Comprehensive Predictor HESI PN Test
Bank
Comprehensive Predictor HESI PN Test
Bank 300+ verified questions and
answers with detailed Rationales
Graded A+ - Brand New Q&As Latest
Which assessment data would provide the most accurate determination of proper placement of a
nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
B) Hearing air pass in the stomach after injecting air into the tubing.
C) Examining a chest x-ray obtained after the tubing was inserted.
D) Checking the remaining length of tubing to ensure that the correct length was inserted. - ANS :C)
Examining a chest x-ray obtained after the tubing was inserted
Both (A and B) are methods used to determine proper placement of the NG tubing. However, the
best indicator that the tubing is properly placed is (C). (D) is not an indicator of proper placement
When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the
center of gravity for an elderly person is the
A) Arms.
B) Upper torso.
C) Head.
D) Feet - ANS :B) Upper torso
The center of gravity for adults is the hips. However, as the person grows older, a stooped posture is
common because of the changes from osteoporosis and normal bone degeneration, and the knees,
hips, and elbows flex. This stooped posture results in the upper torso (B) becoming the center of
gravity for older persons. Although (A) is a part, or an extension of the upper torso, this is not the
best and most complete answer.
Which action is most important for the nurse to implement when donning sterile gloves?
A) Maintain thumb at a ninety degree angle.
B) Hold hands with fingers down while gloving.
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first. - ANS :C) Keep gloved hands above the elbows
Gloved hands held below waist level are considered unsterile (C). (A and B) are not essential to
HALINTONE 1
, Comprehensive Predictor HESI PN Test
Bank
maintaining asepsis. While it may be helpful to put the glove on the dominant hand first, it is not
necessary to ensure asepsis (D).
An adult male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should be the
nurse's first response?
A) It is important that you continue your medication while learning to meditate.
B) Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C) Obtain your healthcare provider's permission before starting meditation.
D) Complementary therapy and western medicine can be effective for you. - ANS :A) It is important
that you continue your medication while learning to meditate
The prolonged practice of meditation may lead to a reduced need for antihypertensive medications.
However, the medications must be continued (A) while the physiologic response to meditation is
monitored. (B) is not as important as continuing the medication. The healthcare provider should be
informed, but permission is not required to meditate (C). Although it is true that this complimentary
therapy might be effective (D), it is essential that the client continue with antihypertensive
medications until the effect of meditation can be measured
The nurse plans to obtain health assessment information from a primary source. Which option is a
primary source for the completion of the health assessment?
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records - ANS :A) Client
A primary source of information for a health assessment is the client (A). (B, C, and D) are
considered secondary sources about the client's health history, but other details, such as subjective
data, can only be provided directly from the client.
The nurse is instructing a client with high cholesterol about diet and life style modification. What
comment from the client indicates that the teaching has been effective?
A) If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase. - ANS :C) I will limit my intake of
beef to 4 ounces per week
Limiting saturated fat from animal food sources to no more than 4 ounces per week (C) is an
important diet modification for lowering cholesterol. To be effective in reducing cholesterol, the
client should exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat and all
proteins do not need to be eliminated (B) to lower cholesterol, but should be restricted to lean cuts
of red meat and smaller portions (2-ounce servings). The low density lipoproteins (D) need to
HALINTONE 2
, Comprehensive Predictor HESI PN Test
Bank
decrease rather than increase
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. - ANS :B. A lactating woman nursing her 3-day-
old infant.
(A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all
conditions that require protein but do NOT have the increased metabolic protein demands of
lactation.)
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse
have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed. - ANS :B. Blood transfusions are forbidden.
When conducting an admission assessment, the nurse should ask the client about the use of
complimentary healing practices. Which statement is accurate regarding the use of these practices?
A. Complimentary healing practices interfere with the efficacy of the medical model of treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse effects.
C. Many complimentary healing practices can be used in conjunction with conventional practices.
D. Conventional medical practices will ultimately replace the use of complimentary healing
practices. - ANS :C. Many complimentary healing practices can be used in conjunction with
conventional practices. (Conventional approaches to health care can be depersonalizing and often
fail to take into consideration all aspects of an individual, including body, mind, and spirit. Often
complimentary healing practices can be used in conjunction with conventional medical practices
(C), rather than interfering (A) with conventional practices, causing adverse effects (B), or replacing
conventional medical care (D). )
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. - ANS :A. Give an around-
the-clock schedule for administration of analgesics.
(The most effective management of pain is achieved using an around-the-clock schedule that
provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less
effective if pain persists until it is severe, so an analgesic medication should be administered before
the client's pain peaks (B). Providing comfort is a priority for the client who is dying, but sedation
that impairs the client's ability to interact and experience the time before life ends should be
minimized (C). Offering a medication-free period allows the serum drug level to fall, which is not an
HALINTONE 3
, Comprehensive Predictor HESI PN Test
Bank
effective method to manage chronic pain.)
