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2025-2026 EVOLVE HESI FUNDAMENTALS VERSION 1,2& 3 ACTUAL
EXAM EACH VERSION CONTAINS 70 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
(BRAND NEW!!)-HEALTHSTUDYPRO
1) PRIORITIZATION
Which patient should the nurse see first?
A. 55-year-old with nausea after antibiotics
B. 72-year-old with new confusion, afebrile
C. 40-year-old with ankle sprain requesting pain meds
D. 60-year-old with chest pain 8/10, started 20 min ago
E. 28-year-old needing discharge teaching
Correct Answer: D
Rationale: Chest pain = possible myocardial ischemia (ABC priority).
2) INFECTION CONTROL
Which disease requires airborne precautions?
A. Influenza
B. Measles
C. MRSA wound infection
D. RSV bronchiolitis
E. C. difficile colitis
Correct Answer: B
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Rationale: Measles (rubeola) → airborne (N95, negative pressure). Flu = droplet;
MRSA/RSV/C. diff = contact.
3) FIRE SAFETY
What is the first step when a fire is discovered in a patient’s room?
A. Pull the alarm
B. Confine the fire
C. Rescue the patient
D. Extinguish the fire
E. Document the event
Correct Answer: C
Rationale: Follow RACE: Rescue → Alarm → Confine → Extinguish.
4) HAND HYGIENE
When must the nurse use soap and water instead of alcohol rub?
A. Before donning gloves
B. After palpating a pulse
C. When hands visibly soiled
D. Before medication administration
E. After routine vital signs
Correct Answer: C
Rationale: Soap/water required for visible soil or C. difficile.
5) RESTRAINT USE
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Which is correct about restraints?
A. Tie to side rails for easy access
B. Use PRN order for 72 hours
C. Remove and check skin every 2 hours
D. Apply without order if family consents
E. Double-knot the ties for safety
Correct Answer: C
Rationale: Remove and assess q2h; tie to bed frame with quick-release knot;
requires provider order.
6) DELEGATION
Which task can be safely delegated to UAP?
A. Teaching about insulin
B. Monitoring chest pain
C. Obtaining routine vital signs
D. Assessing pain after meds
E. Adjusting oxygen flow rate
Correct Answer: C
Rationale: UAP can perform non-invasive, routine care; RN retains
assessment/teaching/judgment.
7) CONSENT
Nurse’s role in informed consent is to:
A. Explain risks/benefits of procedure
B. Decide if patient understands
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C. Witness voluntary signature
D. Choose alternative options
E. Assess decision-making capacity
Correct Answer: C
Rationale: Provider explains risks; nurse witnesses signature, verifies voluntary
and informed.
8) MEDICATION MATH
Order: Furosemide 60 mg PO. Stock: 20-mg tablets. How many tablets?
A. 1
B. 2
C. 3
D. 4
E. 5
Correct Answer: C (3 tablets)
Rationale: 60 ÷ 20 = 3.
9) IV CALCULATION
Infuse 1000 mL over 8 hrs. Tubing: 15 gtt/mL. How many gtt/min?
A. 20
B. 25
C. 31
D. 40
E. 50
2025-2026 EVOLVE HESI FUNDAMENTALS VERSION 1,2& 3 ACTUAL
EXAM EACH VERSION CONTAINS 70 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
(BRAND NEW!!)-HEALTHSTUDYPRO
1) PRIORITIZATION
Which patient should the nurse see first?
A. 55-year-old with nausea after antibiotics
B. 72-year-old with new confusion, afebrile
C. 40-year-old with ankle sprain requesting pain meds
D. 60-year-old with chest pain 8/10, started 20 min ago
E. 28-year-old needing discharge teaching
Correct Answer: D
Rationale: Chest pain = possible myocardial ischemia (ABC priority).
2) INFECTION CONTROL
Which disease requires airborne precautions?
A. Influenza
B. Measles
C. MRSA wound infection
D. RSV bronchiolitis
E. C. difficile colitis
Correct Answer: B
,2
Rationale: Measles (rubeola) → airborne (N95, negative pressure). Flu = droplet;
MRSA/RSV/C. diff = contact.
3) FIRE SAFETY
What is the first step when a fire is discovered in a patient’s room?
A. Pull the alarm
B. Confine the fire
C. Rescue the patient
D. Extinguish the fire
E. Document the event
Correct Answer: C
Rationale: Follow RACE: Rescue → Alarm → Confine → Extinguish.
4) HAND HYGIENE
When must the nurse use soap and water instead of alcohol rub?
A. Before donning gloves
B. After palpating a pulse
C. When hands visibly soiled
D. Before medication administration
E. After routine vital signs
Correct Answer: C
Rationale: Soap/water required for visible soil or C. difficile.
5) RESTRAINT USE
,3
Which is correct about restraints?
A. Tie to side rails for easy access
B. Use PRN order for 72 hours
C. Remove and check skin every 2 hours
D. Apply without order if family consents
E. Double-knot the ties for safety
Correct Answer: C
Rationale: Remove and assess q2h; tie to bed frame with quick-release knot;
requires provider order.
6) DELEGATION
Which task can be safely delegated to UAP?
A. Teaching about insulin
B. Monitoring chest pain
C. Obtaining routine vital signs
D. Assessing pain after meds
E. Adjusting oxygen flow rate
Correct Answer: C
Rationale: UAP can perform non-invasive, routine care; RN retains
assessment/teaching/judgment.
7) CONSENT
Nurse’s role in informed consent is to:
A. Explain risks/benefits of procedure
B. Decide if patient understands
, 4
C. Witness voluntary signature
D. Choose alternative options
E. Assess decision-making capacity
Correct Answer: C
Rationale: Provider explains risks; nurse witnesses signature, verifies voluntary
and informed.
8) MEDICATION MATH
Order: Furosemide 60 mg PO. Stock: 20-mg tablets. How many tablets?
A. 1
B. 2
C. 3
D. 4
E. 5
Correct Answer: C (3 tablets)
Rationale: 60 ÷ 20 = 3.
9) IV CALCULATION
Infuse 1000 mL over 8 hrs. Tubing: 15 gtt/mL. How many gtt/min?
A. 20
B. 25
C. 31
D. 40
E. 50
