HESI PN Practice Test
... - ANS - -Assess the condition of the IV site
-loosen tape that secures the existing tubing
-remove existing tubing and spike new tubing into bag
-clamp the IV catheter and attach the new tubing
-unclamp the tubing and IV catheter and begin the infusion
\... - ANS - "it is better to obtain children acetaminophen to prevent possible side effects from
the aspirin "
\... - ANS - request return visit for examination after her period when hormones are lowest
\...the partner refuses to go. The PN suspects the injuries may be the result of... - ANS - Arrange
to take the client to the operating room holding area for privacy
\.A client recovering from a myocardial infarction is demonstrating pinktinged
frothy sputum. What does this manifestation suggest to the practical
nurse? - ANS - pulmonary edema
\28 year old client is in active labor and complains of a cramp in her leg. what intervention
should the PN implement ? - ANS - extend the leg and flex the foot
\A 0800 a clients apical pulse rate is 98 beats/minute> Four hours later the apical pulse rate is
54 beats/minute. What action should the PN take next? - ANS - determine the level of
consciousness
\A 150 pound adult client with Partial-thicknees burns over 40% of the body..hospital burn unit.
Which observation is most important for the Pn to report... - ANS - urinary output of 20 mL/hr
\A 16 year old client is preceded to receive 1.0 mL of an intramuscular injection. Which sites
would the PN consider to administer this medication? - ANS - deltoid
ventrogluteal
\A 24-year-old client is experiencing amenorrhea. For which health
condition will the practical nurse focus when assessing this client? - ANS - pregnancy
\A 28-year old client is in active labor and complains of a cramp in her leg. What intervention
should the PN implement? - ANS - extend the leg and flex the foot?
\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... - ANS -
plays doctor and nurse with the dolls
\A 40 year old client has obtained a baseline mammogram. When would the PN recommend
that the next mammogram be performed? - ANS - in 1 year
\A 5-year old child is admitted with full thickness burns over 30% of the total body surface areas
(TBSA). After fluid replacement therapy is initiated, which finding should the PN use to evaluate
the effectiveness of the therapy? - ANS - urine output
\A client being treated with prednisone (Deltasone) for a skin infection tells the PN that the
medication was stopped a few days prior because the rash disappeared. What action would the
PN take at this time? - ANS - notify the HCP that the client did not complete the medication
,\A client develops generalized edema associated with chronic kidney disease (CKD). The PN
understands the formation of the edema is the result of which physiological process? - ANS -
plasma protein losses resulting in decreased oncotic pressure within the vessels
\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? - ANS - 1700
\A client has an infiltrated intravenous access device in the right arm. To
evaluate blood flow to this extremity, which arteries will the practical nurse
assess? (Select all that apply.) - ANS - Brachial
radial
ulnar
\A client has had a procedure that will result in scarring of the cervix.
How will the effects of the procedure impact the client's ability to achieve
pregnancy in the future? - ANS - Restrict the fertilization of the ovum
\A client has refused to bathe for several days and tells the practical
nurse it is because unlicensed assistive personnel are "rough" during the
bath. What would the practical nurse do? - ANS - delegate the task to other UAP
\A client has sustained a burn affecting the clients adipose tissue and blood vessels. Which
layer of the clients skin has been affected by the burn? - ANS - subcutaneous layer
\A client is admitted for observation after experiencing a TIA - ANS - high risk for injury
\A client is admitted for treatment of diabetic ketoacidosis. Which manifestation will the PN
assess in this client? - ANS - fruity breath odor
\A client is admitted to a private room tells the PN that the insurance carrier will not pay for the
private accommodations. What would the PN resound to the client ? - ANS - the insurance
carrier will cover the cost of the room if there are no semi private rooms available
\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? - ANS - Maintain system integrity and to promote lung
reexpansion
\A client is at a high risk for injury. Which action would the PN take to ensure for the clients
safety? - ANS - raise the side rails and provide the client with the call light for assistance
\A client is complaining of a tightening sensation in the fingers, nose tip and ear lobes...24...PN
should be prepared to implement what measure first? - ANS - Obtain prescribed calcium
gluconate for tetany
\a client is diagnosed with respiratory acidosis. What blood pH value will the PN assess when
reviewing the clients arterial blood gas results? - ANS - 7.29
\A client is diagnosed with with hyperthyroidism. Which symptoms should the PN expect this
client to exhibit? - ANS - muscle cramping and dry flushed skin
\A client is having a lumber puncture. in which position would the PN assist the client into
assuming? - ANS - fetal position
\A client is prescribed a treatment in which the process of filtration will
be used. How will the practical nurse explain this cellular transport
mechanism to the client?
p - ANS - mechanical pressure forces water and solutes through the membrane
, \A client is prescribed cefazolin sodium (Ancef) 300 mg intramuscular injection every 8 hours.
