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
A male client's signed advance directive indicates that he wants no resuscitation measures, but the
family disagrees and asks the practical nurse (PN) to try to change the client's mind regarding the
decision. What action should the PN take?
A. Obtain client's permission to talk about the details of the document.
B. Refer the family to the charge nurse to facilitate family discussion.
C. Report the issue to the healthcare provider.
D. Ask a pastoral care advisor to talk to the family. –
ANS :B. Refer the family to the charge nurse to facilitate family discussion.
Rationale: In cases where a disagreement exists, every effort should be made to help the client and
family resolve the issue. The PN should refer the family to the charge nurse who can facilitate the
discussion or explain the client's self-determination rights. (A) is not necessary. Although the
healthcare provider should understand the family issues (C), some attempt to remediate the conflict
should be implemented by the charge nurse. Asking a pastoral care advisor to talk to the family (D)
may help, but the family should be consulted first to find out if they want outside assistance
An unemployed female client who is receiving chemotherapy shares with the practical nurse (PN)
that it has been devastating for her to become bald. What action should the PN take?
A. Report the client's statements during shift change.
B. Explain that most clients lose their hair during treatment.
C. Investigate potential resources to help obtain a wig.
D. Suggest counseling for body-image issues. –
ANS :C. Investigate potential resources to help obtain a wig.
Rationale: Losing one's hair is often a devastating cosmetic consequence of chemotherapy (CT), so
investigating potential resources to help the client obtain a wig (C) addresses the client's alterations
in self image. Although (A) may be beneficial to the client's overall care, hair loss is the client's
stated distress that should be addressed directly. (B) provides the client with information about CT
but does not address the client's immediate reaction to alopecia. Although (D) may be indicated to
HALINTONE 1
, Comprehensive Predictor HESI PN Test
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help with client cope with issues related to loss, the client is expressing her need for help with
baldness
The practical nurse (PN) is visiting a client with a colostomy and notes excoriated skin around the
stoma opening. What information should the PN provide?
A. Eliminate acidic foods from diet.
B. Empty colostomy bag more often.
C. Apply over-the-counter steroid cream.
D. Cut a smaller opening in the adhesive. –
ANS :D. Cut a smaller opening in the adhesive.
Rationale: The most common cause of skin excoriation is from the adhesive appliance opening that
is cut too large and allows fecal matter to come in contact with the skin (D). Excoriated skin is not
related to diet intake (A), which affects stool consistency and odor. Emptying the bag more often is
not related to the skin irritation (B), unless the bag is leaking from being too full. The application of
protective creams (C) or prescriptions may help healing, but peristomal skin excoriation will not
resolve without eliminating the cause.
Following hip replacement surgery, an older male client tells the practical nurse (PN) that he lives
alone in a second story apartment. What action is most important for the PN to take?
A. Chart the client's comments.
B. Share the comment in shift report.
C. Contact a hospital case manager.
D. Inform the primary care provider.
- ANS :C. Contact a hospital case manager.
Rationale: Living on a second floor apartment impacts the client's ability to return home. The PN
should report the finding to the case manager (C), who can best assist the client by ensuring that a
safe plan is in place for the care of the client after discharge. Although (A and B) provide a
communication link, the issue should be addressed by the case manager who can make additional
referrals to assist the client at home. The healthcare provider (D) focuses on the client's medical
management, but the case manager coordinates social services and resources to help meet the
client's needs during recovery at home.
A client who is receiving continuous oxygen is going home after discharge from the hospital. The
practical nurse (PN) discovers that oxygen has not been delivered to the client's home. What priority
action should the PN implement?
A. Send the client home with an oxygen tank from the hospital.
B. Notify the home agency of the issue.
C. Provide client with equipment company's contact information.
D. Delay the time of the client's discharge.
HALINTONE 2
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- ANS :D. Delay the time of the client's discharge.
Rationale: The client should not be released until the necessary equipment or supplies are delivered
to the client's home to safely continue the client's necessary treatment (D). Sending the client home
with a hospital tank (A) does not resolve the issue continuous oxygen available at home. Notifying
the home agency (B) of the issue should be done, but is not as important as keeping the client at the
hospital with oxygen until the issue is resolved. Providing the equipment company contact
information to the client (C) should be done, but is not the priority at this time.
