HONDROS HESI PN COMPREHENSIVE EXIT – PRACTICE
EXAM 2 | QUESTIONS WITH VERIFIED ANSWERS &
RATIONALES | 2026–2027 EDITION | INSTANT PDF
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A group of practical nurses (PNs) who work on a medical-surgical unit believe they
are understaffed. Which data should the PNs consider when preparing the
justification for additional staff?
A. Staffing ratios in other states.
B. Client acuity and census.
C. Overtime payment and unfilled positions.
D. Number and frequency of client complaints. - SELECTED ANSWER 👀 B. Client
acuity and census.
Rationale: When presenting the need for increased staff, the PNs should present
the request using staffing guidelines that consider client acuity, number of clients,
and length of stay(B).
The practical nurse (PN) assigns care of a client who is HIV positive to a newly
employed PN who states, I can't take care of that client. How should the PN
respond?
A. "I don't understand your response. Please explain what you mean."
B. "Staff cannot pick and choose assignments based on a client's diagnosis."
C. "This client will provide a learning opportunity for you, and I'm here to help."
,D. "I will give you a different client so you will be more comfortable." - SELECTED
ANSWER 👀 A. "I don't understand your response. Please explain what you
mean."
Rationale: The ethical principle of beneficence guides decisions based on the
clients well being or dignity. The PN should first assess the rationale supporting
the response (A) which may include an infection such as a "Cold" that places the
immunosuppressed client at risk
A client with type 2 diabetes mellitus is admitted to the hospital for an
exacerbation of asthma. The practical nurse (PN) administers hydrocortisone
(Solu-Cortef) 60 mg PO every 6 hours. What information should the PN to review
the next day?
A. Serum potassium.
B. Serum glucose.
C. Respiratory rate.
D. Blood pressure. - SELECTED ANSWER 👀 B. Serum glucose.
Rationale: High doses of glucocorticoidsteriods can cause an elevation in the
serum glucose level, so the PN should review the clients serum glucose(B)
Which information should the practical nurse (PN) provide to an unlicensed
assistive personnel (UAP) who is newly assigned to the unit?
A. Keep head-of-bed elevated 45 degrees for clients with an infusing enteral
pump.
B. Determine if pain subsides 20 minutes after a client receives an injection.
,C. Report signs of infection in urine that collects in a bedside drainage unit.
D. Observe how clients are using an incentive spirometer after surgery. -
SELECTED ANSWER 👀 A. Keep head-of-bed elevated 45 degrees for clients with
an infusing enteral pump.
Rationale: Information about the basic care clients such as positioning (A) should
be specific to a common intervention or treatment and should focus on task
within the scope of the UAP's assignment
A woman who is 32-weeks gestation arrives at the prenatal clinic and reports
painless contractions and mucoid vaginal discharge. The fetal heart rate is 150
beats/minutes. What action should the practical nurse (PN) implement first?
A. Place in the left lateral recumbent position.
B. Ask about recent sexual intercourse.
C. Encourage an increase in oral fluid intake.
D. Determine when the contractions began. - SELECTED ANSWER 👀 A. Place in
the left lateral recumbent position.
Rationale: Preterm labors symptoms include contractions and mucoid vaginal
discharge so the PN should place the client in the left lateral position
A 14-year-old female arrives in the school nurse's office seeking information
about healthcare agencies in the community. The practical nurse (PN)
understands the client can make an autonomous healthcare decision if she has
which circumstance?
A. Pregnancy.
, B. Funds to pay for her own care.
C. Homelessness.
D. A life-threatening condition. - SELECTED ANSWER 👀 A. Pregnancy.
Rationale: According to the supreme court a minor who is pregnant (A) can make
an autonomous healthcare decision
The practical nurse (PN) stops to help an unconscious victim at the site of a motor
vehicle collision. After Emergency Medical Services (EMS) arrive, the PN reports
that first aid was rendered and then leaves. The victim dies on the scene from the
injuries sustained. What is the PN's liability?
A. Criminal assault and battery.
B. Negligent acts of omission.
C. Good Samaritan immunity.
D. Client abandonment. - SELECTED ANSWER 👀 C. Good Samaritan immunity.
Rationale: Based on the good Samaritan act (C) the PN rendered emergency care
in good faith at the scene of the accident and is immune from civil liability for
actions while providing care. The PN did not violate the status of Nurse practice
act
A child is admitted for severe abdominal pain and possible appendicitis.
Laboratory and x-ray studies are prescribed. During the diagnostic period, the
practical nurse should implement which nursing actions? (Check all that apply.)
