Real Hesi PN graded A+.
Real Hesi PN graded A+.
An elderly client who is 12 hours postoperative for a hernia repair suddenly becomes agitated, staggers
out into the corridor and demands to be set free. After assisting the client back to bed and administering
pain medication. Which intervention is best for the practical nurse (PN) to implement?
A. Notify the healthcare provider and request a prescription for restraints to minimize the client's
danger to self.
B. Raise the side and notify the family to come sit with the client to reorientate and cooperative.
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic accumulation.
D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until the client
is resting. - ANSWER C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
A male client attends a community support program for mentally impaired and chemical abusing clients.
The client tells the practical nurse (PN) that his drug of choice are cocaine and heroin. What is the
greatest health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension - ANSWER A. Hepatitis
The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has
been made. What should the PN do to rectify the error?
A. Draw one line through the entry and insert the correct information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
D. Notify the charge nurse that the entry needs to be revised. - ANSWER A. Draw one line through the
entry and insert the correct information.
The practical nurse (PN) selects the ventrogluteal site to administer intramuscular (IM) injection to an
adult. Identify the site (Click the chosen location) - ANSWER
,Real Hesi PN graded A+.
The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical nurse (PN) who is preparing
to insert a catheter in a female client who weighs 50kg. Which action should the PN take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus. - ANSWER C. Consult with the charge nurse about
the catheter.
The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM). Which finding
is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing - ANSWER B. Tremors
While caring for a client with Gillian Barres syndrome. Which finding should the practical nurse (PN)
report to the charge nurse?
While caring for a client with Gillian Barres syndrome. Which finding should the practical nurse (PN)
report to the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing - ANSWER A. Lower leg weakness/cramping
A client at 39 weeks gestation is admitted in early labor. During the focused assessment the practical
nurse (PN) reviews the obstetrical history with the client who states that she has been pregnant five
times but only has two living children, both of whom were full-term. The other three pregnancies were
miscarriages during the first trimester. Which parity should the PN document for term, premature,
abortion, and living (TPAL) for the client?
A. Term 3, Premature 0, Abortion 3, Living 2
B. Term 6, Premature 3, Abortion 3, Living 2
C. Term 2, Premature 3, Abortion 3, Living 2
, Real Hesi PN graded A+.
D. Term 2, Premature 1, Abortion 0, Living 3 - ANSWER A. Term 3, Premature 0, Abortion 3, Living 2
A client who is at full term gestation active labor complains of a cramp in her legs. Which intervention
should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Check the pedal pulse in the affected leg.
C. Extend the leg and flex the foot.
D. Elevate the leg above the heart. - ANSWER C. Extend the leg and flex the foot.
The practical nurse (PN) is caring for a client with psychosis who demonstrates an inability to
communicate effectively. Which method should the PN use to interact with the client?
A. Touch the client when speaking.
B. Engage in regular contact.
C. Discourage group activities.
D. Establish a no harm contract. - ANSWER B. Engage in regular contact.
The practical nurse (PN) is preparing cefazolin 400mg IM for a client with positive infection. The
available vial is labeled Cefazolin 1 gram and the instructions for the reconstitution state for IM add 2mL
sterile water for injection. Total volume after reconstitution is 2.5mL. After reconstitution how many mL
should be administered to the client? (ENTER NUMERIC VALUE ONLY. IF ROUNDING IS REQUIRED
ROUND TO THE NEAREST WHOLE NUMBER, TENTHS, HUNDRETHS) - ANSWER 1 mL
An older client who fell down several stairs 4 hours ago is scheduled for a magnetic resonance imaging
(MRI). What information should the practical nurse (PN) obtain from the client?
A. Allergy to iodine-based dyes.
B. History of previous myelogram.
C. Last time food was consumed.
D. Presents of a metal implant. - ANSWER C. Last time food was consumed.
The practical nurse (PN) is reviewing instructions for the use of pilocarpine drops with a client who has
glaucoma. The client replies that the drops should be used to anesthetize the eye if eye pain is
experienced. What action should the PN implement?