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating.
Based on these findings, which intervention should the nurse implement first?
A. Assist the ambulating client back to the bed
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe. - ANS :A. Assist the ambulating client
back to the bed.
(An oxygen saturation below 90% indicates inadequate oxygen. First, the client should be assisted to
return to bed (A) to minimize oxygen demands. Ambulation increases aeration of the lungs to
prevent pooling of respiratory secretions, but the client's activity at this time is depleting oxygen
saturation of the blood, so (B) is contraindicated. Increased activity increases respiratory effort, and
oxygen may be necessary to continue ambulation (C), but first the client should return to the bed to
rest. Oxygen saturation levels at different sites should be evaluated AFTER the client returns to bed
(D). )
A female client asks the nurse to find someone who can translate into her native language her
concerns about a treatment. Which action should the nurse take?
A. Explain that anyone who speaks her language can answer her questions.
B. Provide a translator only in an emergency situation.
C. Ask a family member or friend of the client to translate.
D. Request and document the name of the certified translator. - ANS :D. Request and document the
name of the certified translator. (A certified translator should be requested to ensure the
exchanged information is reliable and unaltered. To adhere to legal requirements in some states,
the name of the translator should be documented (D). Client information that is translated is private
and protected under HIPAA rules, so (A) is not the best action. Although an emergency situation may
require extenuating circumstances (B), a translator should be provided in most situations. Family
members may skew info and not translate the exact information, so (C) is not preferred.)
An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with
"miseries." Based on this statement, which focused assessment should the nurse conduct?
A. Inquire about the source and type of pain.
B. Examine the nose for congestion and discharge.
C. Take vital signs for temperature elevation.
D. Explore the abdominal area for distention. - ANS :A. Inquire about the source and type of pain
(Different cultural groups often have their own terms for health conditions. African-Americans
clients may refer to pain as "the miseries." Based on understanding this term, the nurse should
conduct a focused assessment on the source and type of pain (A). (B, C, and D) are important, but
do not focus on "miseries" (pain).)
The nurse notices that the mother a 9-year-old Vietnamese child always looks at the floor when she
talks to the nurse. What action should the nurse take?
A. Talk directly to the child instead of the mother.
B. Continue asking the mother questions about the child.
C. Ask another nurse to interview the mother now.
HALINTONE 4
Bank
Comprehensive Predictor HESI PN Test
Bank 300+ verified questions and
answers with detailed Rationales
Graded A+ - Brand New Q&As Latest
Which assessment data would provide the most accurate determination of proper placement of a
nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
B) Hearing air pass in the stomach after injecting air into the tubing.
C) Examining a chest x-ray obtained after the tubing was inserted.
D) Checking the remaining length of tubing to ensure that the correct length was inserted. - ANS :C)
Examining a chest x-ray obtained after the tubing was inserted
Both (A and B) are methods used to determine proper placement of the NG tubing. However, the
best indicator that the tubing is properly placed is (C). (D) is not an indicator of proper placement
When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the
center of gravity for an elderly person is the
A) Arms.
B) Upper torso.
C) Head.
D) Feet - ANS :B) Upper torso
The center of gravity for adults is the hips. However, as the person grows older, a stooped posture is
common because of the changes from osteoporosis and normal bone degeneration, and the knees,
hips, and elbows flex. This stooped posture results in the upper torso (B) becoming the center of
gravity for older persons. Although (A) is a part, or an extension of the upper torso, this is not the
best and most complete answer.
Which action is most important for the nurse to implement when donning sterile gloves?
A) Maintain thumb at a ninety degree angle.
B) Hold hands with fingers down while gloving.
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first. - ANS :C) Keep gloved hands above the elbows
Gloved hands held below waist level are considered unsterile (C). (A and B) are not essential to
HALINTONE 1
, Comprehensive Predictor HESI PN Test
Bank
maintaining asepsis. While it may be helpful to put the glove on the dominant hand first, it is not
necessary to ensure asepsis (D).
An adult male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should be the
nurse's first response?
A) It is important that you continue your medication while learning to meditate.
B) Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C) Obtain your healthcare provider's permission before starting meditation.
D) Complementary therapy and western medicine can be effective for you. - ANS :A) It is important
that you continue your medication while learning to meditate
The prolonged practice of meditation may lead to a reduced need for antihypertensive medications.
However, the medications must be continued (A) while the physiologic response to meditation is
monitored. (B) is not as important as continuing the medication. The healthcare provider should be
informed, but permission is not required to meditate (C). Although it is true that this complimentary
therapy might be effective (D), it is essential that the client continue with antihypertensive
medications until the effect of meditation can be measured
The nurse plans to obtain health assessment information from a primary source. Which option is a
primary source for the completion of the health assessment?
