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EXAM ELABORATIONS Sep 3, 2025
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HESI Fundamentals Practice Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

What is the appropriate action when a client’s urinary catheter is accidentally removed with the balloon inflated?✔✔Assess the client for bleeding and notify the provider.

What is the first step when a fire alarm sounds on the unit?✔✔Rescue clients in immediate danger.

What is the proper technique for measuring liquid medication in a cup?✔✔Read the measurement at eye level at the bottom of the meniscus.

What is the correct position for a client receiving an enema?✔✔Left side with right knee flexed (Sims’ position).

What is the best method to prevent aspiration during oral feeding?✔✔Have the client sit upright at 90 degrees. 1 / 4

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What is the safest way to dispose of a used syringe?✔✔Place it directly into a sharps container without recapping.

What should be done if a client refuses medication?✔✔Document the refusal and notify the provider.

What is the best way to ensure accurate blood pressure measurement?✔✔Use the correct cuff size for the client’s arm.

What is the correct technique for performing wound irrigation?✔✔Hold the syringe 1 inch above the wound and flush gently from top to bottom.

What is the proper location to assess skin turgor in an elderly client?✔✔Over the sternum or forehead.

What is the safest way to prevent cross-contamination when changing a wound dressing? 2 / 4

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✔✔Remove gloves after removing the soiled dressing and apply new gloves before applying a clean dressing.

What is the most important nursing action when transferring a client from bed to wheelchair?✔✔Lock the wheels of both bed and wheelchair.

What should be done when applying antiembolic stockings?✔✔Measure the client’s legs for correct sizing.

What is the first action when a client is found lying on the floor?✔✔Assess the client for injury.

What is the most accurate way to measure a liquid dose for a pediatric client?✔✔Use an oral syringe.

What is the first action a nurse should take before administering a new medication to a client?✔✔Verify the provider’s order with the medication administration record.

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When performing hand hygiene, what is the minimum time hands should be washed with soap and water?✔✔At least 20 seconds.

What is the safest position for an unconscious client to prevent aspiration?✔✔Side-lying position.

What is the most accurate method for measuring a client’s core temperature?✔✔Rectal thermometer.

What should a nurse do immediately after a needlestick injury?✔✔Wash the area with soap and water and report the incident.

What is the recommended angle for inserting a needle for a subcutaneous injection?✔✔45 to 90 degrees.

What is the primary purpose of using a gait belt during ambulation?✔✔To provide safety and support while walking.

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Category: EXAM ELABORATIONS
Added: Sep 3, 2025
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HESI Fundamentals Practice Exam Questions and Answers | Latest Version | | Correct & Verified What is the appropriate action when a client’s urinary catheter is accidentally removed with the ball...

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