Real Hesi PN graded A+.
An elderly client who is 12 hours postoperative for a hernia repair suddenly becomes agitated, staggers
out into the corridor and demands to be set free. After assisting the client back to bed and administering
pain medication. Which intervention is best for the practical nurse (PN) to implement?
A. Notify the healthcare provider and request a prescription for restraints to minimize the client's
danger to self.
B. Raise the side and notify the family to come sit with the client to reorientate and cooperative.
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic accumulation.
D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until the client
is resting. - ANSWER C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
A male client attends a community support program for mentally impaired and chemical abusing clients.
The client tells the practical nurse (PN) that his drug of choice are cocaine and heroin. What is the
greatest health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension - ANSWER A. Hepatitis
The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has
been made. What should the PN do to rectify the error?
A. Draw one line through the entry and insert the correct information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
D. Notify the charge nurse that the entry needs to be revised. - ANSWER A. Draw one line through the
entry and insert the correct information.
The practical nurse (PN) selects the ventrogluteal site to administer intramuscular (IM) injection to an
adult. Identify the site (Click the chosen location) - ANSWER
,Real Hesi PN graded A+.
The Charge nurse brings a #18 catheter with a 30 mL balloon to the practical nurse (PN) who is preparing
to insert a catheter in a female client who weighs 50kg. Which action should the PN take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus. - ANSWER C. Consult with the charge nurse about
the catheter.
The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM). Which finding
is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing - ANSWER B. Tremors
While caring for a client with Gillian Barres syndrome. Which finding should the practical nurse (PN)
report to the charge nurse?
While caring for a client with Gillian Barres syndrome. Which finding should the practical nurse (PN)
report to the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing - ANSWER A. Lower leg weakness/cramping
A client at 39 weeks gestation is admitted in early labor. During the focused assessment the practical
nurse (PN) reviews the obstetrical history with the client who states that she has been pregnant five
times but only has two living children, both of whom were full-term. The other three pregnancies were
miscarriages during the first trimester. Which parity should the PN document for term, premature,
abortion, and living (TPAL) for the client?
A. Term 3, Premature 0, Abortion 3, Living 2
B. Term 6, Premature 3, Abortion 3, Living 2
C. Term 2, Premature 3, Abortion 3, Living 2
, Real Hesi PN graded A+.
D. Term 2, Premature 1, Abortion 0, Living 3 - ANSWER A. Term 3, Premature 0, Abortion 3, Living 2
A client who is at full term gestation active labor complains of a cramp in her legs. Which intervention
should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Check the pedal pulse in the affected leg.
C. Extend the leg and flex the foot.
D. Elevate the leg above the heart. - ANSWER C. Extend the leg and flex the foot.
The practical nurse (PN) is caring for a client with psychosis who demonstrates an inability to
communicate effectively. Which method should the PN use to interact with the client?
A. Touch the client when speaking.
B. Engage in regular contact.
C. Discourage group activities.
D. Establish a no harm contract. - ANSWER B. Engage in regular contact.
The practical nurse (PN) is preparing cefazolin 400mg IM for a client with positive infection. The
available vial is labeled Cefazolin 1 gram and the instructions for the reconstitution state for IM add 2mL
sterile water for injection. Total volume after reconstitution is 2.5mL. After reconstitution how many mL
should be administered to the client? (ENTER NUMERIC VALUE ONLY. IF ROUNDING IS REQUIRED
ROUND TO THE NEAREST WHOLE NUMBER, TENTHS, HUNDRETHS) - ANSWER 1 mL
An older client who fell down several stairs 4 hours ago is scheduled for a magnetic resonance imaging
(MRI). What information should the practical nurse (PN) obtain from the client?
A. Allergy to iodine-based dyes.
B. History of previous myelogram.
C. Last time food was consumed.
D. Presents of a metal implant. - ANSWER C. Last time food was consumed.
The practical nurse (PN) is reviewing instructions for the use of pilocarpine drops with a client who has
glaucoma. The client replies that the drops should be used to anesthetize the eye if eye pain is
experienced. What action should the PN implement?
