HESI fundamental 2024/25
1 A client with cancer who has been taking opioid analgesics for two years now requires
increased doses to obtain pain relief. he client expresses fear about becoming addicted
to these drugs. What information should the practical nurse (PN) provide? -
answerPrescribed opiates for cancer pain relief improve quality of life.
2 A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN)
assesses the client every two hours for the desire to void. Which documented
assessment requires further intervention by the PN? - answer5:30 pm: unable to void.
3 The healthcare provider prescribes a cleansing enema for an adult prior to bowel
surgery. Which intervention(s) should the practical nurse implement to ensure adequate
bowel cleansing? (Select all that apply) - answerPlace the client on the left side in Sim's
position.
Use enema fluid that is near 105 F (40.4 C).
Instill 500 mL to 1,000 mL fluids slowly.
Raise the enema container 20 inches above anus.
Encourage the client to retain fluid 10 to 15 minutes.
4 Which position is best for the practical nurse to place the client during administration
of a rectal suppository for constipation? - answerLeft Sim's position with upper leg
flexed.
5 The practical nurse (PN) is adding tap water to several medications for administration
via feeding tube. Which preparation should the PN administer without delay? -
answerTimed release capsule.
6 Which action should the practical nurse (PN) take when drawing medication from an
ampule? - answerAspirate with a filter needle and syringe.
The practical nurse (PN) is preparing to reconstitute a drug from powder for for IM
administration. Which step should the PN implement first? - answerVerify the drug with
the medication administration record (MAR).
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds? - answerselect a needle
with a longer shaft.
, Which finding indicates to the practical nurse (PN) that an older client who is receiving
intravenous therapy is experiencing fluid overload? - answerCrackles in the lung fields.
The practical nurse (PN) is checking the surgical dressing for a client who arrived on the
postoperative unit an hour ago. The dressing has an increase in the accumulation of
serosanguinous drainage. what nursing action should the PN take? - answerMark the
outlined area of drainage with date, time and initials.
The male client who is 2 days postoperative for exploratory abdominal surgery is
ambulating in the hall with the practical nurse (PN). The client tells the PN, "I think
something in my incision just let go." which action should the PN implement first? -
answerAssist the client to a supine position.
The practical nurse (PN) is applying a dry, sterile dressing to a client's abdominal
wound. Which allergy should the PN verify with the client? - answertape.
The practical nurse (PN) is changing a postoperative dressing for a client with a
horizontal lower abdominal incision. What method should the PN use to remove the
tape from the dressing? - answerRemove all four sides by moving to the center of the
incision.
Which action should the practical nurse (PN) follow when applying an elasticized
bandage to a client's leg? - answerOverlap turns of the bandage equally.
An older client who has been on bed rest in not eating well and is exhibiting abdominal
distension, cramping, and is passing small amounts of liquid stool. Which prescribed
action is most important for the practical nurse (PN) to implement? - answerDigitally
remove a fecal impaction.
Acetaminophen is prescribed for an unconscious client with a temperature of 104 F.
Which route should the practical nurse (PN) plan to administer this medication? -
answerRectal.
Which intervention should the practical nurse (PN) implement to help a client cope
effectively with chronic pain? - answerEncourage using relaxation techniques.
A young woman, who is the primary caregiver for her mother who has Alzheimer's
disease, tells the practical nurse (PN), "Sometimes I hate my mother for living this long
1 A client with cancer who has been taking opioid analgesics for two years now requires
increased doses to obtain pain relief. he client expresses fear about becoming addicted
to these drugs. What information should the practical nurse (PN) provide? -
answerPrescribed opiates for cancer pain relief improve quality of life.
2 A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN)
assesses the client every two hours for the desire to void. Which documented
assessment requires further intervention by the PN? - answer5:30 pm: unable to void.
3 The healthcare provider prescribes a cleansing enema for an adult prior to bowel
surgery. Which intervention(s) should the practical nurse implement to ensure adequate
bowel cleansing? (Select all that apply) - answerPlace the client on the left side in Sim's
position.
Use enema fluid that is near 105 F (40.4 C).
Instill 500 mL to 1,000 mL fluids slowly.
Raise the enema container 20 inches above anus.
Encourage the client to retain fluid 10 to 15 minutes.
4 Which position is best for the practical nurse to place the client during administration
of a rectal suppository for constipation? - answerLeft Sim's position with upper leg
flexed.
5 The practical nurse (PN) is adding tap water to several medications for administration
via feeding tube. Which preparation should the PN administer without delay? -
answerTimed release capsule.
6 Which action should the practical nurse (PN) take when drawing medication from an
ampule? - answerAspirate with a filter needle and syringe.
The practical nurse (PN) is preparing to reconstitute a drug from powder for for IM
administration. Which step should the PN implement first? - answerVerify the drug with
the medication administration record (MAR).
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds? - answerselect a needle
with a longer shaft.
, Which finding indicates to the practical nurse (PN) that an older client who is receiving
intravenous therapy is experiencing fluid overload? - answerCrackles in the lung fields.
The practical nurse (PN) is checking the surgical dressing for a client who arrived on the
postoperative unit an hour ago. The dressing has an increase in the accumulation of
serosanguinous drainage. what nursing action should the PN take? - answerMark the
outlined area of drainage with date, time and initials.
The male client who is 2 days postoperative for exploratory abdominal surgery is
ambulating in the hall with the practical nurse (PN). The client tells the PN, "I think
something in my incision just let go." which action should the PN implement first? -
answerAssist the client to a supine position.
The practical nurse (PN) is applying a dry, sterile dressing to a client's abdominal
wound. Which allergy should the PN verify with the client? - answertape.
The practical nurse (PN) is changing a postoperative dressing for a client with a
horizontal lower abdominal incision. What method should the PN use to remove the
tape from the dressing? - answerRemove all four sides by moving to the center of the
incision.
Which action should the practical nurse (PN) follow when applying an elasticized
bandage to a client's leg? - answerOverlap turns of the bandage equally.
An older client who has been on bed rest in not eating well and is exhibiting abdominal
distension, cramping, and is passing small amounts of liquid stool. Which prescribed
action is most important for the practical nurse (PN) to implement? - answerDigitally
remove a fecal impaction.
Acetaminophen is prescribed for an unconscious client with a temperature of 104 F.
Which route should the practical nurse (PN) plan to administer this medication? -
answerRectal.
Which intervention should the practical nurse (PN) implement to help a client cope
effectively with chronic pain? - answerEncourage using relaxation techniques.
A young woman, who is the primary caregiver for her mother who has Alzheimer's
disease, tells the practical nurse (PN), "Sometimes I hate my mother for living this long
