EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK/RN HESI
EVOLVE FUNDAMENTALS COMPLETE ALL 300 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
2025/2026 |ALREADY GRADED A+
A female client with frequent urinary tract infections (UTIs) asks the nurse to
explain her friend's advice about drinking a glass of juice daily to prevent future
UTIs. Which response is best for the nurse provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C. Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics. - Correct Answer-
Answer: C
Cranberry juice (C) maintains urinary tract health by reducing the adherence of
Escherichia coli bacteria to cells within the bladder. (A, B, and D) have not been
shown to be as effective as cranberry juice (C) in preventing UTIs.
The nurse is aware that malnutrition is a common problem among clients served
by a community health clinic for the homeless. Which laboratory value is the most
reliable indicator of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level - Correct Answer-Answer: A
Long-term protein deficiency is required to cause significantly lowered serum
albumin levels (A). Albumin is made by the liver only when adequate amounts
1|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
of amino acids (from protein breakdown) are available. Albumin has a long half-
life, so acute protein loss does not significantly alter serum levels. (B) is a serum
protein with a half-life of only 8 to 10 days, so it will drop with an acute protein
deficiency. Neither (C or D) are clinical measures of protein malnutrition.
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 - Correct 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 - Correct Answer-Answer: D
2|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
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.
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered. - Correct 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. - Correct Answer-Answer: D
3|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
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. - Correct 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.
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 - Correct Answer-Answer: B
4|Page
EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK/RN HESI
EVOLVE FUNDAMENTALS COMPLETE ALL 300 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
2025/2026 |ALREADY GRADED A+
A female client with frequent urinary tract infections (UTIs) asks the nurse to
explain her friend's advice about drinking a glass of juice daily to prevent future
UTIs. Which response is best for the nurse provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C. Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics. - Correct Answer-
Answer: C
Cranberry juice (C) maintains urinary tract health by reducing the adherence of
Escherichia coli bacteria to cells within the bladder. (A, B, and D) have not been
shown to be as effective as cranberry juice (C) in preventing UTIs.
The nurse is aware that malnutrition is a common problem among clients served
by a community health clinic for the homeless. Which laboratory value is the most
reliable indicator of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level - Correct Answer-Answer: A
Long-term protein deficiency is required to cause significantly lowered serum
albumin levels (A). Albumin is made by the liver only when adequate amounts
1|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
of amino acids (from protein breakdown) are available. Albumin has a long half-
life, so acute protein loss does not significantly alter serum levels. (B) is a serum
protein with a half-life of only 8 to 10 days, so it will drop with an acute protein
deficiency. Neither (C or D) are clinical measures of protein malnutrition.
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 - Correct 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 - Correct Answer-Answer: D
2|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
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.
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered. - Correct 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. - Correct Answer-Answer: D
3|Page
, EVOLVE HESI FUNDAMENTALS REAL EXAM TEST BANK
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. - Correct 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.
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 - Correct Answer-Answer: B
4|Page
