1|Page
EVOLVE HESI FUNDAMENTALS EXAM NEWEST 2025/
2026 ACTUAL EXAM COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!!
43.The nurse is digitally removing a fecal impaction for a
client. The nurse should stop the procedure and take
corrective action if which client reaction is noted?
A. Temperature increases from 98.8° to 99.0° F.
B. Pulse rate decreases from 78 to 52 beats/min.
C. Respiratory rate increases from 16 to 24 breaths/min.
D. Blood pressure increases from 110/84 to 118/88
mm/Hg. - ANSWER-Parasympathetic reaction can occur
as a result of digital stimulation of the anal sphincter,
which should be stopped if the client experiences a vagal
response, such as bradycardia (B). (A, C, and D) do not
warrant stopping the procedure.
Correct Answer: B
44.A client is admitted with a stage four pressure ulcer that
has a black, hardened surface and a light-pink wound bed
with a malodorous green drainage. Which dressing is best
for the nurse to use first?
A. Hydrogel.
B. Exudate absorber.
,2|Page
C. Wet to moist dressing.
D. Transparent adhesive film. - ANSWER-To provide
moisture and loosen the necrotic tissue, the eschar should
be covered first with wet to moist dressings (C), which are
discontinued and then a hydrogel alginate can be placed
in the prepared wound bed to prevent further damage of
granulating any surrounding tissue. Although a hydrogel
(A) liquefies necrotic tissue of slough and rehydrates the
wound bed, it does not address wicking the purulent
drainage from the wound. Exudate absorbers (B) provide
a moist wound surface, absorb exudate, and support
debridement, but do not prepare the wound bed for proper
healing. Transparent dressings (D) are used to protect
against contamination and friction while maintaining a
clean moist surface.
Correct Answer: C
45.A 35-year-old female client with cancer refuses to allow
the nurse to insert an IV for a scheduled chemotherapy
treatment, and states that she is ready to go home to die.
What intervention should the nurse initiate?
A. Review the client's medical record for an advance
directive.
B. Determine if a do-not-resuscitate prescription has been
obtained.
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C. Document that the client is being discharged against
medical advice.
D. Evaluate the client's mental status for competence to
refuse treatment. - ANSWER-Competent clients have the
right to refuse treatment, so the nurse should first ensure
that the client is competent (D). (A and C) are not
necessary for a competent client to refuse treatment. The
nurse cannot document (C) until the healthcare provider is
notified of the client's wishes and a discharge prescription
is obtained.
Correct Answer: D
46.A client with chronic renal disease is admitted to the
hospital for evaluation prior to a surgical procedure. Which
laboratory test indicates the client's protein status for the
longest length of time?
A. Transferrin.
B. Prealbumin.
C. Serum albumin.
D. Urine urea nitrogen. - ANSWER-Serum albumin has a
long half-life and is the best long-term indicator of the
body's entry into a catabolic state following protein
depletion from malnutrition or stress of chronic illness (C).
While (A) is a good indicator of iron-binding capacity in a
healthy adult, it is an unreliable measure in the client with
, 4|Page
a chronic illness. (B) has a short half-life, and is a sensitive
indicator of recent catabolic changes, but it is not as
effective as (C) in indicating long-term protein depletion.
While (D) is a good indicator of a negative nitrogen
balance, it is not as good an indicator of long-term protein
catabolism as is (C).
Correct Answer: C
47.What client statement indicates to the nurse that the
client requires assistance with bathing?
A. I wasn't able to pack a bag before I left for the hospital.
B. I don't understand why I'm so weak and tired.
C. I only bathe every other day.
D. I left my eyeglasses at home. - ANSWER-Bathing often
makes a client feel weak, and if a client is already feeling
weak (B), assistance is required during the bathing
process to ensure the client's safety. (A and C) do not
pose safety issues. Although (D) may pose a safety issue,
further assessment is needed to determine if this in fact
poses a safety issue for the client.
Correct Answer: B
48.How should the nurse handle linens that are soiled with
incontinent feces?
