ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (100% CORRECT ANSWERS) WITH
RATIONALES/ EVOLVE HESI FUNDAMENTALS
EXAM 2026-2027 (NEWEST!)
When caring for an immobile client, what nursing diagnosis has the
highest priority?
A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity
B. impaired gas exchange
,The nurse assess an immobile, elderly male client and determines
that his blood pressure is 138/60, his temperature is 95.8F, and his
output is 100 mL of concentrated urine during the last hour. He
has wet-sounding lung sounds, and increased respiratory
secretions. Based on these assessment findings, what nursing
action is the most important for the nurse to
implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription
C. turn the patient Q2
The home health nurse visits an elderly female client who had a brain
attack three months ago and is now able to ambulate with the
assistance of a quad cane. Which assessment finding has the
greatest implications for this client's case?
A. The client's pulse rate is 10 beats higher than it was at the last visit
one week ago
B. the client tells the nurse that she does not have much of an
appetite today
C. the husband, who is the caregiver, begins to weep when you ask
how he is doing
D. the nurse notes that there are numerous scatter rubs throughout
the house
D. the nurse notes that there are numerous scatter rubs throughout
the house
, The nurse removes the dressing on a client's heel that is covering a
pressure sore one-inch in diameter and finds that there is straw-
colored drainage
seeping from the wound. What description of this finding should the
nurse include in the client's record?
A. stage 1 pressure sore draining sero-anguineous drainage
B. one-inch pressure sore draining serous fluid
C. pressure sore draining serous fluid
D. pressure sore on heel with a small amount of purulent drainage
B. one-inch pressure sore draining serous fluid
A medication is prescribed to be given QID. What schedule
should the nurse use to administer this prescription?
A. 800
B. 0800, 1200, 1600, 2000
C. every other day at 0800
D. 0800, 1200, 1600, 2000, 0000, 0400
B. 0800, 1200, 1600, 2000