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HESI FUNDAMENTALS EXIT EXAM LATEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A 24-year old client who has diabetes mellitus accidentally cut
herself while preparing dinner and has sustained a large
laceration on her left wrist. After the laceration is sutured, the
client asks the nurse, "How long will it take for my scars to
disappear?" Which statement is the nurse's best response?
a) "The contraction phase of wound healing can take 2 to 3
years."
b) "With your history and the type and location of your injury, it's
hard to say."
c) "Wound healing is very individual but the scar should fade
within 4 months."
d) "If you don't develop an infection, the wound should heal in 1
to 3 years." - ANSWER-"With your history and the type and
location of your injury, it's hard to say."
Explanation:
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In a client with diabetes, wound healing will be delayed.
Providing a specific time frame could give the client false
information.
The nurse uses Montgomery straps primarily so the client is free
from:
a) skin breakdown.
b) falls.
c) bruises.
d) wandering. - ANSWER-skin breakdown.
Correct
Explanation:
The nurse uses Montgomery straps primarily to avoid the removal
of long-term abdominal dressing tape and ultimate skin
breakdown.
On the first day after surgery, a client has been breathing room
air. Vital signs are normal and O2 saturation is 89%. The nurse
should first:
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a) assist the client to take several deep breaths and cough.
b) notify the health care provider (HCP).
c) lower the head of the bed.
d) administer oxygen by nasal cannula as prescribed at 2L per
minute. - ANSWER-assist the client to take several deep breaths
and cough.
Correct
Explanation:
Deep breathing and coughing help to increase lung
expansion and prevent the accumulation of secretions in
postoperative clients. An O2 saturation of 89% is not an
unexpected or emergent finding immediately following
surgery. Frequent coughing and deep breathing will likely
quickly remedy an O2 saturation of 89% but will also
effectively help to prevent atelectasis and pneumonia in the
remainder of the postoperative period. It is not necessary to
notify the HCP prior to intervening with coughing/deep
breathing, and it is not appropriate to position this client with
the head of bed lower because this would make it more
difficult for the client to expectorate secretions. Oxygen may
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be necessary, but the nurse should assist the client to cough
and deep breath first, in an attempt to improve his
oxygenation and saturation.
The night nurse has completed the change of shift report. As the
day nurse makes rounds on a postpartum client receiving
magnesium sulfate, it is noted the client developed significantly
elevated blood pressure during the past shift. Further assessment
reveals the magnesium sulfate rate is infusing well below the
prescribed rate. In addition to adjusting the infusion rate and
notifying the health care provider (HCP), what is the most
important action by the nurse?
a) Discuss the matter with the night nurse the next time she
works.
b) Complete an incident report.
c) Evaluate the client's BP for 4 hours before making decision.
d) Ask the charge nurse if an incident report is necessary. -
ANSWER-Complete an incident report.
HESI FUNDAMENTALS EXIT EXAM LATEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A 24-year old client who has diabetes mellitus accidentally cut
herself while preparing dinner and has sustained a large
laceration on her left wrist. After the laceration is sutured, the
client asks the nurse, "How long will it take for my scars to
disappear?" Which statement is the nurse's best response?
a) "The contraction phase of wound healing can take 2 to 3
years."
b) "With your history and the type and location of your injury, it's
hard to say."
c) "Wound healing is very individual but the scar should fade
within 4 months."
d) "If you don't develop an infection, the wound should heal in 1
to 3 years." - ANSWER-"With your history and the type and
location of your injury, it's hard to say."
Explanation:
,2|Page
In a client with diabetes, wound healing will be delayed.
Providing a specific time frame could give the client false
information.
The nurse uses Montgomery straps primarily so the client is free
from:
a) skin breakdown.
b) falls.
c) bruises.
d) wandering. - ANSWER-skin breakdown.
Correct
Explanation:
The nurse uses Montgomery straps primarily to avoid the removal
of long-term abdominal dressing tape and ultimate skin
breakdown.
On the first day after surgery, a client has been breathing room
air. Vital signs are normal and O2 saturation is 89%. The nurse
should first:
,3|Page
a) assist the client to take several deep breaths and cough.
b) notify the health care provider (HCP).
c) lower the head of the bed.
d) administer oxygen by nasal cannula as prescribed at 2L per
minute. - ANSWER-assist the client to take several deep breaths
and cough.
Correct
Explanation:
Deep breathing and coughing help to increase lung
expansion and prevent the accumulation of secretions in
postoperative clients. An O2 saturation of 89% is not an
unexpected or emergent finding immediately following
surgery. Frequent coughing and deep breathing will likely
quickly remedy an O2 saturation of 89% but will also
effectively help to prevent atelectasis and pneumonia in the
remainder of the postoperative period. It is not necessary to
notify the HCP prior to intervening with coughing/deep
breathing, and it is not appropriate to position this client with
the head of bed lower because this would make it more
difficult for the client to expectorate secretions. Oxygen may
, 4|Page
be necessary, but the nurse should assist the client to cough
and deep breath first, in an attempt to improve his
oxygenation and saturation.
The night nurse has completed the change of shift report. As the
day nurse makes rounds on a postpartum client receiving
magnesium sulfate, it is noted the client developed significantly
elevated blood pressure during the past shift. Further assessment
reveals the magnesium sulfate rate is infusing well below the
prescribed rate. In addition to adjusting the infusion rate and
notifying the health care provider (HCP), what is the most
important action by the nurse?
a) Discuss the matter with the night nurse the next time she
works.
b) Complete an incident report.
c) Evaluate the client's BP for 4 hours before making decision.
d) Ask the charge nurse if an incident report is necessary. -
ANSWER-Complete an incident report.