What client behavior illustrates to the practical nurse that a male client is adapting to the effects of
his recent surgery for laryngeal cancer?
A. Has a lack of facial tension.
B. Selects appropriate foods to eat.
C. Looks at surgical site during care.
D. Welcomes visitors with a smile.
- ANS :C. Looks at surgical site during care.
Rationale: Surgical intervention for cancer of the larynx includes laryngectomy and radial neck
dissection. The willingness to touch or look at the affected area (C) is the best indication that the
client acknowledges and accepts the change in appearance. Lack of facial tension (A) or a pleasant
social demeanor (D) may be an indication of denial. Although selecting the appropriate foods (B) is
important, it does not necessarily reflect the client's adaptation to the change in his body image
The practical nurse (PN) is changing the ileostomy collection bag on a client who is 6-days
postoperative for a total colectomy. Which finding requires additional action by the PN?
A. The drainage is brown liquid.
B. Skin maceration around stoma.
C. The stoma bleeds when touched.
D. Foul odor noted when bag removed.
- ANS :B. Skin maceration around stoma.
Rationale: Maceration around the stoma (B) may indicate that the ileostomy bag is leaking and the
peristomal skin is irritated by liquid stool from the ileum. (A and D) are expected findings. (C) should
be monitored, but peristomal skin destruction is painful and affects the client's recovery
The practical nurse (PN) who is the charge nurse in an extended care facility works with two
unlicensed assistive personnel (UAPs) who consistently do not take a lunch break. What action
should the PN take?
A. Seek financial authorization to pay them overtime.
B. Ensure adequate coverage is available for breaks.
HALINTONE 3
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C. Ask UAPs why they are not taking lunch breaks.
D. Allow them to take their daily break while charting.
- ANS :C. Ask UAPs why they are not taking lunch breaks.
Rationale: Legally, staff should take a break away from client responsibilities because staff who take
lunch breaks can provide more effective and safe client care. The PN should first determine the
reasons the UAPs are not taking a lunch break (C). Then, the staff's responsibilities should be
adequately covered during the lunch time the UAPs are away from the client (B). (A) is not on a
routine practice. During break, staff should be relieved of job-related duties (D).
The practical nurse (PN) is caring for a client who had a total hip replacement yesterday. Which task
should the PN assign to an unlicensed assistive personnel (UAP)?
A. Turn the client from side to side every two hours.
B. Remind the client to use the incentive spirometer.
C. Position the client in a sitting position for breakfast.
D. Assist the client in the use of a bedside commode.
- ANS :B. Remind the client to use the incentive spirometer.
Rationale: Reminding a client to use the incentive spirometer (B) can be assigned to the UAP, and
the client's ability to effectively use IS should be evaluated by the PN. An abductor pillow is
required during turning and this precautions must be included in the assignment (A). (C and D)
should not be implemented on the first postoperative day for a client with a new hip replacement
The practical nurse (PN) assigns the task of obtaining vital signs for all the clients on a 24-bed unit to
an experienced unlicensed assistive personnel (UAP). What action should the PN take to ensure the
clients are receiving safe care?
A. Review vital signs trends of each client at end of shift.
B. Take vital signs for any client with abnormal findings.
C. Tell the UAP to report any abnormal vital signs.
D. Accompany the UAP while obtaining vital signs.
- ANS :B. Take vital signs for any client with abnormal findings.
Rationale: To ensure safe care, the PN should take the vital signs for any client with abnormal
results to evaluate the client's condition (B). Trends should be evaluated on an ongoing basis, not
just at the end of the shift (A). Although (C) should be implement, specific information and
parameters for abnormal findings should be included in the assignment to the UAP. Obtaining vital
signs is within the scope of the UAPs assignment, so (D) is not necessary
A client who is receiving oxygen (O2) at 35% per mask receives a prescription for a trial weaning of
O2 to 4 liters/minute per nasal cannula. The practical nurse (PN) notes the client's pulse oximeter
reading goes from 96% to 90% after two minutes with the change in O2 administration. What action
HALINTONE 4
Bank
Comprehensive Predictor HESI PN Test
Bank 300+ verified questions and
answers with detailed Rationales
Graded A+ - Brand New Q&As Latest
A male client's signed advance directive indicates that he wants no resuscitation measures, but the
family disagrees and asks the practical nurse (PN) to try to change the client's mind regarding the
decision. What action should the PN take?
