HESI PN Practice Test
a male client admitted the morning of his scheduled surgery tells the PN that he drank water
last night. What intervention will the PN implement first? - ANSDetermine the amount of
water and exact time it was taken
A client receives ondansetron prior to chemotherapy treatment.How should the PN evaluate
this medication? - ANSMonitor the client for nausea or vomiting following the treatment
During morning rounds a client is admitted with OCD is in the...of the same table. What
intervention should the PN implement when approached? - ANSProvide time for the
behavior then guide the client to other activities
The PN is caring for an older adult client who is confused and spends...factor contributes to
an increased risk for impaired skin integrity for this client? - ANSHas increasing episodes of
urinary incontinence
The pn determines that a client with cirrhosis is experiencing peripheral....take? -
ANSProtect the clients feet from injury
A client is admitted to the postoperative surgical unit after a left lobectomy with two chest
tubes......observes the water-sealed chambers, set and prescribed suction of 20cm
water...what action should the PN implement? - ANSMaintain system integrity and to
promote lung reexpansion
photo of chest and locating apical HR - ANSjust below the left nipple
At the end of a 12-hour shift the PN observes the urine in a clients drainage..what action
should the PN take next? - ANSnote the most recent white blood count
A client with a compound fracture of the left ankle is being discharged with a below the knee
cast....PN provide to the client prior to discharge? - ANSnever scratch under the cast
Thirty minutes after receiving IV morphine, a postoperative male client continue to rate his
pain...what action should the PN implement first? - ANSimplement complementary pain relief
methods
A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in....with
one or two word responses. the morning the PN observes that he...Which intervention is
most important for the PN to implement? - ANSMeasure appropriate vital signs
The PN is assisting an unsteady client to ambulate from the bed to the bath...client loses
balance and falls onto the bedside table. what action should the PN take first? - ANSStay
with the client and call for assistance
,The PN is assisting a female client to obtain a voided specimen for uri...meatus. Which
intervention is performed next? - ANSinitiate the urine stream?
An 8-year old is placed in 90-90 traction for a fractured femur that resulted from...further
action by the PN? - ANSweights are touching the foot of the bed
The PN is reviewing diet instructions with a female client who has hyper...she has increased
her intakes of protein and calories. What action should the PN take? - ANSEncourage the
client to continue the dietary changes she has made
A 3-year old child returns to the pediatricians office for a postoperative visit after
having...procedure. The PN should expect to observe which behavior that indicates... -
ANSplays doctor and nurse with the dolls
The PN reviews the procedure for measuring fluid intake and output ...glomerulonephritis
and is preparing for discharge from the hospital. What... - ANS-why the fluid measurements
need to be recoded
-which food types are included when measuring fluid take
-what container to use for the most accurate measurement
A male client receives a prescription for 3,000 mg of medication daily, which is
available...taken twice daily in equal dosages.How many tablets should the PN... - ANS3
... - ANSrequest return visit for examination after her period when hormones are lowest
A mother brings her 5-year old child to the clinic for school physical examinations. Which
assessment... PN that intergenerational violence may be occurring in the home? - ANS-The
6-year old son hits his younger sister during the interview
-the 10-year old daughter has circular burns on her trunk and legs
-the 3-year old has multiple bruises on the chest and both legs
A client has a prescription to discontinue intravenous therapy when the liter that is infusing at
150 mL per hour is...1200 the PN notes that there are 750 ml of solution remaining.At what
time should the nurse expect to discontinue the intravenous therapy? - ANS1700
the PN is caring for a client who had a total laryngectomy, left radical neck dissection... client
is receiving nasogastric tube feedings via an internal pump. today the rate of the feeding was
increased...ml/hr. What parameter should the PN use to evaluate the clients tolerate to the
rate of the feeding? - ANSgastric residual volumes
A new mother is breastfeeding her newborn for the first time after delivery and complains of
nipple pain...Based on the client complaint, what action should the PN take? - ANSEnsure
that all the areolar tissue of the nipple is in the infants mouth.