EVOLVE HESI FUNDAMENTALS EXAM NEWEST 2025/
2026 ACTUAL EXAM COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!!
43.The nurse is digitally removing a fecal impaction for a
client. The nurse should stop the procedure and take
corrective action if which client reaction is noted?
A. Temperature increases from 98.8° to 99.0° F.
B. Pulse rate decreases from 78 to 52 beats/min.
C. Respiratory rate increases from 16 to 24 breaths/min.
D. Blood pressure increases from 110/84 to 118/88
mm/Hg. - ANSWER-Parasympathetic reaction can occur
as a result of digital stimulation of the anal sphincter,
which should be stopped if the client experiences a vagal
response, such as bradycardia (B). (A, C, and D) do not
warrant stopping the procedure.
Correct Answer: B
44.A client is admitted with a stage four pressure ulcer that
has a black, hardened surface and a light-pink wound bed
with a malodorous green drainage. Which dressing is best
for the nurse to use first?
A. Hydrogel.
B. Exudate absorber.
,2|Page
C. Wet to moist dressing.
D. Transparent adhesive film. - ANSWER-To provide
moisture and loosen the necrotic tissue, the eschar should
be covered first with wet to moist dressings (C), which are
discontinued and then a hydrogel alginate can be placed
in the prepared wound bed to prevent further damage of
granulating any surrounding tissue. Although a hydrogel
(A) liquefies necrotic tissue of slough and rehydrates the
wound bed, it does not address wicking the purulent
drainage from the wound. Exudate absorbers (B) provide
a moist wound surface, absorb exudate, and support
debridement, but do not prepare the wound bed for proper
healing. Transparent dressings (D) are used to protect
against contamination and friction while maintaining a
clean moist surface.
Correct Answer: C
45.A 35-year-old female client with cancer refuses to allow
the nurse to insert an IV for a scheduled chemotherapy
treatment, and states that she is ready to go home to die.
What intervention should the nurse initiate?
A. Review the client's medical record for an advance
directive.
B. Determine if a do-not-resuscitate prescription has been
obtained.
,3|Page
C. Document that the client is being discharged against
medical advice.
D. Evaluate the client's mental status for competence to
refuse treatment. - ANSWER-Competent clients have the
right to refuse treatment, so the nurse should first ensure
that the client is competent (D). (A and C) are not
necessary for a competent client to refuse treatment. The
nurse cannot document (C) until the healthcare provider is
notified of the client's wishes and a discharge prescription
is obtained.
Correct Answer: D
46.A client with chronic renal disease is admitted to the
hospital for evaluation prior to a surgical procedure. Which
laboratory test indicates the client's protein status for the
longest length of time?
A. Transferrin.
B. Prealbumin.
C. Serum albumin.
D. Urine urea nitrogen. - ANSWER-Serum albumin has a
long half-life and is the best long-term indicator of the
body's entry into a catabolic state following protein
depletion from malnutrition or stress of chronic illness (C).
While (A) is a good indicator of iron-binding capacity in a
healthy adult, it is an unreliable measure in the client with
, 4|Page
a chronic illness. (B) has a short half-life, and is a sensitive
indicator of recent catabolic changes, but it is not as
effective as (C) in indicating long-term protein depletion.
While (D) is a good indicator of a negative nitrogen
balance, it is not as good an indicator of long-term protein
catabolism as is (C).
Correct Answer: C
47.What client statement indicates to the nurse that the
client requires assistance with bathing?
A. I wasn't able to pack a bag before I left for the hospital.
B. I don't understand why I'm so weak and tired.
C. I only bathe every other day.
D. I left my eyeglasses at home. - ANSWER-Bathing often
makes a client feel weak, and if a client is already feeling
weak (B), assistance is required during the bathing
process to ensure the client's safety. (A and C) do not
pose safety issues. Although (D) may pose a safety issue,
further assessment is needed to determine if this in fact
poses a safety issue for the client.
Correct Answer: B
48.How should the nurse handle linens that are soiled with
incontinent feces?