A. Obtain client's permission to talk about the details of the document.
B. Refer the family to the charge nurse to facilitate family discussion.
C. Report the issue to the healthcare provider.
D. Ask a pastoral care advisor to talk to the family. –
ANS :B. Refer the family to the charge nurse to facilitate family discussion.
Rationale: In cases where a disagreement exists, every effort should be made to help the client and
family resolve the issue. The PN should refer the family to the charge nurse who can facilitate the
discussion or explain the client's self-determination rights. (A) is not necessary. Although the
healthcare provider should understand the family issues (C), some attempt to remediate the conflict
should be implemented by the charge nurse. Asking a pastoral care advisor to talk to the family (D)
may help, but the family should be consulted first to find out if they want outside assistance
An unemployed female client who is receiving chemotherapy shares with the practical nurse (PN)
that it has been devastating for her to become bald. What action should the PN take?
A. Report the client's statements during shift change.
B. Explain that most clients lose their hair during treatment.
C. Investigate potential resources to help obtain a wig.
D. Suggest counseling for body-image issues. –
ANS :C. Investigate potential resources to help obtain a wig.
Rationale: Losing one's hair is often a devastating cosmetic consequence of chemotherapy (CT), so
investigating potential resources to help the client obtain a wig (C) addresses the client's alterations
in self image. Although (A) may be beneficial to the client's overall care, hair loss is the client's
stated distress that should be addressed directly. (B) provides the client with information about CT
but does not address the client's immediate reaction to alopecia. Although (D) may be indicated to
HALINTONE 1
, Comprehensive Predictor HESI PN Test
Bank
help with client cope with issues related to loss, the client is expressing her need for help with
baldness
The practical nurse (PN) is visiting a client with a colostomy and notes excoriated skin around the
stoma opening. What information should the PN provide?
A. Eliminate acidic foods from diet.
B. Empty colostomy bag more often.
C. Apply over-the-counter steroid cream.
D. Cut a smaller opening in the adhesive. –
ANS :D. Cut a smaller opening in the adhesive.
Rationale: The most common cause of skin excoriation is from the adhesive appliance opening that
is cut too large and allows fecal matter to come in contact with the skin (D). Excoriated skin is not
related to diet intake (A), which affects stool consistency and odor. Emptying the bag more often is
not related to the skin irritation (B), unless the bag is leaking from being too full. The application of
protective creams (C) or prescriptions may help healing, but peristomal skin excoriation will not
resolve without eliminating the cause.
Following hip replacement surgery, an older male client tells the practical nurse (PN) that he lives
alone in a second story apartment. What action is most important for the PN to take?
A. Chart the client's comments.
B. Share the comment in shift report.
C. Contact a hospital case manager.
D. Inform the primary care provider.
- ANS :C. Contact a hospital case manager.
Rationale: Living on a second floor apartment impacts the client's ability to return home. The PN
should report the finding to the case manager (C), who can best assist the client by ensuring that a
safe plan is in place for the care of the client after discharge. Although (A and B) provide a
communication link, the issue should be addressed by the case manager who can make additional
referrals to assist the client at home. The healthcare provider (D) focuses on the client's medical
management, but the case manager coordinates social services and resources to help meet the
client's needs during recovery at home.
A client who is receiving continuous oxygen is going home after discharge from the hospital. The
practical nurse (PN) discovers that oxygen has not been delivered to the client's home. What priority
action should the PN implement?
A. Send the client home with an oxygen tank from the hospital.
B. Notify the home agency of the issue.
C. Provide client with equipment company's contact information.
D. Delay the time of the client's discharge.
HALINTONE 2
, Comprehensive Predictor HESI PN Test
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- ANS :D. Delay the time of the client's discharge.
Rationale: The client should not be released until the necessary equipment or supplies are delivered
to the client's home to safely continue the client's necessary treatment (D). Sending the client home
with a hospital tank (A) does not resolve the issue continuous oxygen available at home. Notifying
the home agency (B) of the issue should be done, but is not as important as keeping the client at the
hospital with oxygen until the issue is resolved. Providing the equipment company contact
information to the client (C) should be done, but is not the priority at this time.