Which site should the PN use when administering an injection of Rho (D) Immune negative
postpartum client? - ANSdeltoid
, Before inserting medication into a clients vagina, what instructions should the pn... -
ANSurinate until bladder is empty
An 18-year old female client with pelvic inflammatory disease (PID0 asks the pn..Which
information is best for the PN to provide? - ANSA history of untreated gonnorhea can lead to
PID
A 28-year old client is in active labor and complains of a cramp in her leg. What intervention
should the PN implement? - ANSextend the leg and flex the foot?
A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most
effectively deal with breast engorgement and discomfort? - ANSWear a supportive bra at all
times
A client with schizophrenia reports auditory hallucinations when admitted to the hospital. PN
to include in the assessment of this client? - ANS"what are the voices uttering?"
A young adult male tells the PN he has declared to change his hours at work so that he
can...his community. Which stage of Maslow's development is this young adult attempting to
achieve? - ANSSelf-actualiztion
A female client arrives to the clinic for an annal physical examination. when reviewing...the
PN that she takes herbs for high blood pressure instead of the prescribed..important for the
PN to reinforce with the client? - ANSExplain risks associated with using herbs instead of the
prescribed antihypertensives.
A female Native American client who is receiving chemotherapy places a native artifact...the
health care provider removes the medicine wheel and tells the client "this type..hospital"
what intervention should the PN implement ? - ANSAct as the clients advocate when
discussing the issue with the HCP
The PN is caring for a client receiving chemotherapy who has thrombocytopenia..important
to include in the nursing care plan? - ANSwatch the client for abnormal bleeding
... - ANS"it is better to obtain children acetaminophen to prevent possible side effects from
the aspirin "
A client is transferred to the surgical unit from the intensive care unit after evacuation of
bilateral..primary observation should the PN monitor? - ANSneuro-vital signs related to
bleeding and intracranial pressure
The PN is working the day shift in a long term facility and is preparing..delegate to the UAP
to perform during the change of.. - ANStotal the clients PO intake, fill the water pitchers,
empty urinals and catheter bags.
While taking the vital signs of a older male client who takes psychotropic
medication...uncontrollable hand movements ad is excessively blinking his eyes, which
information.... - ANSscreening for tardive dyskinesia
a male client admitted the morning of his scheduled surgery tells the PN that he drank water
last night. What intervention will the PN implement first? - ANSDetermine the amount of
water and exact time it was taken
A client receives ondansetron prior to chemotherapy treatment.How should the PN evaluate
this medication? - ANSMonitor the client for nausea or vomiting following the treatment
During morning rounds a client is admitted with OCD is in the...of the same table. What
intervention should the PN implement when approached? - ANSProvide time for the
behavior then guide the client to other activities
The PN is caring for an older adult client who is confused and spends...factor contributes to
an increased risk for impaired skin integrity for this client? - ANSHas increasing episodes of
urinary incontinence
The pn determines that a client with cirrhosis is experiencing peripheral....take? -
ANSProtect the clients feet from injury
A client is admitted to the postoperative surgical unit after a left lobectomy with two chest
tubes......observes the water-sealed chambers, set and prescribed suction of 20cm
water...what action should the PN implement? - ANSMaintain system integrity and to
promote lung reexpansion
photo of chest and locating apical HR - ANSjust below the left nipple
At the end of a 12-hour shift the PN observes the urine in a clients drainage..what action
should the PN take next? - ANSnote the most recent white blood count
A client with a compound fracture of the left ankle is being discharged with a below the knee
cast....PN provide to the client prior to discharge? - ANSnever scratch under the cast
Thirty minutes after receiving IV morphine, a postoperative male client continue to rate his
pain...what action should the PN implement first? - ANSimplement complementary pain relief
methods
A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in....with
one or two word responses. the morning the PN observes that he...Which intervention is
most important for the PN to implement? - ANSMeasure appropriate vital signs
The PN is assisting an unsteady client to ambulate from the bed to the bath...client loses
balance and falls onto the bedside table. what action should the PN take first? - ANSStay
with the client and call for assistance
,The PN is assisting a female client to obtain a voided specimen for uri...meatus. Which
intervention is performed next? - ANSinitiate the urine stream?