The PN has a 500 mg vial of medication that will be reconstituted with 2 mL of sterile water for
injection. After reconstitution the volume of medication will be 2.5 ml. How many ml of
medication will the PN provide in one dose for the client? - ANS - 1.5
\A client is prescribed dexamethasone (Decadron) 8 mg by mouth with
breakfast. The medication is n - ANS - contact the pharmacy and ask that the medication be
delivered now
\A client is prescribed erythromycin (E-mycin) 400 mg oral suspension
every 4 hours. The medication available is 100 mg/5 mL. How many mL will
the practical nurse administer to the client for each dose - ANS - 20 mL
\A client is prescribed lorazepam (Ativan) 0.5 mg oral suspension every 6 hours as needed for
anxiety. The medication is available as 2 mg/mL oral suspension. How many mL of the
medication will the PN provide for each dose? - ANS - 0.3 mL
\A client is prescribed losartan (Cozaar) for high blood pressure> What will the PN remind the
client do to prevent sudden dizziness? - ANS - move slowly when changing positions
\A client is scheduled for an electroencephalogram (EEG). What will the
practical nurse instruct the client about this diagnostic test A? - ANS - you will have electrodes
placed on your scalp on your scalp during the test
\A client is transferred to the surgical unit from the intensive care unit after evacuation of
bilateral..primary observation should the PN monitor? - ANS - neuro-vital signs related to
bleeding and intracranial pressure
\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 ? - ANS -
emphasize the importance of active foot flexion
\A client prescribed to receive terbutaline sulfate (Brethren) 0.25 mg subcutaneous injection
three times a dat at 6 hour intervals. The medication is available as 1 mg/mL. How many mL of
the medication will the PN provide to the client for one day? - ANS - 0.75
\A client receives ondansetron prior to chemotherapy treatment.How should the PN evaluate
this medication? - ANS - Monitor the client for nausea or vomiting following the treatment
\A client recovering from a breast biopsy is told that the lesion is
classified as being T1N1M0. What will the practical nurse explain this
classification as being to the client? - ANS - There is one lymph node involved
\A client recovering from a stroke is learning how to use a cane. How should it be placed? - ANS
- on the stronger side of the body
\A client recovering from surgery to the fibula has bleeding on the cast. The PN outlines the
border of bleeding to serve at a baseline. Which action would the PN do next? - ANS - recheck
the cast within the next 15 minutes
\A client reports feeling numbness and tingling in extremities. What action should the PN
implement? - ANS - review the clients serum electrolyte levels
\A client who is preceded bed rest asks why PROM exercises are being done three times a day.
What explanation would the PN provide to this client? - ANS - the will ensure that your joints are
limber when you begin walking
\A client who is primigravida at term comes to the prenatal clinic and tells the PN that she is
having contractions every 5 minutes. The PN monitors the client for 1 hour using a external fetal
... - ANS - -Assess the condition of the IV site
-loosen tape that secures the existing tubing
-remove existing tubing and spike new tubing into bag
-clamp the IV catheter and attach the new tubing
-unclamp the tubing and IV catheter and begin the infusion
\... - ANS - "it is better to obtain children acetaminophen to prevent possible side effects from
the aspirin "
\... - ANS - request return visit for examination after her period when hormones are lowest
\...the partner refuses to go. The PN suspects the injuries may be the result of... - ANS - Arrange
to take the client to the operating room holding area for privacy
\.A client recovering from a myocardial infarction is demonstrating pinktinged
frothy sputum. What does this manifestation suggest to the practical
nurse? - ANS - pulmonary edema
\28 year old client is in active labor and complains of a cramp in her leg. what intervention
should the PN implement ? - ANS - extend the leg and flex the foot
\A 0800 a clients apical pulse rate is 98 beats/minute> Four hours later the apical pulse rate is
54 beats/minute. What action should the PN take next? - ANS - determine the level of
consciousness
\A 150 pound adult client with Partial-thicknees burns over 40% of the body..hospital burn unit.
Which observation is most important for the Pn to report... - ANS - urinary output of 20 mL/hr
\A 16 year old client is preceded to receive 1.0 mL of an intramuscular injection. Which sites
would the PN consider to administer this medication? - ANS - deltoid
ventrogluteal
\A 24-year-old client is experiencing amenorrhea. For which health
condition will the practical nurse focus when assessing this client? - ANS - pregnancy
\A 28-year old client is in active labor and complains of a cramp in her leg. What intervention
should the PN implement? - ANS - extend the leg and flex the foot?
\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... - ANS -
plays doctor and nurse with the dolls
\A 40 year old client has obtained a baseline mammogram. When would the PN recommend
that the next mammogram be performed? - ANS - in 1 year
\A 5-year old child is admitted with full thickness burns over 30% of the total body surface areas
(TBSA). After fluid replacement therapy is initiated, which finding should the PN use to evaluate
the effectiveness of the therapy? - ANS - urine output
\A client being treated with prednisone (Deltasone) for a skin infection tells the PN that the
medication was stopped a few days prior because the rash disappeared. What action would the
PN take at this time? - ANS - notify the HCP that the client did not complete the medication
,\A client develops generalized edema associated with chronic kidney disease (CKD). The PN
understands the formation of the edema is the result of which physiological process? - ANS -
plasma protein losses resulting in decreased oncotic pressure within the vessels
\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? - ANS - 1700
\A client has an infiltrated intravenous access device in the right arm. To
evaluate blood flow to this extremity, which arteries will the practical nurse
assess? (Select all that apply.) - ANS - Brachial
radial
ulnar
\A client has had a procedure that will result in scarring of the cervix.
