HESI PN FINALS ACTUAL ANSWERS AND
QUESTIONS SET A+
✔✔An older adult female is admitted with syncope and laboratory findings indicate that
her hemoglobin is 8.0 grams /dL . She has a recent history of headaches and frequent
falls. Admission prescription orders include continuation of all home medications. Which
medication should the PN withhold until consulting with the charge nurse? - ✔✔aspirin
✔✔The PN is planning care for a client who has generalized tonic clonic seizures and is
vomiting and having frequent diarrhea stools. to reduce the risk of injury to this client
which nursing measurements should the PN implement? - ✔✔axillary temperatures and
padded side rails
✔✔when assessing an adult male who present at the community health clinic with a
history of hypertension the nurse notes that he has 2+ pitting edema in both ankles. he
also has a history of gastroesophogeal reflux disease and depression. which
interventions is most important for the PN to implement? - ✔✔review the clients use of
over the counter (OTC) medications
✔✔A client with Alzheimers disease (AD) is receiving trazadone (Desyrel) a recently
prescribed atypical antidepressant. The caregiver tells the home health nurse that the
clients mood and sleep patterns are improved but there is no change in cognitive ability.
How should the nurse respond to this information? - ✔✔confirm that the desired effect
of the medication has been achieved?
✔✔A client on bed rest refuses to wear the prescribed pneumatic compression device
after surgery, what action should the PN implement in response to the clients refusal ? -
✔✔emphasize the importance of active foot flexion
✔✔After applying alcohol based hand rub to the palms of the hand and rubbing paps
together what action should the PN take next? - ✔✔place hands on top of each other
and interlace fingers
,✔✔A new mother is bottle feeding instead of breastfeeding the PN should instruct the to
most effective way to deal with breast engorgement and discomfort is to? - ✔✔wear a
supportive bra at all times
✔✔Because of staffing shortages the charge nurse assigns a PN to perform a skill
which the PN is not yet certified to perform what is the best response by the PN? - ✔✔I
am uncomfortable performing a skill which I am not certified
✔✔A client recovering from a stroke is learning how to use a cane. How should it be
placed? - ✔✔on the stronger side of the body
✔✔A client with schizophrenia is withdrawn isolates himself in the day room and
answers questions with one or two word responses which intervention is most important
? - ✔✔measure appropriate vital signs
✔✔While performing the apical pulse of an adult male client the PN notes that the point
of maximal impulse is located at the 4th intercostals space medial to the midclavicular
line what is the assessment for? - ✔✔expected finding
✔✔A client with type 2 diabetes becomes unresponsive and says I'm not feeling right
which action should the PN take? - ✔✔give 4 ounces of apple juice
✔✔A new mother is breastfeeding her newborn for the first time and complains of nipple
pain when the baby sucks. What should the nurse tell the mom? - ✔✔ensure that all the
areola tissue of the nipple is in the infants mouth
✔✔A client with irritable bowel syndrome is receiving dicyclomine an anticholinergic
drug? - ✔✔provide oral care
✔✔The PN is caring for a client in bucks tract what is the priority goal for the client in
traction? - ✔✔maintain straight body alignment
✔✔Which site should the PN use when administering RHO D - ✔✔deltoid
✔✔Client with Hungtingtons disease starts jerking around while the family is there what
should the PN do? - ✔✔offer emotional support to the family
✔✔when should a person use additional birth control precautions? - ✔✔when taking
antibiotics for an infection
✔✔Client who has four gold seed implants on a chest wall tumor is on radiation
precautions what basic precautions should the PN nurse observe when administering
direct client care? - ✔✔minimal time maximum distance and protective shielding
, ✔✔Client voiding small amounts every 24 hours - ✔✔the catherterized volume
determines the need to reinsert the indwelling catheter
✔✔Based on the principle of asepsis the PN should consider which situation to be
sterile? - ✔✔An open Foley catheter kit set up on a table at the PN waist level
✔✔A client with small bowel obstruction is experiencing frequent vomiting which
instructions are most important for the PN to provide to the UAP who is completing
morning care for this client? - ✔✔measure all emeisies accurately
✔✔Single mother of a child with head injury comes crying to the clinic what should the
PN tell her? - ✔✔this must seem overwhelming to you right now
✔✔on admission to the medical unit a client who is homeless and has a history of HIV
with persistent cough? - ✔✔erythema and indurations of 5mm at site
✔✔When preparing to administer medications to an older resident the PN notices that
several medications that were supposed to be administered during the previous shift
have not been entered as given In the computer. What action should the PN take? -
✔✔contact the medication nurse to clarify the findings
✔✔The hearing of ringing in the ears what medication should be reported to the Health
provider ? - ✔✔Gentamicin
✔✔28 year old client is in active labor and complains of a cramp in her leg. what
intervention should the PN implement ? - ✔✔extend the leg and flex the foot
✔✔A client is admitted for observation after experiencing a TIA - ✔✔high risk for injury
✔✔Which picture of nailbeds indicate hypoxia? - ✔✔choose the one that has a bump
right below the nail bed
✔✔The nurse assesses a child in 90-90 traction. Where should the nurse assess for
signs of compartment syndrome? the picture will show a child in traction with left left in
traction - ✔✔click on the toes of the elevated leg
✔✔During morning report the PN learns that an assigned client has phlebitis from a
intravenous access device. What will the PN observe in this client? - ✔✔redness,
warmth, and edema of the site
QUESTIONS SET A+
✔✔An older adult female is admitted with syncope and laboratory findings indicate that
her hemoglobin is 8.0 grams /dL . She has a recent history of headaches and frequent
falls. Admission prescription orders include continuation of all home medications. Which
medication should the PN withhold until consulting with the charge nurse? - ✔✔aspirin
✔✔The PN is planning care for a client who has generalized tonic clonic seizures and is
vomiting and having frequent diarrhea stools. to reduce the risk of injury to this client
which nursing measurements should the PN implement? - ✔✔axillary temperatures and
padded side rails
✔✔when assessing an adult male who present at the community health clinic with a
history of hypertension the nurse notes that he has 2+ pitting edema in both ankles. he
also has a history of gastroesophogeal reflux disease and depression. which
interventions is most important for the PN to implement? - ✔✔review the clients use of
over the counter (OTC) medications
✔✔A client with Alzheimers disease (AD) is receiving trazadone (Desyrel) a recently
prescribed atypical antidepressant. The caregiver tells the home health nurse that the
clients mood and sleep patterns are improved but there is no change in cognitive ability.
