Evolve Fundamentals HESI Exam 2025–2026
Accurate Real Exam Questions and Verified Correct
Answers JUST RELEASED
At the beginning of the shift, the nurse assesses a client who is admitted from the post-
anesthesia care unit (PACU). When should the nurse document the client's findings?
A. A the beginning, middle, and end of the shift.
B. After client priorities are identified for the development of the nursing care plan.
C. At the end of the shift so full attention can be given to the client's needs.
D. Immediately after the assessments are completed. - answer>>>Documentation should occur
immediately after any component of the nursing process, so assessments should be entered in
the client's medical record as readily as findings are obtained (D). (A, B, and C) do not address
the concepts of legal recommendations for information management and informatics.
Correct Answer: D
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother
and his family, which includes the brother-in-law's children and the widow's adult children.
Each family member speaks fluent English. Surgery was recommended for the client. What is
the best plan to obtain consent for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client.
B. Encourage the client to make her own decision regarding surgery.
C. Ask the family members to provide a clarification of the surgeon's explanation to the client.
D. Tell the surgeon that the brother-in-law will decide after explanation of the proposed
surgery is provided to him and the widow. - answer>>>Customary law in some rural sub-
Saharan countries encompasses wife inheritance and polygamy; the widow becomes the
inherited wife of her husband's brother. In those rural areas women live in a patriarchal family
where decisions are made by men. Most likely, the brother-in-law will make the decision for his
inherited wife, so (D) provides the surgeon with culturally sensitive information. (A) all family
members speak fluent English therefore there is no need for translation. It is culturally
,insensitive to encourage the woman to go against her wishes and her cultural worldview, as in
(B). Family members are more likely to misinterpret medical information (C).
Correct Answer: D
Which response by a client with a nursing diagnosis of "Spiritual distress," indicates to the
nurse that a desired outcome measure has been met?
A. Express concern about the meaning and importance of life.
B. Remains angry at God for the continuation of the illness.
C. Accepts that punishment from God is not related to illness.
D. Refuses to participate in religious rituals that have no meaning. - answer>>>Acceptance that
she is not being punished by God indicates a desired outcome (C) for some degree of resolution
of spiritual distress. (A, B, and D) do not support the concept of grief, loss, and cultural/spiritual
acceptance.
Correct Answer: C
During shift change report, the nurse receives report that a client has abnormal heart sounds.
Which placement of the stethoscope should the nurse use to hear the client's hear sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest,
D. Position the diaphragm of the stethoscope at Erb's point on the chest. -
answer>>>Abdominal heart sounds are best heard with the bell of the stethoscope, which picks
up lower-pitched sounds, that is placed at points on the anterior chest (B). (A, C, and D) do not
provide the best assessment of abdominal heart valve sounds.
Correct Answer: B
,A nurse is preparing to give medications through a nasogastric feeding tube. Which nursing
action should prevent complications during administration?
A. Mix each medication individually.
B. Use sterile gloves for the procedure.
C. Monitor vital signs before giving medications.
D. Mix all medications together to facilitate administration. - answer>>>Medications should be
mixed separately (A) to prevent clumping. (B, C, and D) are not indicated.
Correct Answer: A
During the admission interview, which technique is most efficient for the nurse to use when
obtaining information about signs and symptoms of a client's primary health problem?
A. Restatement of responses.
B. Open-ended questions.
C. Closed-ended questions.
D. Problem-seeking responses. - answer>>>Lay descriptions of health problems can be vague
and nonspecific. To efficiently obtain specific information, the nurse should use closed-ended
questions (C) that focus on common signs and symptoms about a client's health problem. (A, B,
and D) are used when therapeutically interacting and should be used after specific information
is obtained from the client.
Correct answer: C
An older client who is a resident in a long term care facility has been bedridden for a week.
Which finding should the nurse identify as a client risk factor for pressure ulcers?
A. Generalized dry skin.
B. Localized dry skin on lower extremities.
C. Red flush over entire skin surface.
, D. Rashes in the axillary, groin, and skin fold regions. - answer>>>Immobility, constant with bed
clothing, and excessive heat and moisture in areas where air flow is limited contributes to
bacterial and fungal growth, which increases the risk for rashes (D), skin breakdown, and the
development of pressure ulcers. (A, B, and C) do not address the concepts of inflammation and
tissue integrity.
Correct Answer: D
A client who has been NPO for 3 days is receiving an infusion of D5W 0.45 normal saline (NS)
with potassium chloride (KCl) 20 mEq at 83 mL/hour. The client's eight-hour urine output is 400
mL blood urea nitrogen (BUN) is 15 mg/dL, lungs are clear bilaterally, serum glucose is 120
mg/dL, and the serum potassium is 3.7 mEq/L. Which action is most important for the nurse to
implement?
A. Notify healthcare provider and request to change the IV infusion to hypertonic D 10W.
B. Decrease in the infusion rate of the current IV and report to the healthcare provider.
C. Document in the medical record that these normal findings are expected outcomes.
D. Obtain potassium chloride 20 mEq in anticipation of a prescription to add to present IV. -
answer>>>The results are all within normal range (C). No changes are needed (A, B, and D).
Correct Answer: C
Secobarbital (Seconal) 150 mg is prescribed at bedtime for a male client who is scheduled for
surgery in the morning. The scored tablets are labeled 0.1 gram/tablet. How many tablets
should the nurse administer? (Enter numerical value only. If rounding is required, round to the
nearest tenth.) - answer>>>1,000 mg : 1 gram :: X mg : 0.1 gram
X = 100 mg D/H = 150/100 = 1.5 tablets
Correct Answer: 1.5
Accurate Real Exam Questions and Verified Correct
Answers JUST RELEASED
At the beginning of the shift, the nurse assesses a client who is admitted from the post-
anesthesia care unit (PACU). When should the nurse document the client's findings?