How will the effects of the procedure impact the client's ability to achieve
pregnancy in the future? - ANS - Restrict the fertilization of the ovum
\A client has refused to bathe for several days and tells the practical
nurse it is because unlicensed assistive personnel are "rough" during the
bath. What would the practical nurse do? - ANS - delegate the task to other UAP
\A client has sustained a burn affecting the clients adipose tissue and blood vessels. Which
layer of the clients skin has been affected by the burn? - ANS - subcutaneous layer
\A client is admitted for observation after experiencing a TIA - ANS - high risk for injury
\A client is admitted for treatment of diabetic ketoacidosis. Which manifestation will the PN
assess in this client? - ANS - fruity breath odor
\A client is admitted to a private room tells the PN that the insurance carrier will not pay for the
private accommodations. What would the PN resound to the client ? - ANS - the insurance
carrier will cover the cost of the room if there are no semi private rooms available
\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? - ANS - Maintain system integrity and to promote lung
reexpansion
\A client is at a high risk for injury. Which action would the PN take to ensure for the clients
safety? - ANS - raise the side rails and provide the client with the call light for assistance
\A client is complaining of a tightening sensation in the fingers, nose tip and ear lobes...24...PN
should be prepared to implement what measure first? - ANS - Obtain prescribed calcium
gluconate for tetany
\a client is diagnosed with respiratory acidosis. What blood pH value will the PN assess when
reviewing the clients arterial blood gas results? - ANS - 7.29
\A client is diagnosed with with hyperthyroidism. Which symptoms should the PN expect this
client to exhibit? - ANS - muscle cramping and dry flushed skin
\A client is having a lumber puncture. in which position would the PN assist the client into
assuming? - ANS - fetal position
\A client is prescribed a treatment in which the process of filtration will
be used. How will the practical nurse explain this cellular transport
mechanism to the client?
p - ANS - mechanical pressure forces water and solutes through the membrane
, \A client is prescribed cefazolin sodium (Ancef) 300 mg intramuscular injection every 8 hours.
The PN has a 500 mg vial of medication that will be reconstituted with 2 mL of sterile water for
injection. After reconstitution the volume of medication will be 2.5 ml. How many ml of
medication will the PN provide in one dose for the client? - ANS - 1.5
\A client is prescribed dexamethasone (Decadron) 8 mg by mouth with
breakfast. The medication is n - ANS - contact the pharmacy and ask that the medication be
delivered now
\A client is prescribed erythromycin (E-mycin) 400 mg oral suspension
every 4 hours. The medication available is 100 mg/5 mL. How many mL will
the practical nurse administer to the client for each dose - ANS - 20 mL
\A client is prescribed lorazepam (Ativan) 0.5 mg oral suspension every 6 hours as needed for
anxiety. The medication is available as 2 mg/mL oral suspension. How many mL of the
medication will the PN provide for each dose? - ANS - 0.3 mL
\A client is prescribed losartan (Cozaar) for high blood pressure> What will the PN remind the
client do to prevent sudden dizziness? - ANS - move slowly when changing positions
\A client is scheduled for an electroencephalogram (EEG). What will the
practical nurse instruct the client about this diagnostic test A? - ANS - you will have electrodes
placed on your scalp on your scalp during the test
\A client is transferred to the surgical unit from the intensive care unit after evacuation of
bilateral..primary observation should the PN monitor? - ANS - neuro-vital signs related to
bleeding and intracranial pressure
\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 ? - ANS -
emphasize the importance of active foot flexion
\A client prescribed to receive terbutaline sulfate (Brethren) 0.25 mg subcutaneous injection
three times a dat at 6 hour intervals. The medication is available as 1 mg/mL. How many mL of
the medication will the PN provide to the client for one day? - ANS - 0.75
\A client receives ondansetron prior to chemotherapy treatment.How should the PN evaluate
this medication? - ANS - Monitor the client for nausea or vomiting following the treatment
\A client recovering from a breast biopsy is told that the lesion is
classified as being T1N1M0. What will the practical nurse explain this
classification as being to the client? - ANS - There is one lymph node involved
\A client recovering from a stroke is learning how to use a cane. How should it be placed? - ANS
- on the stronger side of the body
\A client recovering from surgery to the fibula has bleeding on the cast. The PN outlines the
border of bleeding to serve at a baseline. Which action would the PN do next? - ANS - recheck
the cast within the next 15 minutes
\A client reports feeling numbness and tingling in extremities. What action should the PN
implement? - ANS - review the clients serum electrolyte levels
\A client who is preceded bed rest asks why PROM exercises are being done three times a day.
What explanation would the PN provide to this client? - ANS - the will ensure that your joints are
limber when you begin walking
\A client who is primigravida at term comes to the prenatal clinic and tells the PN that she is
having contractions every 5 minutes. The PN monitors the client for 1 hour using a external fetal
