EVOLVE FUNDAMENTALS HESI EXAM
LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS 2025
(VERIFIED ANSWERS) | A+ GRADE
STUDYGUIDE
An elderly client who requires frequent monitoring fell and
fractured a hip. Which nurse is at greatest risk for a
malpractice judgment?
A. A nurse who worked the 7 to 3 shift at the hospital and
wrote poor nursing notes.
B. The nurse assigned to care for the client who was at
lunch at the time of the fall.
C. The nurse who transferred the client to the chair when
the fall occurred.
D. The charge nurse who completed rounds 30 minutes
before the fall occurred. Correct Answer The four
elements of malpractice are: breach of duty owed,
failure to adhere to the recognized standard of care,
direct causation of injury, and evidence of actual
injury. The hip fracture is the actual injury and the
standard of care was "frequent monitoring." (C)
implies that duty was owed and the injury occurred
while the nurse was in charge of the client's care.
There is no evidence of negligence in (A, B, and D).
Correct Answer: C
,A postoperative client will need to perform daily dressing
changes after discharge. Which outcome statement best
demonstrates the client's readiness to manage his wound
care after discharge? The client
A. asks relevant questions regarding the dressing change.
B. states he will be able to complete the wound care
regimen.
C. demonstrates the wound care procedure correctly.
D. has all the necessary supplies for wound care. Correct
Answer A return demonstration of a procedure (C)
provides an objective assessment of the client's
ability to perform a task, while (A and B) are
subjective measures. (D) is important, but is less of a
priority prior to discharge than the nurse's
assessment of the client's ability to complete the
wound care.
Correct Answer: C
When evaluating a client's plan of care, the nurse
determines that a desired outcome was not achieved.
Which action will the nurse implement first?
A. Establish a new nursing diagnosis.
B. Note which actions were not implemented.
C. Add additional nursing orders to the plan.
D. Collaborate with the healthcare provider to make
changes. Correct Answer First, the nurse reviews which
actions in the original plan were not implemented (B)
,in order to determine why the original plan did not
produce the desired outcome. Appropriate revisions
can then be made, which may include revising the
expected outcome, or identifying a new nursing
diagnosis (A). (C) may be needed if the nursing
actions were unsuccessful, or were unable to be
implemented. (D) other members of the healthcare
team may be necessary to collaborate changes once
the nurse determines why the original plan did not
produce the desired outcome.
Correct Answer: B
The healthcare provider prescribes 1,000 ml of Ringer's
Lactate with 30 Units of Pitocin to run in over 4 hours for a
client who has just delivered a 10 pound infant by
cesarean section. The tubing has been changed to a 20
gtt/ml administration set. The nurse plans to set the flow
rate at how many gtt/min?
A. 42 gtt/min.
B. 83 gtt/min.
C. 125 gtt/min.
D. 250 gtt/min. Correct Answer gtt/min = 20gtts/ml X
1000 ml/4hrs X 1 hr/60 min
Correct Answer: B
Which assessment data would provide the most accurate
determination of proper placement of a nasogastric tube?
, A. Aspirating gastric contents to assure a pH value of 4 or
less.
B. Hearing air pass in the stomach after injecting air into
the tubing.
C. Examining a chest x-ray obtained after the tubing was
inserted.
D. Checking the remaining length of tubing to ensure that
the correct length was inserted. Correct Answer Both (A
and B) are methods used to determine proper
placement of the NG tubing. However, the best
indicator that the tubing is properly placed is (C). (D)
is not an indicator of proper placement.
Correct Answer: C
The nurse is caring for a client who is receiving 24-hour
total parenteral nutrition (TPN) via a central line at 54
ml/hr. When initially assessing the client, the nurse notes
that the TPN solution has run out and the next TPN
solution is not available. What immediate action should the
nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10 percent dextrose and water at 54 ml/hr.
D. Obtain a stat blood glucose level and notify the
healthcare provider. Correct Answer TPN is discontinued
gradually to allow the client to adjust to decreased
levels of glucose. Administering 10% dextrose in
water at the prescribed rate (C) will keep the client
from experiencing hypoglycemia until the next TPN
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