PN Fundamentals of Nursing Evolve HESI
PN Fundamentals of Nursing Evolve HESI Real
Exams 4 Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
a Review of 300+ Latest Correctly Answered
Questions (New!)
Which technique should the practical nurse implement when providing care to a pediatric client?
A. Weigh the mother and infant together then subtract the mother's weight.
B. Tell a 5-year-old child to blow bubbles during an invasive painful procedure.
C. Pinch the child's nose shut to encourage child to swallow oral medications.
D. Administer intramuscular injections in the vastus lateralis for a 9-month-old. –
Correct Answer :D. Administer intramuscular injections in the vastus lateralis for a 9-month-old.
P a g e 1 | 204
,PN Fundamentals of Nursing Evolve HESI
Rationale: The vastus lateralis site should be used for an infant (D) until other intramuscular sites
develop, which occurs as the child learns to walk. (A) does not provide the most accurate data. (B) is a
distraction technique, which may not be effective during invasive painful procedures. (C) places the
child at risk for aspiration and is not an acceptable approach.
A client who is pregnant arrives at an urgent care clinic and complains of feeling very uncomfortable.
The client states she feels a strong urge to have a bowel movement. Which action is most important
for the practical nurse (PN) to implement?
A. Place the client in a room with a precipitous delivery tray.
B. Collect a urine specimen using a clean catch container.
C. Ask the client if she knows her expected date of delivery.
D. Inspect the perineum for the presence of a bloody show. –
Correct Answer :A. Place the client in a room with a precipitous delivery tray.
Rationale: The client is manifesting signs of an imminent delivery, which includes regular contractions
that are very uncomfortable, a strong urge to defecate, and pushing, so she should be immediately
placed in the room with a precipitous delivery tray (A) to ensure a safe, sterile environment for
delivery. (B, C, and D) can be implemented after the client is prepared for possible precipitous delivery.
A male client who receives albuterol (Ventolin) nebulizing treatment PRN is asking the practical nurse
(PN) for his breathing treatment. Which assessment should the PN implement before administering
the PRN prescription?
A. Incentive spirometer level.
B. Breath sounds.
C. Respiratory rate.
D. Accessory respiratory muscles effort. –
Correct Answer :B. Breath sounds.
Rationale: Albuterol (Ventolin), a bronchodilator, is indicated for wheezing caused by narrowing of the
air passages, so the client's breath sounds (B) should be auscultated to determine if the albuterol
P a g e 2 | 204
,PN Fundamentals of Nursing Evolve HESI
breathing treatment is indicated. Incentive spirometer (A) is an inspiratory exercise used to inflate
alveoli and prevent atelectasis, not treat reactive airway disease. (C and D) do not provide accurate
information about bronchial airway patency
A client who had a total knee arthroplasty (TKA) three days ago is being transferred to the
rehabilitation center. The healthcare provider prescribes activity as tolerated. Which action should the
practical nurse (PN) take?
A. Ask someone to follow the client with a wheelchair.
B. Obtain clarification of prescription about weight bearing.
C. Inquire about routine physical therapy progression.
D. Ask the client what he did yesterday for activity. –
Correct Answer :B. Obtain clarification of prescription about weight bearing.
Rationale: The healthcare provider should indicate the amount of weight bearing the client should
safely be able to tolerate after TKA, so the PN should clarify the prescription (B). (A) is a safety
measure to prevent falls while the client begins mobilization. (C) may be helpful but does not provide
individualized care for the client. (D) provides a comparison for the client's progression with activity as
tolerated
The practical nurse (PN) administered furosemide (Lasix) 60 mg PO instead of the client's prescribed
dose of 20 mg. What action is most important for the PN to implement?
A. Complete an adverse occurrence report.
B. Record dose on the medication administration record.
C. Reinforce with the client about the side effects of Lasix.
D. Take client's blood pressure in an hour. –
Correct Answer :D. Take client's blood pressure in an hour.
P a g e 3 | 204
, PN Fundamentals of Nursing Evolve HESI
Rationale: The onset of oral dosing of Lasix is 30-60 minutes, peaking 60-70 minutes after
administration. Blood pressures should be monitored in an hour (D) to identify signs of hypovolemia
during periods of diuresis. (A) is not indicated unless the client experiences a severe adverse response.
Documentation (B) is implemented after drug administration. Although the client should be aware of
side effects (C), the priority is assessment for adverse effects during the peak action of oral Lasix.
A client with "fever of undetermined origin" awakens with right periorbital swelling. Which action
should the practical nurse take first?
A. Apply warm moist compress to the right eye.
B. Check for conjunctival erythemia and drainage.
C. Determine if the client has nasal congestion.
D. Ask the client about history of drug reactions. –
Correct Answer :B. Check for conjunctival erythemia and drainage.
Rationale: Unilateral periorbital swelling is most likely a local infection, so the PN should assess the
client for additional findings of eye infection, such as conjunctival erythemia and drainage (B) from the
eye. The findings should be reported to the charge nurse for additional actions before (A) is
implemented. Although (C and D) may provide additional information related to the client's swollen
eye, a focused assessment of the eye should be completed first
Which medication side effects should the practical nurse tell the client to report to the healthcare
provider?
A. Constipation occurs when taking hydrocodone/acetaminophen (Vicodin).
B. Multiple diarrhea stools begins after starting Clindamycin (Cleocin).
C. A weight loss of more than 5 pounds is identified with exenatide (Byetta).
D. A headache occurs after taking the morning dose of nitroglycerin (Nitro-Dur). –
Correct Answer :B. Multiple diarrhea stools begins after starting Clindamycin (Cleocin).
