2025 Latest Evolve HESI Fundamental Nursing Skills: Expert Exam Prep, Practice Questions & Study Guide

1. The activity would the nurse use as an example of fine motor skills of infants aged 2 to 4
months?
A) Rolling from back to stomach
B) Sitting unsupported
C) Bringing objects from hand to mouth ✅
D) Walking with assistance
Rationale: Fine motor skills involve small muscle movements. At 2 to 4 months, infants begin to
grasp objects and bring them to their mouths. Gross motor skills, such as rolling over or sitting,
develop later.
2. A client with cystic fibrosis asks why the percussion procedure is being performed. The
nurse explains that the primary purpose of percussion is to:
A) Improve oxygen exchange
B) Strengthen respiratory muscles
C) Loosen pulmonary secretions ✅
D) Prevent aspiration
Rationale: Percussion, part of chest physiotherapy, helps mobilize and loosen thick mucus in the
lungs, making it easier for clients with cystic fibrosis to expel secretions.
3. An older adult in an acute care setting is experiencing emotional stress because of a recent
surgery. Which intervention would be most appropriate for the client?
A) Encouraging social isolation
B) Reality orientation ✅
C) Minimizing interaction with caregivers
D) Providing continuous sedation
Rationale: Reality orientation techniques, such as reminding the client of the time, place, and
situation, help reduce confusion and stress in older adults.
4. After abdominal surgery, a client reports pain. What action should the nurse take first?
A) Administer prescribed analgesics immediately
B) Encourage deep breathing and relaxation techniques
C) Determine the characteristics of the pain ✅
D) Place the client in a supine position
Rationale: Assessing pain characteristics (location, intensity, and nature) allows the nurse to
determine appropriate interventions.