How should the nurse respond to this information? - ✔✔confirm that the desired effect
of the medication has been achieved?
✔✔A client on bed rest refuses to wear the prescribed pneumatic compression device
after surgery, what action should the PN implement in response to the clients refusal ? -
✔✔emphasize the importance of active foot flexion
✔✔After applying alcohol based hand rub to the palms of the hand and rubbing paps
together what action should the PN take next? - ✔✔place hands on top of each other
and interlace fingers
,✔✔A new mother is bottle feeding instead of breastfeeding the PN should instruct the to
most effective way to deal with breast engorgement and discomfort is to? - ✔✔wear a
supportive bra at all times
✔✔Because of staffing shortages the charge nurse assigns a PN to perform a skill
which the PN is not yet certified to perform what is the best response by the PN? - ✔✔I
am uncomfortable performing a skill which I am not certified
✔✔A client recovering from a stroke is learning how to use a cane. How should it be
placed? - ✔✔on the stronger side of the body
✔✔A client with schizophrenia is withdrawn isolates himself in the day room and
answers questions with one or two word responses which intervention is most important
? - ✔✔measure appropriate vital signs
✔✔While performing the apical pulse of an adult male client the PN notes that the point
of maximal impulse is located at the 4th intercostals space medial to the midclavicular
line what is the assessment for? - ✔✔expected finding
✔✔A client with type 2 diabetes becomes unresponsive and says I'm not feeling right
which action should the PN take? - ✔✔give 4 ounces of apple juice
✔✔A new mother is breastfeeding her newborn for the first time and complains of nipple
pain when the baby sucks. What should the nurse tell the mom? - ✔✔ensure that all the
areola tissue of the nipple is in the infants mouth
✔✔A client with irritable bowel syndrome is receiving dicyclomine an anticholinergic
drug? - ✔✔provide oral care
✔✔The PN is caring for a client in bucks tract what is the priority goal for the client in
traction? - ✔✔maintain straight body alignment
✔✔Which site should the PN use when administering RHO D - ✔✔deltoid
✔✔Client with Hungtingtons disease starts jerking around while the family is there what
should the PN do? - ✔✔offer emotional support to the family
✔✔when should a person use additional birth control precautions? - ✔✔when taking
antibiotics for an infection
✔✔Client who has four gold seed implants on a chest wall tumor is on radiation
precautions what basic precautions should the PN nurse observe when administering
direct client care? - ✔✔minimal time maximum distance and protective shielding
, ✔✔Client voiding small amounts every 24 hours - ✔✔the catherterized volume
determines the need to reinsert the indwelling catheter
✔✔Based on the principle of asepsis the PN should consider which situation to be
sterile? - ✔✔An open Foley catheter kit set up on a table at the PN waist level
✔✔A client with small bowel obstruction is experiencing frequent vomiting which
instructions are most important for the PN to provide to the UAP who is completing
morning care for this client? - ✔✔measure all emeisies accurately
✔✔Single mother of a child with head injury comes crying to the clinic what should the
PN tell her? - ✔✔this must seem overwhelming to you right now
✔✔on admission to the medical unit a client who is homeless and has a history of HIV
with persistent cough? - ✔✔erythema and indurations of 5mm at site
✔✔When preparing to administer medications to an older resident the PN notices that
several medications that were supposed to be administered during the previous shift
have not been entered as given In the computer. What action should the PN take? -
✔✔contact the medication nurse to clarify the findings
✔✔The hearing of ringing in the ears what medication should be reported to the Health
provider ? - ✔✔Gentamicin
✔✔28 year old client is in active labor and complains of a cramp in her leg. what
intervention should the PN implement ? - ✔✔extend the leg and flex the foot
✔✔A client is admitted for observation after experiencing a TIA - ✔✔high risk for injury
✔✔Which picture of nailbeds indicate hypoxia? - ✔✔choose the one that has a bump
right below the nail bed
✔✔The nurse assesses a child in 90-90 traction. Where should the nurse assess for
signs of compartment syndrome? the picture will show a child in traction with left left in
traction - ✔✔click on the toes of the elevated leg
✔✔During morning report the PN learns that an assigned client has phlebitis from a
intravenous access device. What will the PN observe in this client? - ✔✔redness,
warmth, and edema of the site