P a g e 4 | 204
PN Fundamentals of Nursing Evolve HESI Real
Exams 4 Questions Review Latest | Evolve LPN
HESI Fundamentals Best Exam Prep Test Bank-
a Review of 300+ Latest Correctly Answered
Questions (New!)
Which technique should the practical nurse implement when providing care to a pediatric client?
A. Weigh the mother and infant together then subtract the mother's weight.
B. Tell a 5-year-old child to blow bubbles during an invasive painful procedure.
C. Pinch the child's nose shut to encourage child to swallow oral medications.
D. Administer intramuscular injections in the vastus lateralis for a 9-month-old. –
Correct Answer :D. Administer intramuscular injections in the vastus lateralis for a 9-month-old.
P a g e 1 | 204
,PN Fundamentals of Nursing Evolve HESI
Rationale: The vastus lateralis site should be used for an infant (D) until other intramuscular sites
develop, which occurs as the child learns to walk. (A) does not provide the most accurate data. (B) is a
distraction technique, which may not be effective during invasive painful procedures. (C) places the
child at risk for aspiration and is not an acceptable approach.
A client who is pregnant arrives at an urgent care clinic and complains of feeling very uncomfortable.
The client states she feels a strong urge to have a bowel movement. Which action is most important
for the practical nurse (PN) to implement?
A. Place the client in a room with a precipitous delivery tray.
B. Collect a urine specimen using a clean catch container.
C. Ask the client if she knows her expected date of delivery.
D. Inspect the perineum for the presence of a bloody show. –
Correct Answer :A. Place the client in a room with a precipitous delivery tray.
Rationale: The client is manifesting signs of an imminent delivery, which includes regular contractions
that are very uncomfortable, a strong urge to defecate, and pushing, so she should be immediately
placed in the room with a precipitous delivery tray (A) to ensure a safe, sterile environment for
delivery. (B, C, and D) can be implemented after the client is prepared for possible precipitous delivery.
A male client who receives albuterol (Ventolin) nebulizing treatment PRN is asking the practical nurse
(PN) for his breathing treatment. Which assessment should the PN implement before administering
the PRN prescription?
A. Incentive spirometer level.
B. Breath sounds.
C. Respiratory rate.
D. Accessory respiratory muscles effort. –
Correct Answer :B. Breath sounds.
Rationale: Albuterol (Ventolin), a bronchodilator, is indicated for wheezing caused by narrowing of the
air passages, so the client's breath sounds (B) should be auscultated to determine if the albuterol
P a g e 2 | 204
,PN Fundamentals of Nursing Evolve HESI
breathing treatment is indicated. Incentive spirometer (A) is an inspiratory exercise used to inflate
alveoli and prevent atelectasis, not treat reactive airway disease. (C and D) do not provide accurate
information about bronchial airway patency
A client who had a total knee arthroplasty (TKA) three days ago is being transferred to the
rehabilitation center. The healthcare provider prescribes activity as tolerated. Which action should the
practical nurse (PN) take?
A. Ask someone to follow the client with a wheelchair.
B. Obtain clarification of prescription about weight bearing.
C. Inquire about routine physical therapy progression.
D. Ask the client what he did yesterday for activity. –
Correct Answer :B. Obtain clarification of prescription about weight bearing.
Rationale: The healthcare provider should indicate the amount of weight bearing the client should
safely be able to tolerate after TKA, so the PN should clarify the prescription (B). (A) is a safety
measure to prevent falls while the client begins mobilization. (C) may be helpful but does not provide
individualized care for the client. (D) provides a comparison for the client's progression with activity as
tolerated
The practical nurse (PN) administered furosemide (Lasix) 60 mg PO instead of the client's prescribed
dose of 20 mg. What action is most important for the PN to implement?
A. Complete an adverse occurrence report.
B. Record dose on the medication administration record.
C. Reinforce with the client about the side effects of Lasix.
D. Take client's blood pressure in an hour. –
Correct Answer :D. Take client's blood pressure in an hour.
P a g e 3 | 204
, PN Fundamentals of Nursing Evolve HESI
Rationale: The onset of oral dosing of Lasix is 30-60 minutes, peaking 60-70 minutes after
administration. Blood pressures should be monitored in an hour (D) to identify signs of hypovolemia
during periods of diuresis. (A) is not indicated unless the client experiences a severe adverse response.
Documentation (B) is implemented after drug administration. Although the client should be aware of
side effects (C), the priority is assessment for adverse effects during the peak action of oral Lasix.
A client with "fever of undetermined origin" awakens with right periorbital swelling. Which action
should the practical nurse take first?
A. Apply warm moist compress to the right eye.
B. Check for conjunctival erythemia and drainage.
C. Determine if the client has nasal congestion.
D. Ask the client about history of drug reactions. –
Correct Answer :B. Check for conjunctival erythemia and drainage.
Rationale: Unilateral periorbital swelling is most likely a local infection, so the PN should assess the
client for additional findings of eye infection, such as conjunctival erythemia and drainage (B) from the
eye. The findings should be reported to the charge nurse for additional actions before (A) is
implemented. Although (C and D) may provide additional information related to the client's swollen
eye, a focused assessment of the eye should be completed first
Which medication side effects should the practical nurse tell the client to report to the healthcare
provider?
A. Constipation occurs when taking hydrocodone/acetaminophen (Vicodin).
B. Multiple diarrhea stools begins after starting Clindamycin (Cleocin).
C. A weight loss of more than 5 pounds is identified with exenatide (Byetta).
D. A headache occurs after taking the morning dose of nitroglycerin (Nitro-Dur). –
Correct Answer :B. Multiple diarrhea stools begins after starting Clindamycin (Cleocin).
P a g e 4 | 204
