EVOLVE HESI FUNDAMENTALS EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED
RATIONALES|ALREADY GRADED A+||BRAND NEW VERSION!!
A male client with acquired immunodeficiency syndrome (AIDS) develops
cryptococcal meningitis and tells the nurse he does not want to be resuscitated if
his breathing stops. Which action should the nurse implement?
A) Document the client's request in the medical record.
B) Ask the client if this decision has been discussed with his healthcare provider.
C) Inform the client that a written, notarized advance directive, is required to
withhold resuscitation efforts.
D) Advise the client to designate a person to make healthcare decisions when the
client is unable to do so.
B) Ask the client if this decision has been discussed with his healthcare provider.
Rationale
Advance directives are written statements of a person's wishes regarding medical
care, and verbal directives may be given to a healthcare provider with specific
instructions in the presence of two witnesses. To obtain this prescription, the client
should discuss his choice with the healthcare provider.
Before administering a client's medication, the nurse assesses a change in the
client's condition and decides to withhold the medication until consulting with the
healthcare provider. After consultation with the healthcare provider, the dose of
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the medication is changed and the nurse administers the newly prescribed dose
an hour later than the originally scheduled time. Which action should the nurse
implement in response to this situation?
A) Notify the charge nurse that a medication error occurred.
B) Submit a medication variance report to the supervisor.
C) Document the events that occurred in the nurses' notes.
D) Discard the original medication administration record.
C) Document the events that occurred in the nurses' notes.
Rationale
The nurse took the correct action and should document the events that occurred in
the nurses' notes.
A client has a nursing problem of, "Spiritual distress related to a loss of hope,
secondary to impending death." Which intervention is best for the nurse to
implement when caring for this client?
A) Help the client to accept the final stage of life.
B) Assist and support the client in establishing short-term goals.
C) Encourage the client to make future plans, even if they are unrealistic.
D) Instruct the client's family to focus on positive aspects of the client's life.
B) Assist and support the client in establishing short-term goals.
Rationale
Hopefulness is necessary to sustain a meaningful existence, even close to death.
The nurse should help the client set short-term goals, and recognize the
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achievement of immediate goals, such as seeing a family member or listening to
music.
The nurse is preparing a male client who has an indwelling catheter and an IV
infusion to ambulate from the bed to a chair for the first time following abdominal
surgery. Which action(s) should the nurse implement prior to assisting the client
to the chair? (Select all that apply.)Select all that apply
A) Premedicate the client with an analgesic.
B) Inform the client of the plan for moving to the chair.
C) Obtain and place a portable commode by the bed.
D) Ask the client to push the IV pole to the chair.
E) Clamp the indwelling catheter.
F) Assess the client's blood pressure.
A,B,D,F
Rationale
Premedicating the client with an analgesic reduces the client's pain during
mobilization and maximizes compliance. To ensure the client's cooperation and
promote independence, the nurse should inform the client about the plan for
moving to the chair and encourage the client to participate by pushing the IV pole
when walking to the chair. The nurse should assess the client's blood pressure prior
to mobilization, which can cause orthostatic hypotension.
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A 73-year-old Hispanic client is seen at the community health clinic with a history
of protein malnutrition. Which information should the nurse obtain first?
A) Amount of liquid protein supplements consumed daily.
B) Foods and liquids consumed during the past 24 hours.
C) Usual weekly intake of milk products and red meats.
D)Grains and legume combinations used by the client.
B) Foods and liquids consumed during the past 24 hours.
Rationale
A client's dietary habits should be determined first by the client's dietary recall
before suggesting protein sources or supplements as options in the client's diet.
The client's cultural preferences should be elicited after confirming the client's
dietary history.
In evaluating client care, which action should the nurse take first?
A) Determine if the expected outcomes of care were achieved.
B) Review the rationales used as the basis of nursing actions.
C) Document the care plan goals that were successfully met.
D) Prioritize interventions to be added to the client's plan of care.
A) Determine if the expected outcomes of care were achieved.
Rationale
In evaluating care, the nurse should first determine if the expected outcomes of
the plan of care were achieved.
Which nursing intervention is most beneficial in reducing the risk of urosepsis in a
hospitalized client with an indwelling urinary catheter?
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