HESI PN COMPREHENSIVE PRACTICE EXAM WITH WELL
DETAILED QUESTION & ANSWERS PERFECTLY A+ GRADED
WITH RATIONALE
What intervention should the practical nurse (PN) implement to meet the physiologic integrity
of a client during a manic episode of bipolar disorder?
A. Provide the client with finger foods.
B. Restrict the client's oral fluid intake.
C. Give the client low-protein, low-calorie snacks.
D. Interrupt the client's performance of rituals. CORRECT ANSWER>>>>A. Provide the
client with finger foods.
During the manic phase of bipolar disorder, a client is often unable to sit still long enough to eat,
so the client should be provided finger foods that can be eaten while hyperactive.
A client with bipolar disorder is being treated with cognitive therapy. Which actions should the
practical nurse (PN) implement to reenforce this treatment strategy? Select all that apply.
A. Recommend daily physical activity.
,B. Use affirmations and limit setting.
C. Allow the client to talk continuously.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
F. Reenforce relaxation techniques when experiencing negative thoughts. CORRECT
ANSWER>>>>B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
Clients diagnosed with bipolar disorder may experience depressive thoughts and/or attempt
suicide. Cognitive therapy sometimes produces relief from troubling symptoms experienced by
clients with bipolar disorder. Cognitive therapy allows clients to handle "thought errors" and
behaviors to stop negative thoughts.
The practical nurse (PN) is evaluating a client's self management of type 1 diabetes mellitus
(DM). Which findings provide the best parameter in the client's goals for the prevention of long-
term complications of DM?
,A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
D. Consistent hemoglobin A1c levels no greater than 7%. CORRECT ANSWER>>>>D.
Consistent hemoglobin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend an A1c target level no
greater than 7% for a client with DM, which is the primary goal and indicator of effective
treatment and diabetes management.
Which action should the practical nurse (PN) implement for a young girl with pulmonary
infection who is receiving chest physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion. CORRECT ANSWER>>>>D. Percuss the
chest wall in a rhythmic fashion.
, Thick secretions that are difficult to cough up can be loosened by tapping, or percussing, and
vibrating the chest. Percussion is carried out by cupping the hands and lightly striking the chest
wall in a rhythmic fashion over the lung segment to be drained
The practical nurse (PN) is preparing to administer erythromycin (Ilotycin) 0.5% ophthalmic
ointment to a newborn. The father asks the PN the purpose of this medication. What rationale
should the PN provide?
A. To allow the baby's eyes to focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the baby's eyes.
D. Refer the father to the pediatrician. CORRECT ANSWER>>>>C. To prevent infection
in the baby's eyes.
Erythromycin is prescribed in the prophylaxis of ophthalmia neonatorum caused by Neisseria
gonorrhea and Chlamydia trachomatis. The PN should explain the ointment is a prophylactic
treatment to prevent infection in the baby's eyes.
A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV dose of atropine
is given per protocol. Which finding should the practical nurse (PN) identify as a therapeutic
response?
A. A decrease in blood pressure.
B. A decrease in premature contractions.
C. An increase in heart rate.
D. An increase in sensorium. CORRECT ANSWER>>>>C. An increase in heart rate.
Atropine increases heart rate (C) by its anticholinergic effects on the sinoatrial (SA) node.
DETAILED QUESTION & ANSWERS PERFECTLY A+ GRADED
WITH RATIONALE
What intervention should the practical nurse (PN) implement to meet the physiologic integrity
of a client during a manic episode of bipolar disorder?
A. Provide the client with finger foods.
B. Restrict the client's oral fluid intake.
C. Give the client low-protein, low-calorie snacks.
D. Interrupt the client's performance of rituals. CORRECT ANSWER>>>>A. Provide the
client with finger foods.
During the manic phase of bipolar disorder, a client is often unable to sit still long enough to eat,
so the client should be provided finger foods that can be eaten while hyperactive.
A client with bipolar disorder is being treated with cognitive therapy. Which actions should the
practical nurse (PN) implement to reenforce this treatment strategy? Select all that apply.
A. Recommend daily physical activity.
,B. Use affirmations and limit setting.
C. Allow the client to talk continuously.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
F. Reenforce relaxation techniques when experiencing negative thoughts. CORRECT
ANSWER>>>>B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
Clients diagnosed with bipolar disorder may experience depressive thoughts and/or attempt
suicide. Cognitive therapy sometimes produces relief from troubling symptoms experienced by
clients with bipolar disorder. Cognitive therapy allows clients to handle "thought errors" and
behaviors to stop negative thoughts.
The practical nurse (PN) is evaluating a client's self management of type 1 diabetes mellitus
(DM). Which findings provide the best parameter in the client's goals for the prevention of long-
term complications of DM?
,A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
D. Consistent hemoglobin A1c levels no greater than 7%. CORRECT ANSWER>>>>D.
Consistent hemoglobin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend an A1c target level no
greater than 7% for a client with DM, which is the primary goal and indicator of effective
treatment and diabetes management.
Which action should the practical nurse (PN) implement for a young girl with pulmonary
infection who is receiving chest physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion. CORRECT ANSWER>>>>D. Percuss the
chest wall in a rhythmic fashion.
, Thick secretions that are difficult to cough up can be loosened by tapping, or percussing, and
vibrating the chest. Percussion is carried out by cupping the hands and lightly striking the chest
wall in a rhythmic fashion over the lung segment to be drained
The practical nurse (PN) is preparing to administer erythromycin (Ilotycin) 0.5% ophthalmic
ointment to a newborn. The father asks the PN the purpose of this medication. What rationale
should the PN provide?
A. To allow the baby's eyes to focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the baby's eyes.
D. Refer the father to the pediatrician. CORRECT ANSWER>>>>C. To prevent infection
in the baby's eyes.
Erythromycin is prescribed in the prophylaxis of ophthalmia neonatorum caused by Neisseria
gonorrhea and Chlamydia trachomatis. The PN should explain the ointment is a prophylactic
treatment to prevent infection in the baby's eyes.
A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV dose of atropine
is given per protocol. Which finding should the practical nurse (PN) identify as a therapeutic
response?
A. A decrease in blood pressure.
B. A decrease in premature contractions.
C. An increase in heart rate.
D. An increase in sensorium. CORRECT ANSWER>>>>C. An increase in heart rate.
Atropine increases heart rate (C) by its anticholinergic effects on the sinoatrial (SA) node.
