which serum laboratory value should the nurse monitor carefully for a client who has a
nasogastric (NG) tube to suction for the past week?
A. White blood cell count
B. Albumin
C. Calcium
D. Sodium - ANSWER-Answer: D
Monitoring serum sodium levels (D) for hyponatremia is indicated during prolonged NG
suctioning because of loss of fluids. Changes in levels of (A, B, or C) are not typically associated
with prolonged NG suctioning.
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has questions about
the surgery.
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, 2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
D. Reassure the client that the surgeon will answer any questions before the anesthesia is
administered. - ANSWER-Answer: C
The surgeon should be informed immediately that the permit is not signed (C). It is the
surgeon's responsibility to explain the procedure to the cliesxnt and obtain the client's signature
on the permit. Although the nurse can witness an operative permit (A), the procedure must first
be explained by the health care provider or surgeon, including answering the client's questions
(B). The client's questions should be addressed before the permit is signed (D).
The nurse is preparing an older client for discharge. Which method is best for the nurse to use
when evaluating the client's ability to perform a dressing change at home?
A. Determine how the client feels about changing the dressing.
B. Ask the client to describe the procedure in writing.
C. Seek a family member's evaluation of the client's ability to change the dressing.
D. Observe the client change the dressing unassisted. - ANSWER-Answer: D
Observing the client directly (D) will allow the nurse to determine if mastery of the skill has
been obtained and provide an opportunity to affirm the skill. (A) may be therapeutic but will not
provide an opportunity to evaluate the client's ability to perform the procedure. (B) may be
threatening to an older client and will not determine his ability. (C) is not as effective as direct
observation by the nurse.
A client in a long-term care facility reports to the nurse that he has not had a bowel movement
in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the health care provider and request a prescription for a large-volume enema.
C. Assess the client's medical record to determine the client's normal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day. - ANSWER-
Answer: C
This client may not routinely have a daily bowel movement, so the nurse should first assess this
client's normal bowel habits before attempting any intervention (C). (A, B, or D) may then be
implemented, if warranted.
3|Page
, 2025 EVOLVE HESI FUNDAMENTALS REAL EXAM
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best meets
the dietary needs of this client?
A. Steak, baked beans, and a salad
B. Broiled fish, green beans, and an apple
C. Pork chops, macaroni and cheese, and grapes
D. Avocado salad, milk, and angel food cake - ANSWER-Answer: B
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such as
(B). (A) is a high-protein diet and (C and D) contain high-fat foods, which are contraindicated for
this client.
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
A. Remind the child to clean his genital area.
B. Defer perineal care because of the child's age.
C. Retract the foreskin gently to cleanse the penis.
D. Ask the parents why the child is not circumcised. - ANSWER-Answer: C
The foreskin (prepuce) of the penis should be gently retracted to cleanse all areas that could
harbor bacteria (C). The child's cognitive development may not be at the level at which (A)
would be effective. Perineal care needs to be provided daily regardless of the client's age (B). (D)
is not indicated and may be perceived as intrusive.
The nurse who is preparing to give an adolescent client a prescribed antipsychotic medication
notes that parental consent has not been obtained. Which action should the nurse take?
A. Review the chart for a signed consent for hospitalization.
B. Get the health care provider's permission to give the medication.
C. Do not give the medication and document the reason.
D. Complete an incident report and notify the parents. - ANSWER-Answer: C
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