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records - ANS :A) Client
A primary source of information for a health assessment is the client (A). (B, C, and D) are
considered secondary sources about the client's health history, but other details, such as subjective
data, can only be provided directly from the client.
The nurse is instructing a client with high cholesterol about diet and life style modification. What
comment from the client indicates that the teaching has been effective?
A) If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase. - ANS :C) I will limit my intake of
beef to 4 ounces per week
Limiting saturated fat from animal food sources to no more than 4 ounces per week (C) is an
important diet modification for lowering cholesterol. To be effective in reducing cholesterol, the
client should exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat and all
proteins do not need to be eliminated (B) to lower cholesterol, but should be restricted to lean cuts
of red meat and smaller portions (2-ounce servings). The low density lipoproteins (D) need to
HALINTONE 2
, Comprehensive Predictor HESI PN Test
Bank
decrease rather than increase
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. - ANS :B. A lactating woman nursing her 3-day-
old infant.
(A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all
conditions that require protein but do NOT have the increased metabolic protein demands of
lactation.)
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse
have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed. - ANS :B. Blood transfusions are forbidden.
When conducting an admission assessment, the nurse should ask the client about the use of
complimentary healing practices. Which statement is accurate regarding the use of these practices?
A. Complimentary healing practices interfere with the efficacy of the medical model of treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse effects.
C. Many complimentary healing practices can be used in conjunction with conventional practices.
D. Conventional medical practices will ultimately replace the use of complimentary healing
practices. - ANS :C. Many complimentary healing practices can be used in conjunction with
conventional practices. (Conventional approaches to health care can be depersonalizing and often
fail to take into consideration all aspects of an individual, including body, mind, and spirit. Often
complimentary healing practices can be used in conjunction with conventional medical practices
(C), rather than interfering (A) with conventional practices, causing adverse effects (B), or replacing
conventional medical care (D). )
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. - ANS :A. Give an around-
the-clock schedule for administration of analgesics.
(The most effective management of pain is achieved using an around-the-clock schedule that
provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less
effective if pain persists until it is severe, so an analgesic medication should be administered before
the client's pain peaks (B). Providing comfort is a priority for the client who is dying, but sedation
that impairs the client's ability to interact and experience the time before life ends should be
minimized (C). Offering a medication-free period allows the serum drug level to fall, which is not an
HALINTONE 3
, Comprehensive Predictor HESI PN Test
Bank
effective method to manage chronic pain.)
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating.
Based on these findings, which intervention should the nurse implement first?
A. Assist the ambulating client back to the bed
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe. - ANS :A. Assist the ambulating client
back to the bed.
(An oxygen saturation below 90% indicates inadequate oxygen. First, the client should be assisted to
return to bed (A) to minimize oxygen demands. Ambulation increases aeration of the lungs to
prevent pooling of respiratory secretions, but the client's activity at this time is depleting oxygen
saturation of the blood, so (B) is contraindicated. Increased activity increases respiratory effort, and
oxygen may be necessary to continue ambulation (C), but first the client should return to the bed to
rest. Oxygen saturation levels at different sites should be evaluated AFTER the client returns to bed
(D). )
A female client asks the nurse to find someone who can translate into her native language her
concerns about a treatment. Which action should the nurse take?
A. Explain that anyone who speaks her language can answer her questions.
B. Provide a translator only in an emergency situation.
C. Ask a family member or friend of the client to translate.
D. Request and document the name of the certified translator. - ANS :D. Request and document the
name of the certified translator. (A certified translator should be requested to ensure the
exchanged information is reliable and unaltered. To adhere to legal requirements in some states,
the name of the translator should be documented (D). Client information that is translated is private
and protected under HIPAA rules, so (A) is not the best action. Although an emergency situation may
require extenuating circumstances (B), a translator should be provided in most situations. Family
members may skew info and not translate the exact information, so (C) is not preferred.)
An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with
"miseries." Based on this statement, which focused assessment should the nurse conduct?
A. Inquire about the source and type of pain.
B. Examine the nose for congestion and discharge.
C. Take vital signs for temperature elevation.
D. Explore the abdominal area for distention. - ANS :A. Inquire about the source and type of pain
(Different cultural groups often have their own terms for health conditions. African-Americans
clients may refer to pain as "the miseries." Based on understanding this term, the nurse should
conduct a focused assessment on the source and type of pain (A). (B, C, and D) are important, but
do not focus on "miseries" (pain).)
The nurse notices that the mother a 9-year-old Vietnamese child always looks at the floor when she
talks to the nurse. What action should the nurse take?
A. Talk directly to the child instead of the mother.
B. Continue asking the mother questions about the child.
C. Ask another nurse to interview the mother now.
HALINTONE 4
