Hesi pn management practice exam WITH ANS 2025
The healthcare provider prescribes a drug form change for an
Ask healthcare provider if the same dose of liquid medication
enteric-coated medication to liquid form. What action should the
should be the same as enteric-coated tablet.
practical nurse (PN) implement first?
An older male client refuses to take medication, stating that it
burns his stomach. Which action should the practical nurse im- Document the reason for refusal and report to the charge nurse.
plement?
Violation of client's right to refuse medication.
After an older client refuses to take bupropion (Wellbutrin XL),
Assignment of medication administration to the UAP.
the practical nurse (PN) crushes the tablet to disguises it in a
Alteration of medication form without notifying the healthcare
chocolate pudding cup. The PN directs the unlicensed assistive
provider.
personnel (UAP) to feed the client the pudding. Which actions
Prior authorization not obtained before crushing extended-re-
should the PN report as a medication error? (Select all that apply.)
lease medication.
A resident in an assisted living community has experienced an
unusual incidentthat did not result in injury. When notifying the Call family as soon as possible after the incident to communicate
family, what action should the practical nurse (PN) implement to current and accurate information.
provide the best information to the family?
During an evaluation of an older female client for discharge from
the hospital, the practical nurse (PN) documents a stage I pres-
Home health nurse.
sure ulcer on the client's sacrum. Which healthcare team member
is best to monitor the client's care?
The practical nurse (PN) is caring for a frail elderly client who is
recovering on the skilled nursing facility unit for dehydration and
Assist client to use urinal or bedpan while in bed.
confusion. Which task should the PN assign to the unlicensed
assistive personnel (UAP)?
The practical nurse (PN) is evaluating a new client's risk for osteo-
porosis who has recently moved into an assisted living community.
Take weekly height and weight measurements.
Which task should the PN assign to the unlicensed assistive
personnel (UAP)?
The practical nurse (PN) receives report for an older adult client
who is transferred to the medical surgical floor from the post Ambulate as prescribed
anesthesia care unit (PACU). Which interventions should the PN Encourage use of the incentive spirometer.
assign to the unlicensed assistive personnel (UAP) to help prevent Keep a full pitcher of water at the bedside.
respiratory complications after surgery? (Select all that apply.)
The practical nurse (PN) is caring for a client who has cirrhosis
with pruritus. Which task can the PN assign to the unlicensed Rub warm lotion to soothe the skin.
assistive personnel (UAP)?
The practical nurse (PN) is documenting weekly nutritional status
on all the clients in the assisted living community. Which activity Obtain an individual height and weight for each client.
can the PN assign to the unlicensed assistive personnel (UAP)?
The practical nurse (PN) assign the unlicensed assistive person-
nel (UAP) to obtain the height measurement for a client who is
seated. Which method is most accurate for the PN to direct the Use a sliding blade knee height caliper.
UAP to use?
The practical nurse (PN) working in an assisted-living community
reviews the guidelines for completing new resident paperwork.
What amount of time is required to complete the initial compre- 7 days.
hensive plan of care by the interdisciplinary team?
Admissions assessment within 14 days of move in date, reassess-
The practical nurse (PN) working in a long term care (LTC) facility
ment within 1 year of most recent comprehensive assessment,
is orienting a new staff member in the facility who is gathering
change in status assessment within 14 days of occurrence of
data for admission of a new resident. Which information by the
change, and quarterly assessment including Minimum Data Set
new staff demonstrates understanding of the guidelines required
(MDS) every 3 months from date of initial comprehensive assess-
for a new client?
ment.
The practical nurse (PN) supervises unlicensed assistive person-
nel (UAPs) during the implementation of standards of practice for
Center for Disease Control (CDC)
isolation precautions. Which organization's publication should the
PN reference to identify these standards and guidelines?
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The healthcare provider prescribes a drug form change for an
Ask healthcare provider if the same dose of liquid medication
enteric-coated medication to liquid form. What action should the
should be the same as enteric-coated tablet.
practical nurse (PN) implement first?
An older male client refuses to take medication, stating that it
burns his stomach. Which action should the practical nurse im- Document the reason for refusal and report to the charge nurse.
plement?
Violation of client's right to refuse medication.
After an older client refuses to take bupropion (Wellbutrin XL),
Assignment of medication administration to the UAP.
the practical nurse (PN) crushes the tablet to disguises it in a
Alteration of medication form without notifying the healthcare
chocolate pudding cup. The PN directs the unlicensed assistive
provider.
personnel (UAP) to feed the client the pudding. Which actions
Prior authorization not obtained before crushing extended-re-
should the PN report as a medication error? (Select all that apply.)
lease medication.
A resident in an assisted living community has experienced an
unusual incidentthat did not result in injury. When notifying the Call family as soon as possible after the incident to communicate
family, what action should the practical nurse (PN) implement to current and accurate information.
provide the best information to the family?
During an evaluation of an older female client for discharge from
the hospital, the practical nurse (PN) documents a stage I pres-
Home health nurse.
sure ulcer on the client's sacrum. Which healthcare team member
is best to monitor the client's care?
The practical nurse (PN) is caring for a frail elderly client who is
recovering on the skilled nursing facility unit for dehydration and
Assist client to use urinal or bedpan while in bed.
confusion. Which task should the PN assign to the unlicensed
assistive personnel (UAP)?
The practical nurse (PN) is evaluating a new client's risk for osteo-
porosis who has recently moved into an assisted living community.
Take weekly height and weight measurements.
Which task should the PN assign to the unlicensed assistive
personnel (UAP)?
The practical nurse (PN) receives report for an older adult client
who is transferred to the medical surgical floor from the post Ambulate as prescribed
anesthesia care unit (PACU). Which interventions should the PN Encourage use of the incentive spirometer.
assign to the unlicensed assistive personnel (UAP) to help prevent Keep a full pitcher of water at the bedside.
respiratory complications after surgery? (Select all that apply.)
The practical nurse (PN) is caring for a client who has cirrhosis
with pruritus. Which task can the PN assign to the unlicensed Rub warm lotion to soothe the skin.
assistive personnel (UAP)?
The practical nurse (PN) is documenting weekly nutritional status
on all the clients in the assisted living community. Which activity Obtain an individual height and weight for each client.
can the PN assign to the unlicensed assistive personnel (UAP)?
The practical nurse (PN) assign the unlicensed assistive person-
nel (UAP) to obtain the height measurement for a client who is
seated. Which method is most accurate for the PN to direct the Use a sliding blade knee height caliper.
UAP to use?
The practical nurse (PN) working in an assisted-living community
reviews the guidelines for completing new resident paperwork.
What amount of time is required to complete the initial compre- 7 days.
hensive plan of care by the interdisciplinary team?
Admissions assessment within 14 days of move in date, reassess-
The practical nurse (PN) working in a long term care (LTC) facility
ment within 1 year of most recent comprehensive assessment,
is orienting a new staff member in the facility who is gathering
change in status assessment within 14 days of occurrence of
data for admission of a new resident. Which information by the
change, and quarterly assessment including Minimum Data Set
new staff demonstrates understanding of the guidelines required
(MDS) every 3 months from date of initial comprehensive assess-
for a new client?
ment.
The practical nurse (PN) supervises unlicensed assistive person-
nel (UAPs) during the implementation of standards of practice for
Center for Disease Control (CDC)
isolation precautions. Which organization's publication should the
PN reference to identify these standards and guidelines?
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