Evolve HESI Fundamentals LATEST 2025 Practice Questions: Comprehensive Review, Expert Answers, and Test Taking Strategies for Success

• Comprehensive review for HESI Fundamentals 2025
• Practice questions with expert answers
• Proven test-taking strategies for nursing students
• Focuses on foundational nursing concepts
• Ensures confidence and success in the HESI exam

Preview

Ten minutes after signing an operative permit for a fractured hip, an older client states, “The
aliens will be coming to get me soon!” and falls asleep. Which action should the nurse
implement next?
A. Make the client comfortable and allow the client to sleep.
B. Assess the client’s neurologic status.
C. Notify the surgeon about the comment.
D. Ask the client’s family to co-sign the operative permit. – – correct ans- -Answer: B
This statement may indicate that the client is confused. Informed consent must be provided by a
mentally competent individual, so the nurse should further assess the client’s neurologic status
(B) to be sure that the client understands and can legally provide consent for surgery. (A) does
not provide sufficient follow-up. If the nurse determines that the client is confused, the surgeon
must be notified (C) and permission obtained from the next of kin (D).
The nurse-manager of a skilled nursing (chronic care) unit is instructing UAPs on ways to
prevent complications of immobility. Which intervention should be included in this instruction?
A. Perform range-of-motion exercises to prevent contractures.
B. Decrease the client’s fluid intake to prevent diarrhea.
C. Massage the client’s legs to reduce embolism occurrence.
D. Turn the client from side to back every shift. – – correct ans- -Answer: A
Performing range-of-motion exercises (A) is beneficial in reducing contractures around joints. (B,
C, and D) are all potentially harmful practices that place the immobile client at risk of
complications.
Urinary catheterization is prescribed for a postoperative female client who has been unable to
void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which action
will the nurse take next?
A. Clamp the catheter and recheck it in 60 minutes.
B. Pull the catheter back 3 inches and redirect upward.
C. Leave the catheter in place and reattempt with another catheter.
D. Notify the health care provider of a possible obstruction. – – correct ans- -Answer: C
It is likely that the first catheter is in the vagina, rather than the bladder. Leaving the first
catheter in place will help locate the meatus when attempting the second catheterization (C).
The client should have at least 240 mL of urine after 8 hours. (A) does not resolve the problem.
(B) will not change the location of the catheter unless it is completely removed, in which case a
new catheter must be used. There is no evidence of a urinary tract obstruction if the catheter
could be easily inserted (D).