EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK/RN HESI
EVOLVE FUNDAMENTALS COMPLETE ALL 175 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
2025/2026 |ALREADY GRADED A+
1. The nurse is preparing to assess a newly admitted patient. Which action
should the nurse take first?
A. Review the patient’s medication list
B. Establish rapport and introduce self
C. Perform a focused physical assessment
D. Verify provider orders
Answer: B
Rationale:
The first step in any nurse-patient encounter is establishing rapport and explaining
your role to promote trust and reduce anxiety. Medication review, order
verification, and assessment occur afterward.
2. A patient with heart failure has 2+ pitting edema. Which nursing action is the
highest priority?
A. Measure calf circumference
B. Auscultate lung sounds
C. Request a low-sodium diet order
D. Elevate the patient’s legs
Answer: B
Rationale:
Edema in HF may indicate fluid volume excess that can progress to pulmonary
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, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
congestion. Lung auscultation assesses for crackles, indicating worsening HF,
which takes priority over interventions such as diet or leg elevation.
3. The nurse delegates vital signs for a stable postoperative patient to an
unlicensed assistive personnel (UAP). Which instruction is most important?
A. “Report the values to me when finished.”
B. “Make sure the patient has voided beforehand.”
C. “Notify me immediately for abnormal findings.”
D. “Use the electronic blood pressure machine.”
Answer: C
Rationale:
The RN must ensure the UAP knows to promptly report abnormal findings so the
nurse can take appropriate action. Vital-sign reporting is important, but
recognizing abnormalities is priority for safe delegation.
4. A patient states, “I don’t understand why I need this test.” What is the nurse’s
best response?
A. “Because your doctor ordered it.”
B. “Let me explain the purpose of the test.”
C. “It will help diagnose your condition.”
D. “Would you like me to cancel it?”
Answer: B
Rationale:
This is an expression of lack of understanding. The nurse should provide
clarification. Answer C is true but incomplete; B provides patient-centered
communication.
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, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
5. Which action demonstrates the nurse is using an evidence-based practice
approach?
A. Following unit tradition for wound care
B. Using interventions based on current research
C. Reviewing policy every five years
D. Asking coworkers what they typically do
Answer: B
Rationale:
EBP integrates best current research, clinical expertise, and patient preferences.
Tradition or outdated policy is not EBP.
6. A patient receiving oxygen by nasal cannula at 2 L/min complains of nasal
dryness. What action is appropriate?
A. Switch to a Venturi mask
B. Increase flow to 4 L/min
C. Provide humidification
D. Apply petroleum jelly inside the nose
Answer: C
Rationale:
Humidification prevents mucosal dryness. Petroleum products are flammable;
changing oxygen delivery or increasing flow is unnecessary.
7. A nurse finds a patient lying on the floor. After ensuring safety, what should
the nurse do next?
A. Move the patient back to bed
B. Notify the charge nurse
C. Assess vital signs and injuries
D. Complete an incident report
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, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
Answer: C
Rationale:
After safety, immediate assessment determines if injury occurred. Notifications
and documentation occur afterward.
8. A patient prescribed furosemide is at risk for electrolyte imbalance. Which
laboratory result requires action?
A. Sodium 140 mEq/L
B. Potassium 3.0 mEq/L
C. Chloride 102 mEq/L
D. Calcium 9.0 mg/dL
Answer: B
Rationale:
Furosemide can cause hypokalemia. Level 3.0 mEq/L is dangerous and requires
intervention. Others are normal.
9. The nurse is caring for a patient on fall precautions. Which intervention is
essential?
A. Raise all bed rails
B. Keep the bed in the lowest position
C. Keep the room dark for sleep
D. Place the call light on the over-bed table
Answer: B
Rationale:
Lowest bed height minimizes injury risk. Four side rails can be considered
restraint; dark environment increases fall risk; call light must be within reach.
4|Page
EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK/RN HESI
EVOLVE FUNDAMENTALS COMPLETE ALL 175 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
2025/2026 |ALREADY GRADED A+
1. The nurse is preparing to assess a newly admitted patient. Which action
should the nurse take first?
A. Review the patient’s medication list
B. Establish rapport and introduce self
C. Perform a focused physical assessment
D. Verify provider orders
Answer: B
Rationale:
The first step in any nurse-patient encounter is establishing rapport and explaining
your role to promote trust and reduce anxiety. Medication review, order
verification, and assessment occur afterward.
2. A patient with heart failure has 2+ pitting edema. Which nursing action is the
highest priority?
A. Measure calf circumference
B. Auscultate lung sounds
C. Request a low-sodium diet order
D. Elevate the patient’s legs
Answer: B
Rationale:
Edema in HF may indicate fluid volume excess that can progress to pulmonary
1|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
congestion. Lung auscultation assesses for crackles, indicating worsening HF,
which takes priority over interventions such as diet or leg elevation.
3. The nurse delegates vital signs for a stable postoperative patient to an
unlicensed assistive personnel (UAP). Which instruction is most important?
A. “Report the values to me when finished.”
B. “Make sure the patient has voided beforehand.”
C. “Notify me immediately for abnormal findings.”
D. “Use the electronic blood pressure machine.”
Answer: C
Rationale:
The RN must ensure the UAP knows to promptly report abnormal findings so the
nurse can take appropriate action. Vital-sign reporting is important, but
recognizing abnormalities is priority for safe delegation.
4. A patient states, “I don’t understand why I need this test.” What is the nurse’s
best response?
A. “Because your doctor ordered it.”
B. “Let me explain the purpose of the test.”
C. “It will help diagnose your condition.”
D. “Would you like me to cancel it?”
Answer: B
Rationale:
This is an expression of lack of understanding. The nurse should provide
clarification. Answer C is true but incomplete; B provides patient-centered
communication.
2|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
5. Which action demonstrates the nurse is using an evidence-based practice
approach?
A. Following unit tradition for wound care
B. Using interventions based on current research
C. Reviewing policy every five years
D. Asking coworkers what they typically do
Answer: B
Rationale:
EBP integrates best current research, clinical expertise, and patient preferences.
Tradition or outdated policy is not EBP.
6. A patient receiving oxygen by nasal cannula at 2 L/min complains of nasal
dryness. What action is appropriate?
A. Switch to a Venturi mask
B. Increase flow to 4 L/min
C. Provide humidification
D. Apply petroleum jelly inside the nose
Answer: C
Rationale:
Humidification prevents mucosal dryness. Petroleum products are flammable;
changing oxygen delivery or increasing flow is unnecessary.
7. A nurse finds a patient lying on the floor. After ensuring safety, what should
the nurse do next?
A. Move the patient back to bed
B. Notify the charge nurse
C. Assess vital signs and injuries
D. Complete an incident report
3|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
Answer: C
Rationale:
After safety, immediate assessment determines if injury occurred. Notifications
and documentation occur afterward.
8. A patient prescribed furosemide is at risk for electrolyte imbalance. Which
laboratory result requires action?
A. Sodium 140 mEq/L
B. Potassium 3.0 mEq/L
C. Chloride 102 mEq/L
D. Calcium 9.0 mg/dL
Answer: B
Rationale:
Furosemide can cause hypokalemia. Level 3.0 mEq/L is dangerous and requires
intervention. Others are normal.
9. The nurse is caring for a patient on fall precautions. Which intervention is
essential?
A. Raise all bed rails
B. Keep the bed in the lowest position
C. Keep the room dark for sleep
D. Place the call light on the over-bed table
Answer: B
Rationale:
Lowest bed height minimizes injury risk. Four side rails can be considered
restraint; dark environment increases fall risk; call light must be within reach.
4|Page