A. A the beginning, middle, and end of the shift.
B. After client priorities are identified for the development of the nursing care plan.
C. At the end of the shift so full attention can be given to the client's needs.
D. Immediately after the assessments are completed. - answer>>>Documentation should occur
immediately after any component of the nursing process, so assessments should be entered in
the client's medical record as readily as findings are obtained (D). (A, B, and C) do not address
the concepts of legal recommendations for information management and informatics.
Correct Answer: D
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother
and his family, which includes the brother-in-law's children and the widow's adult children.
Each family member speaks fluent English. Surgery was recommended for the client. What is
the best plan to obtain consent for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client.
B. Encourage the client to make her own decision regarding surgery.
C. Ask the family members to provide a clarification of the surgeon's explanation to the client.
D. Tell the surgeon that the brother-in-law will decide after explanation of the proposed
surgery is provided to him and the widow. - answer>>>Customary law in some rural sub-
Saharan countries encompasses wife inheritance and polygamy; the widow becomes the
inherited wife of her husband's brother. In those rural areas women live in a patriarchal family
where decisions are made by men. Most likely, the brother-in-law will make the decision for his
inherited wife, so (D) provides the surgeon with culturally sensitive information. (A) all family
members speak fluent English therefore there is no need for translation. It is culturally
,insensitive to encourage the woman to go against her wishes and her cultural worldview, as in
(B). Family members are more likely to misinterpret medical information (C).
Correct Answer: D
Which response by a client with a nursing diagnosis of "Spiritual distress," indicates to the
nurse that a desired outcome measure has been met?
A. Express concern about the meaning and importance of life.
B. Remains angry at God for the continuation of the illness.
C. Accepts that punishment from God is not related to illness.
D. Refuses to participate in religious rituals that have no meaning. - answer>>>Acceptance that
she is not being punished by God indicates a desired outcome (C) for some degree of resolution
of spiritual distress. (A, B, and D) do not support the concept of grief, loss, and cultural/spiritual
acceptance.
Correct Answer: C
During shift change report, the nurse receives report that a client has abnormal heart sounds.
Which placement of the stethoscope should the nurse use to hear the client's hear sounds?
A. Place the stethoscope bell at random points on the posterior chest.
B. Use the stethoscope bell over the valvular areas of the anterior chest.
C. Move the diaphragm of the stethoscope over the left anterior chest,
D. Position the diaphragm of the stethoscope at Erb's point on the chest. -
answer>>>Abdominal heart sounds are best heard with the bell of the stethoscope, which picks
up lower-pitched sounds, that is placed at points on the anterior chest (B). (A, C, and D) do not
provide the best assessment of abdominal heart valve sounds.
Correct Answer: B
,A nurse is preparing to give medications through a nasogastric feeding tube. Which nursing
action should prevent complications during administration?
A. Mix each medication individually.
B. Use sterile gloves for the procedure.
C. Monitor vital signs before giving medications.
D. Mix all medications together to facilitate administration. - answer>>>Medications should be
mixed separately (A) to prevent clumping. (B, C, and D) are not indicated.
Correct Answer: A
During the admission interview, which technique is most efficient for the nurse to use when
obtaining information about signs and symptoms of a client's primary health problem?
A. Restatement of responses.
B. Open-ended questions.
C. Closed-ended questions.
D. Problem-seeking responses. - answer>>>Lay descriptions of health problems can be vague
and nonspecific. To efficiently obtain specific information, the nurse should use closed-ended
questions (C) that focus on common signs and symptoms about a client's health problem. (A, B,
and D) are used when therapeutically interacting and should be used after specific information
is obtained from the client.
Correct answer: C
An older client who is a resident in a long term care facility has been bedridden for a week.
Which finding should the nurse identify as a client risk factor for pressure ulcers?
A. Generalized dry skin.
B. Localized dry skin on lower extremities.
C. Red flush over entire skin surface.
, D. Rashes in the axillary, groin, and skin fold regions. - answer>>>Immobility, constant with bed
clothing, and excessive heat and moisture in areas where air flow is limited contributes to
bacterial and fungal growth, which increases the risk for rashes (D), skin breakdown, and the
development of pressure ulcers. (A, B, and C) do not address the concepts of inflammation and
tissue integrity.
Correct Answer: D
A client who has been NPO for 3 days is receiving an infusion of D5W 0.45 normal saline (NS)
with potassium chloride (KCl) 20 mEq at 83 mL/hour. The client's eight-hour urine output is 400
mL blood urea nitrogen (BUN) is 15 mg/dL, lungs are clear bilaterally, serum glucose is 120
mg/dL, and the serum potassium is 3.7 mEq/L. Which action is most important for the nurse to
implement?
A. Notify healthcare provider and request to change the IV infusion to hypertonic D 10W.
B. Decrease in the infusion rate of the current IV and report to the healthcare provider.
C. Document in the medical record that these normal findings are expected outcomes.
D. Obtain potassium chloride 20 mEq in anticipation of a prescription to add to present IV. -
answer>>>The results are all within normal range (C). No changes are needed (A, B, and D).
Correct Answer: C
Secobarbital (Seconal) 150 mg is prescribed at bedtime for a male client who is scheduled for
surgery in the morning. The scored tablets are labeled 0.1 gram/tablet. How many tablets
should the nurse administer? (Enter numerical value only. If rounding is required, round to the
nearest tenth.) - answer>>>1,000 mg : 1 gram :: X mg : 0.1 gram
X = 100 mg D/H = 150/100 = 1.5 tablets
Correct Answer: 1.5