A. Maintain child's comfort.
EXAM 2 | QUESTIONS WITH VERIFIED ANSWERS &
RATIONALES | 2026–2027 EDITION | INSTANT PDF
DOWNLOAD
A group of practical nurses (PNs) who work on a medical-surgical unit believe they
are understaffed. Which data should the PNs consider when preparing the
justification for additional staff?
A. Staffing ratios in other states.
B. Client acuity and census.
C. Overtime payment and unfilled positions.
D. Number and frequency of client complaints. - SELECTED ANSWER 👀 B. Client
acuity and census.
Rationale: When presenting the need for increased staff, the PNs should present
the request using staffing guidelines that consider client acuity, number of clients,
and length of stay(B).
The practical nurse (PN) assigns care of a client who is HIV positive to a newly
employed PN who states, I can't take care of that client. How should the PN
respond?
A. "I don't understand your response. Please explain what you mean."
B. "Staff cannot pick and choose assignments based on a client's diagnosis."
C. "This client will provide a learning opportunity for you, and I'm here to help."
,D. "I will give you a different client so you will be more comfortable." - SELECTED
ANSWER 👀 A. "I don't understand your response. Please explain what you
mean."
Rationale: The ethical principle of beneficence guides decisions based on the
clients well being or dignity. The PN should first assess the rationale supporting
the response (A) which may include an infection such as a "Cold" that places the
immunosuppressed client at risk
A client with type 2 diabetes mellitus is admitted to the hospital for an
exacerbation of asthma. The practical nurse (PN) administers hydrocortisone
(Solu-Cortef) 60 mg PO every 6 hours. What information should the PN to review
the next day?
A. Serum potassium.
B. Serum glucose.
C. Respiratory rate.
D. Blood pressure. - SELECTED ANSWER 👀 B. Serum glucose.
Rationale: High doses of glucocorticoidsteriods can cause an elevation in the
serum glucose level, so the PN should review the clients serum glucose(B)
Which information should the practical nurse (PN) provide to an unlicensed
assistive personnel (UAP) who is newly assigned to the unit?
A. Keep head-of-bed elevated 45 degrees for clients with an infusing enteral
pump.
B. Determine if pain subsides 20 minutes after a client receives an injection.
,C. Report signs of infection in urine that collects in a bedside drainage unit.
D. Observe how clients are using an incentive spirometer after surgery. -
SELECTED ANSWER 👀 A. Keep head-of-bed elevated 45 degrees for clients with
an infusing enteral pump.
Rationale: Information about the basic care clients such as positioning (A) should
be specific to a common intervention or treatment and should focus on task
within the scope of the UAP's assignment
A woman who is 32-weeks gestation arrives at the prenatal clinic and reports
painless contractions and mucoid vaginal discharge. The fetal heart rate is 150
beats/minutes. What action should the practical nurse (PN) implement first?
A. Place in the left lateral recumbent position.
B. Ask about recent sexual intercourse.
C. Encourage an increase in oral fluid intake.
D. Determine when the contractions began. - SELECTED ANSWER 👀 A. Place in
the left lateral recumbent position.
Rationale: Preterm labors symptoms include contractions and mucoid vaginal
discharge so the PN should place the client in the left lateral position
A 14-year-old female arrives in the school nurse's office seeking information
about healthcare agencies in the community. The practical nurse (PN)
understands the client can make an autonomous healthcare decision if she has
which circumstance?
A. Pregnancy.
, B. Funds to pay for her own care.
C. Homelessness.
D. A life-threatening condition. - SELECTED ANSWER 👀 A. Pregnancy.
Rationale: According to the supreme court a minor who is pregnant (A) can make
an autonomous healthcare decision
The practical nurse (PN) stops to help an unconscious victim at the site of a motor
vehicle collision. After Emergency Medical Services (EMS) arrive, the PN reports
that first aid was rendered and then leaves. The victim dies on the scene from the
injuries sustained. What is the PN's liability?
A. Criminal assault and battery.
B. Negligent acts of omission.
C. Good Samaritan immunity.
D. Client abandonment. - SELECTED ANSWER 👀 C. Good Samaritan immunity.
Rationale: Based on the good Samaritan act (C) the PN rendered emergency care
in good faith at the scene of the accident and is immune from civil liability for
actions while providing care. The PN did not violate the status of Nurse practice
act
A child is admitted for severe abdominal pain and possible appendicitis.
Laboratory and x-ray studies are prescribed. During the diagnostic period, the
practical nurse should implement which nursing actions? (Check all that apply.)
A. Maintain child's comfort.
