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HESI RN FUNDAMENTALS VERSION 4 NEWEST 2024-
2025 ACTUAL EXAM COMPLETE ALL 340 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A client has a wound with a drain. When performing wound
cleansing around the drain, the nurse should cleanse in which
direction?
a) Laterally, from one side of the wound to the opposite side
b) Laterally, from the distal area to the center
c) From the superior portion of the wound to the inferior
d) In a widening circle around the drain, outward from the
center - ANSWER- In a widening circle around the drain,
outward from the center
Correct
Explanation:
When cleaning the area around the drain, the nurse should
wipe in a circle around the drain, working from the center
outward. The nurse wipes laterally, from the center to the
opposite side, when cleaning a large horizontal wound and
wipes from the superior portion of the wound to the inferior
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when cleaning a vertical incision. Cleaning the wound
laterally from the distal area to the center increases the
client's risk for infection
Nurses' observance of professional rituals helps standardize
practice and ensure efficiency. Which of the following is a
characteristic of rituals?
a) Preconceived and untested beliefs about people.
b) Viewing one's own culture as the only correct standard.
c) Common and observable expressions of culture.
d) Belief system held to varying degrees as absolute truth. -
ANSWER- Common and observable expressions of culture.
Correct
Explanation:
Rituals are common and observable expressions of culture.
A preconceived and untested belief about people is called a
stereotype. Viewing one's own culture as the only correct
standard is ethnocentrism. A belief system held to varying
degrees as absolute truth is referred to as culture.
A client reports for a preoperative appointment in preparation
for surgery that will change his body from female to male. The
client has expressed to the nurse and physician that she should
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have been born a man. What identity is the client
demonstrating?
a) Transsexual.
b) Bisexual.
c) Transvestite.
d) Homosexual. - ANSWER- Transsexual.
Explanation:
A transsexual is a person of a certain biologic gender who
has the feelings of the opposite sex and of being trapped
within the body of the wrong sex. For many transsexuals, the
solution is to change their bodies. A homosexual experiences
sexual fulfillment with a person of the same gender. A
bisexual finds pleasure with both opposite-sex and same-sex
partners. A transvestite desires to take on the role or wear
the clothes of the opposite sex.
When caring for a client with a 3-cm stage I pressure ulcer on
the coccyx, which action may the nurse institute independently?
a) Applying an antibiotic cream to the area three times per day
b) Massaging the area with an astringent every 2 hours
c) Using a povidone-iodine wash on the ulceration three times
per day
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d) Using normal saline solution to clean the ulcer and applying
a protective dressing as necessary - ANSWER- Using normal
saline solution to clean the ulcer and applying a protective
dressing as necessary
Correct
Explanation:
The nurse may wash the area with normal saline solution
and apply a protective dressing. These interventions will
protect the area and are within the nurse's scope of practice.
A nurse must obtain a physician's order to use a povidone-
iodine wash or an antibiotic cream. Massaging with an
astringent can further damage the skin
Which is the correct technique when the nurse is applying an
elastic bandage to a leg?
a) Increase tension with each successive turn of the bandage.
b) Secure the bandage with clips over the area of the inner
thigh.
c) Overlap each layer twice when wrapping.
d) Start at the distal end of the extremity and move toward the
trunk. - ANSWER- Start at the distal end of the extremity and
move toward the trunk.
Correct
HESI RN FUNDAMENTALS VERSION 4 NEWEST 2024-
2025 ACTUAL EXAM COMPLETE ALL 340 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A client has a wound with a drain. When performing wound
cleansing around the drain, the nurse should cleanse in which
direction?
a) Laterally, from one side of the wound to the opposite side
b) Laterally, from the distal area to the center
c) From the superior portion of the wound to the inferior
d) In a widening circle around the drain, outward from the
center - ANSWER- In a widening circle around the drain,
outward from the center
Correct
Explanation:
When cleaning the area around the drain, the nurse should
wipe in a circle around the drain, working from the center
outward. The nurse wipes laterally, from the center to the
opposite side, when cleaning a large horizontal wound and
wipes from the superior portion of the wound to the inferior
,2|Page
when cleaning a vertical incision. Cleaning the wound
laterally from the distal area to the center increases the
client's risk for infection
Nurses' observance of professional rituals helps standardize
practice and ensure efficiency. Which of the following is a
characteristic of rituals?
a) Preconceived and untested beliefs about people.
b) Viewing one's own culture as the only correct standard.
c) Common and observable expressions of culture.
d) Belief system held to varying degrees as absolute truth. -
ANSWER- Common and observable expressions of culture.
Correct
Explanation:
Rituals are common and observable expressions of culture.
A preconceived and untested belief about people is called a
stereotype. Viewing one's own culture as the only correct
standard is ethnocentrism. A belief system held to varying
degrees as absolute truth is referred to as culture.
A client reports for a preoperative appointment in preparation
for surgery that will change his body from female to male. The
client has expressed to the nurse and physician that she should
,3|Page
have been born a man. What identity is the client
demonstrating?
a) Transsexual.
b) Bisexual.
c) Transvestite.
d) Homosexual. - ANSWER- Transsexual.
Explanation:
A transsexual is a person of a certain biologic gender who
has the feelings of the opposite sex and of being trapped
within the body of the wrong sex. For many transsexuals, the
solution is to change their bodies. A homosexual experiences
sexual fulfillment with a person of the same gender. A
bisexual finds pleasure with both opposite-sex and same-sex
partners. A transvestite desires to take on the role or wear
the clothes of the opposite sex.
When caring for a client with a 3-cm stage I pressure ulcer on
the coccyx, which action may the nurse institute independently?
a) Applying an antibiotic cream to the area three times per day
b) Massaging the area with an astringent every 2 hours
c) Using a povidone-iodine wash on the ulceration three times
per day
, 4|Page
d) Using normal saline solution to clean the ulcer and applying
a protective dressing as necessary - ANSWER- Using normal
saline solution to clean the ulcer and applying a protective
dressing as necessary
Correct
Explanation:
The nurse may wash the area with normal saline solution
and apply a protective dressing. These interventions will
protect the area and are within the nurse's scope of practice.
A nurse must obtain a physician's order to use a povidone-
iodine wash or an antibiotic cream. Massaging with an
astringent can further damage the skin
Which is the correct technique when the nurse is applying an
elastic bandage to a leg?
a) Increase tension with each successive turn of the bandage.
b) Secure the bandage with clips over the area of the inner
thigh.
c) Overlap each layer twice when wrapping.
d) Start at the distal end of the extremity and move toward the
trunk. - ANSWER- Start at the distal end of the extremity and
move toward the trunk.
Correct