What client behavior illustrates to the practical nurse that a male client is adapting to the effects of
his recent surgery for laryngeal cancer?
A. Has a lack of facial tension.
B. Selects appropriate foods to eat.
C. Looks at surgical site during care.
D. Welcomes visitors with a smile.
- ANS :C. Looks at surgical site during care.
Rationale: Surgical intervention for cancer of the larynx includes laryngectomy and radial neck
dissection. The willingness to touch or look at the affected area (C) is the best indication that the
client acknowledges and accepts the change in appearance. Lack of facial tension (A) or a pleasant
social demeanor (D) may be an indication of denial. Although selecting the appropriate foods (B) is
important, it does not necessarily reflect the client's adaptation to the change in his body image
The practical nurse (PN) is changing the ileostomy collection bag on a client who is 6-days
postoperative for a total colectomy. Which finding requires additional action by the PN?
A. The drainage is brown liquid.
B. Skin maceration around stoma.
C. The stoma bleeds when touched.
D. Foul odor noted when bag removed.
- ANS :B. Skin maceration around stoma.
Rationale: Maceration around the stoma (B) may indicate that the ileostomy bag is leaking and the
peristomal skin is irritated by liquid stool from the ileum. (A and D) are expected findings. (C) should
be monitored, but peristomal skin destruction is painful and affects the client's recovery
The practical nurse (PN) who is the charge nurse in an extended care facility works with two
unlicensed assistive personnel (UAPs) who consistently do not take a lunch break. What action
should the PN take?
A. Seek financial authorization to pay them overtime.
B. Ensure adequate coverage is available for breaks.
HALINTONE 3
, Comprehensive Predictor HESI PN Test
Bank
C. Ask UAPs why they are not taking lunch breaks.
D. Allow them to take their daily break while charting.
- ANS :C. Ask UAPs why they are not taking lunch breaks.
Rationale: Legally, staff should take a break away from client responsibilities because staff who take
lunch breaks can provide more effective and safe client care. The PN should first determine the
reasons the UAPs are not taking a lunch break (C). Then, the staff's responsibilities should be
adequately covered during the lunch time the UAPs are away from the client (B). (A) is not on a
routine practice. During break, staff should be relieved of job-related duties (D).
The practical nurse (PN) is caring for a client who had a total hip replacement yesterday. Which task
should the PN assign to an unlicensed assistive personnel (UAP)?
A. Turn the client from side to side every two hours.
B. Remind the client to use the incentive spirometer.
C. Position the client in a sitting position for breakfast.
D. Assist the client in the use of a bedside commode.
- ANS :B. Remind the client to use the incentive spirometer.
Rationale: Reminding a client to use the incentive spirometer (B) can be assigned to the UAP, and
the client's ability to effectively use IS should be evaluated by the PN. An abductor pillow is
required during turning and this precautions must be included in the assignment (A). (C and D)
should not be implemented on the first postoperative day for a client with a new hip replacement
The practical nurse (PN) assigns the task of obtaining vital signs for all the clients on a 24-bed unit to
an experienced unlicensed assistive personnel (UAP). What action should the PN take to ensure the
clients are receiving safe care?
A. Review vital signs trends of each client at end of shift.
B. Take vital signs for any client with abnormal findings.
C. Tell the UAP to report any abnormal vital signs.
D. Accompany the UAP while obtaining vital signs.
- ANS :B. Take vital signs for any client with abnormal findings.
Rationale: To ensure safe care, the PN should take the vital signs for any client with abnormal
results to evaluate the client's condition (B). Trends should be evaluated on an ongoing basis, not
just at the end of the shift (A). Although (C) should be implement, specific information and
parameters for abnormal findings should be included in the assignment to the UAP. Obtaining vital
signs is within the scope of the UAPs assignment, so (D) is not necessary
A client who is receiving oxygen (O2) at 35% per mask receives a prescription for a trial weaning of
O2 to 4 liters/minute per nasal cannula. The practical nurse (PN) notes the client's pulse oximeter
reading goes from 96% to 90% after two minutes with the change in O2 administration. What action
HALINTONE 4