An 8-year old is placed in 90-90 traction for a fractured femur that resulted from...further
action by the PN? - ANSweights are touching the foot of the bed
The PN is reviewing diet instructions with a female client who has hyper...she has increased
her intakes of protein and calories. What action should the PN take? - ANSEncourage the
client to continue the dietary changes she has made
A 3-year old child returns to the pediatricians office for a postoperative visit after
having...procedure. The PN should expect to observe which behavior that indicates... -
ANSplays doctor and nurse with the dolls
The PN reviews the procedure for measuring fluid intake and output ...glomerulonephritis
and is preparing for discharge from the hospital. What... - ANS-why the fluid measurements
need to be recoded
-which food types are included when measuring fluid take
-what container to use for the most accurate measurement
A male client receives a prescription for 3,000 mg of medication daily, which is
available...taken twice daily in equal dosages.How many tablets should the PN... - ANS3
... - ANSrequest return visit for examination after her period when hormones are lowest
A mother brings her 5-year old child to the clinic for school physical examinations. Which
assessment... PN that intergenerational violence may be occurring in the home? - ANS-The
6-year old son hits his younger sister during the interview
-the 10-year old daughter has circular burns on her trunk and legs
-the 3-year old has multiple bruises on the chest and both legs
A client has a prescription to discontinue intravenous therapy when the liter that is infusing at
150 mL per hour is...1200 the PN notes that there are 750 ml of solution remaining.At what
time should the nurse expect to discontinue the intravenous therapy? - ANS1700
the PN is caring for a client who had a total laryngectomy, left radical neck dissection... client
is receiving nasogastric tube feedings via an internal pump. today the rate of the feeding was
increased...ml/hr. What parameter should the PN use to evaluate the clients tolerate to the
rate of the feeding? - ANSgastric residual volumes
A new mother is breastfeeding her newborn for the first time after delivery and complains of
nipple pain...Based on the client complaint, what action should the PN take? - ANSEnsure
that all the areolar tissue of the nipple is in the infants mouth.
Which site should the PN use when administering an injection of Rho (D) Immune negative
postpartum client? - ANSdeltoid
, Before inserting medication into a clients vagina, what instructions should the pn... -
ANSurinate until bladder is empty
An 18-year old female client with pelvic inflammatory disease (PID0 asks the pn..Which
information is best for the PN to provide? - ANSA history of untreated gonnorhea can lead to
PID
A 28-year old client is in active labor and complains of a cramp in her leg. What intervention
should the PN implement? - ANSextend the leg and flex the foot?
A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most
effectively deal with breast engorgement and discomfort? - ANSWear a supportive bra at all
times
A client with schizophrenia reports auditory hallucinations when admitted to the hospital. PN
to include in the assessment of this client? - ANS"what are the voices uttering?"
A young adult male tells the PN he has declared to change his hours at work so that he
can...his community. Which stage of Maslow's development is this young adult attempting to
achieve? - ANSSelf-actualiztion
A female client arrives to the clinic for an annal physical examination. when reviewing...the
PN that she takes herbs for high blood pressure instead of the prescribed..important for the
PN to reinforce with the client? - ANSExplain risks associated with using herbs instead of the
prescribed antihypertensives.
A female Native American client who is receiving chemotherapy places a native artifact...the
health care provider removes the medicine wheel and tells the client "this type..hospital"
what intervention should the PN implement ? - ANSAct as the clients advocate when
discussing the issue with the HCP
The PN is caring for a client receiving chemotherapy who has thrombocytopenia..important
to include in the nursing care plan? - ANSwatch the client for abnormal bleeding
... - ANS"it is better to obtain children acetaminophen to prevent possible side effects from
the aspirin "
A client is transferred to the surgical unit from the intensive care unit after evacuation of
bilateral..primary observation should the PN monitor? - ANSneuro-vital signs related to
bleeding and intracranial pressure
The PN is working the day shift in a long term facility and is preparing..delegate to the UAP
to perform during the change of.. - ANStotal the clients PO intake, fill the water pitchers,
empty urinals and catheter bags.
While taking the vital signs of a older male client who takes psychotropic
medication...uncontrollable hand movements ad is excessively blinking his eyes, which
information.... - ANSscreening for tardive dyskinesia
