PN HESI FUNDAMENTALS REAL EXAM 2025
VERSION 3 WITH 300 PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH RATIONALES/
HESI PN FUNDAMENTALS EXAM PREP FORM C
(BRAND NEW!)
A male client is upset with the healthcare provider's recommendation that he
should consent to an above-knee amputation. He tells the practical nurse (PN), if
they want to cut off my leg, they should just shoot me instead. How should the PN
respond?
A. Ask the client how the surgery might affect his lifestyle
B. Offer to stay with the client while he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis - ANSWER-A. Ask
the client how the surgery might affect his lifestyle
Limb amputation alters body image and changes the client's ADLs, work, and
recreational activities, which triggers a grieving process for the client. Determining
the client's perception of the procedure's impact on his lifestyle is therapeutic and
allows the client to explore and discuss feelings
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?
A. Opioid use with cancer does not cause addiction
pg. 1
,B. Addiction is easily reversed if it occurs during pain management
C. Prescribed opiates for cancer pain relief improves quality of life
D. Opiate dosages can be tapered is a client fears addiction - ANSWER-C.
Prescribed opiates for cancer pain relief improves quality of life
The goal of pain management for clients with cancer using opiates is to minimize
pain and improve quality of life, making pain relief rather than addiction, the
primary goal
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that
provides the highest in protein quality. Which selection should the PN recommend
to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds. - ANSWER-A. Soybeans
They are the highest in protein quality and contain the most nutritive value.
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 and my Dad for dying and not caring for her." What response should the PN
offer?
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
pg. 2
,D. Don't worry, at least you can talk about your angry. - ANSWER-A. What you
do to cope with these feelings?
A response that invites the client to share feelings and perceptions is the most
therapeutic communication.
A male Native American client with tuberculosis is visiting a health care clinic for
follow up treatment. During the interview, the practical nurse (PN) notices that the
client keeps his eyes on the floor and does not make eye contact. How should the
PN interpret this client's behavior?
A. He is uncomfortable with violation of his personal space
B. The client is depressed and concerned about his diagnosis
C. His culture finds sustained eye contact rude and disrespectful
D. The client is reluctant to speak without a tribal shaman there - ANSWER-C. His
culture finds sustained eye contact rude and disrespectful
Native Americans usually avoid sustained eye contact as a sign of respect
The practical nurse (PN) is caring for a client who is admitted with influenza and
vomiting for 3 days. The client's skin turgor is poor and oral mucous membranes
are dry. Which finding is most important for the practical nurse (PN) to report to
the charge nurse?
A. Weight loss of 4lbs in the last 3 days
B. Hypotension and tachycardia
C. Nausea and anorexia
D. Dark amber urine output at 30mL/hour - ANSWER-B. Hypotension and
tachycardia
pg. 3
, Fluid loss from vomiting causes a shift in intravascular fluids causing dehydration,
hypotension, and tachycardia, which should be reported to the charge nurse
The nurse is assessing a client with dark skin who is in Respiratory Distress.
Which client response should the nurse evaluate to determine cyanosis in this
particular client?
A. Cyanosis in a client with dark skin is seen in the sclera
B. Abnormal skin color changes in a client with dark skin cannot be determined
C. The lips and mucus membranes of a client with dark skin are dusky in color
D. Blanching the soles of the feet in a client with dark skin reveals cyanosis -
ANSWER-C. The lips and mucus membranes of a client with dark skin are dusky
in color
Causes of cyanosis include hypoxemia and decreased cardiac output, which
provides clues to respiratory status with changes in skin color and mucous
membranes. Cyanosis, a late sign of hypoxemia, is best observed in tissue that has
superficial capillary supply, such as mucous membranes, the conjunctiva, lips,
palms, and under the tongue, which is readily visible in dark skin
Which technique should the PN use to most accurately assess a client's baseline BP
during a routine health exam?
