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HESI RN FUNDAMENTALS VERSION 4 LATEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
A nurse is working within the managed care delivery model.
Which of the following is true regarding managed care?
a) All systems reflect the values of efficiency and effectiveness.
b) All plans have the same values underlying the delivery of care.
c) There are no conflicts between cost-effectiveness and
respectful care.
d) Their values are not reflected in the decision making. -
ANSWER-All systems reflect the values of efficiency and
effectiveness.
Correct
Explanation:
All systems in the managed care delivery model reflect the
values of efficiency and effectiveness. Different plans may
have different values underlying the delivery of care.
However, they all reflect the business plan values of
efficiency and effectiveness. Their values are reflected in the
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decision making and the policy development of the
organization. Value conflicts between cost-effectiveness and
respectful care may be seen.
Which client is at increased risk for developing a wound infection?
a) A client with a body mass index (BMI) of 27.
b) A client with a hemoglobin of 11.4.
c) A client that does not ambulate on first post-op day.
d) A client with an albumin level of 2.4 g/dl. - ANSWER-A client
with an albumin level of 2.4 g/dl.
Correct
Explanation:
Nutrition plays an important role in wound healing. Because
vitamins and protein are essential for wound healing, a client
with an albumin level less than 3.0 g/dl is considered
malnourished and is at increased risk for developing a
wound infection. Frequent pain medication allows the client
to be more comfortable and does not increase risk of
infection. A client not ambulating on post-op day 1 is at
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greater risk of deep vein thrombosis and pneumonia. A client
who has a BMI of 27 is considered overweight and isn't at
increased risk for developing a wound infection
When changing the dressing on a pressure ulcer, a nurse notes
necrotic tissue on the edges of the wound. Which action should
the nurse anticipate that the physician will order?
a) Irrigation
b) Debridement
c) Incision and drainage
d) Culture - ANSWER-Debridement
Correct
Explanation:
Necrotic tissue prevents wound healing and must be
removed. This is accomplished by debridement. Incision and
drainage, culture, or irrigation won't remove necrotic tissue.
Incision and drainage drain a wound abscess. A wound
culture indentifies organisms growing in the wound and
helps the physician determine appropriate therapy. If the
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wound is infected, the physician may order irrigation —
usually with an antibiotic solution — to treat the infection
and clean the wound
A client asks to be discharged from the health care facility against
medical advice (AMA). What should the nurse do first?
a) Notify the physician.
b) Call a security guard to help detain the client.
c) Have the client sign an AMA form.
d) Prevent the client from leaving. - ANSWER-Notify the
physician.
Correct
Explanation:
If a client requests a discharge AMA, the nurse should notify
the physician immediately. If the physician can't convince the
client to stay, the physician will ask the client to sign an AMA
form, which releases the facility from legal responsibility for
any medical problems the client may experience after
discharge. If the physician isn't available, the nurse should
HESI RN FUNDAMENTALS VERSION 4 LATEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
A nurse is working within the managed care delivery model.
Which of the following is true regarding managed care?
a) All systems reflect the values of efficiency and effectiveness.
b) All plans have the same values underlying the delivery of care.
c) There are no conflicts between cost-effectiveness and
respectful care.
d) Their values are not reflected in the decision making. -
ANSWER-All systems reflect the values of efficiency and
effectiveness.
Correct
Explanation:
All systems in the managed care delivery model reflect the
values of efficiency and effectiveness. Different plans may
have different values underlying the delivery of care.
However, they all reflect the business plan values of
efficiency and effectiveness. Their values are reflected in the
,2|Page
decision making and the policy development of the
organization. Value conflicts between cost-effectiveness and
respectful care may be seen.
Which client is at increased risk for developing a wound infection?
a) A client with a body mass index (BMI) of 27.
b) A client with a hemoglobin of 11.4.
c) A client that does not ambulate on first post-op day.
d) A client with an albumin level of 2.4 g/dl. - ANSWER-A client
with an albumin level of 2.4 g/dl.
Correct
Explanation:
Nutrition plays an important role in wound healing. Because
vitamins and protein are essential for wound healing, a client
with an albumin level less than 3.0 g/dl is considered
malnourished and is at increased risk for developing a
wound infection. Frequent pain medication allows the client
to be more comfortable and does not increase risk of
infection. A client not ambulating on post-op day 1 is at
,3|Page
greater risk of deep vein thrombosis and pneumonia. A client
who has a BMI of 27 is considered overweight and isn't at
increased risk for developing a wound infection
When changing the dressing on a pressure ulcer, a nurse notes
necrotic tissue on the edges of the wound. Which action should
the nurse anticipate that the physician will order?
a) Irrigation
b) Debridement
c) Incision and drainage
d) Culture - ANSWER-Debridement
Correct
Explanation:
Necrotic tissue prevents wound healing and must be
removed. This is accomplished by debridement. Incision and
drainage, culture, or irrigation won't remove necrotic tissue.
Incision and drainage drain a wound abscess. A wound
culture indentifies organisms growing in the wound and
helps the physician determine appropriate therapy. If the
, 4|Page
wound is infected, the physician may order irrigation —
usually with an antibiotic solution — to treat the infection
and clean the wound
A client asks to be discharged from the health care facility against
medical advice (AMA). What should the nurse do first?
a) Notify the physician.
b) Call a security guard to help detain the client.
c) Have the client sign an AMA form.
d) Prevent the client from leaving. - ANSWER-Notify the
physician.
Correct
Explanation:
If a client requests a discharge AMA, the nurse should notify
the physician immediately. If the physician can't convince the
client to stay, the physician will ask the client to sign an AMA
form, which releases the facility from legal responsibility for
any medical problems the client may experience after
discharge. If the physician isn't available, the nurse should