A. Measure the pressure in each arm while the client sits with both arms supported
at heart level
B. Calculate avg BP using readings obtained in both arms
C. Obtain BP first with client lying supine and then when standing
pg. 4
VERSION 3 WITH 300 PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH RATIONALES/
HESI PN FUNDAMENTALS EXAM PREP FORM C
(BRAND NEW!)
A male client is upset with the healthcare provider's recommendation that he
should consent to an above-knee amputation. He tells the practical nurse (PN), if
they want to cut off my leg, they should just shoot me instead. How should the PN
respond?
A. Ask the client how the surgery might affect his lifestyle
B. Offer to stay with the client while he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis - ANSWER-A. Ask
the client how the surgery might affect his lifestyle
Limb amputation alters body image and changes the client's ADLs, work, and
recreational activities, which triggers a grieving process for the client. Determining
the client's perception of the procedure's impact on his lifestyle is therapeutic and
allows the client to explore and discuss feelings
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?
A. Opioid use with cancer does not cause addiction
pg. 1
,B. Addiction is easily reversed if it occurs during pain management
C. Prescribed opiates for cancer pain relief improves quality of life
D. Opiate dosages can be tapered is a client fears addiction - ANSWER-C.
Prescribed opiates for cancer pain relief improves quality of life
The goal of pain management for clients with cancer using opiates is to minimize
pain and improve quality of life, making pain relief rather than addiction, the
primary goal
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that
provides the highest in protein quality. Which selection should the PN recommend
to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds. - ANSWER-A. Soybeans
They are the highest in protein quality and contain the most nutritive value.
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 and my Dad for dying and not caring for her." What response should the PN
offer?
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
pg. 2
,D. Don't worry, at least you can talk about your angry. - ANSWER-A. What you
do to cope with these feelings?
A response that invites the client to share feelings and perceptions is the most
therapeutic communication.
A male Native American client with tuberculosis is visiting a health care clinic for
follow up treatment. During the interview, the practical nurse (PN) notices that the
client keeps his eyes on the floor and does not make eye contact. How should the
PN interpret this client's behavior?
A. He is uncomfortable with violation of his personal space
B. The client is depressed and concerned about his diagnosis
C. His culture finds sustained eye contact rude and disrespectful
D. The client is reluctant to speak without a tribal shaman there - ANSWER-C. His
culture finds sustained eye contact rude and disrespectful
Native Americans usually avoid sustained eye contact as a sign of respect
The practical nurse (PN) is caring for a client who is admitted with influenza and
vomiting for 3 days. The client's skin turgor is poor and oral mucous membranes
are dry. Which finding is most important for the practical nurse (PN) to report to
the charge nurse?
A. Weight loss of 4lbs in the last 3 days
B. Hypotension and tachycardia
C. Nausea and anorexia
D. Dark amber urine output at 30mL/hour - ANSWER-B. Hypotension and
tachycardia
pg. 3
, Fluid loss from vomiting causes a shift in intravascular fluids causing dehydration,
hypotension, and tachycardia, which should be reported to the charge nurse
The nurse is assessing a client with dark skin who is in Respiratory Distress.
Which client response should the nurse evaluate to determine cyanosis in this
particular client?
A. Cyanosis in a client with dark skin is seen in the sclera
B. Abnormal skin color changes in a client with dark skin cannot be determined
C. The lips and mucus membranes of a client with dark skin are dusky in color
D. Blanching the soles of the feet in a client with dark skin reveals cyanosis -
ANSWER-C. The lips and mucus membranes of a client with dark skin are dusky
in color
Causes of cyanosis include hypoxemia and decreased cardiac output, which
provides clues to respiratory status with changes in skin color and mucous
membranes. Cyanosis, a late sign of hypoxemia, is best observed in tissue that has
superficial capillary supply, such as mucous membranes, the conjunctiva, lips,
palms, and under the tongue, which is readily visible in dark skin
Which technique should the PN use to most accurately assess a client's baseline BP
during a routine health exam?
A. Measure the pressure in each arm while the client sits with both arms supported
at heart level
B. Calculate avg BP using readings obtained in both arms
C. Obtain BP first with client lying supine and then when standing
pg. 4
