HESI PN EXIT
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1. Following the dressing change of an abdominal surgical wound, a client
expresses concern to the practical nurse (P) about the scar that might result
from the wound. Which response is best for the PN to provide?: A."You can
always wear clothing to cover the scar."
B." know you are frightened about how you will appear later."
C. "Tell me more about your concerns regarding an abdominal scar."
D." have heard that rubbing coco butter on the scar helps it fade away
Answer :C
2. The practical nurse (P) is caring for a 17-year-old client who fell 20 feet
while climbing the side of a cliff and has been in a sustained vegetative
state for 5 months since the accident. Which intervention should the PN
implement?: A.Inquire about food allergies and food likes and dislikes.
B Monitor vital signs and neurological status every 2 hours.
C Talk directly to the adolescent while providing care.
D Initiate open communication with the teens parents.
Answer : C
3. The practical nurse (P) is assisting with the development of a plan of care for
an older adult client who reports blurred vision and who is newly diagnosed
with type 2 diabetes (DM). Which outcome should the PN include in the plan
of care?
Reference Ranges:
Glycosylated hemoglobin (A1C) [4% to 5.9%]
Fasting Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]: A .The client's
fasting glucose reading will be greater than 140 mg/dL (8 mmol/L) every day.
B. The client will express acceptance of their newly diagnosed health status.
C. The client's hemoglobin AlC will be less than 7.0 % in 3 months.
D. The PN will reinforce with the client on how to perform stress management
techniques.
Answer : C
4. at 39 weeks gestation is admitted in early labor. During the focused as-
sessment, the practical nurse (PN) reviews the obstetrical history with the
client o reports that she has been pregnant five times but has only two living
children, both of whom were full term. The other three pregnancies were
miscarriages ing the first trimester. Which parity should the PN document for
term, premature, abortion, and living children (TPAL) for this client?: A.Term 2,
Premature 1, Abortion 0,Living 3.
, HESI PN EXIT
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B.Term 3, Premature 0, Abortion 3,Living 2.
C.Term 2, Premature 3, Abortion 3,Living 2
D. Term 6, Premature 3, Abortion 3,Living 2.
Answer: B
5. The home health practical nurse (P) visits a young male client with AIDS
who has Kaposi's sarcoma and peripheral neuropathies. His parents, who
provide care for the client, state that their son sleeps most of the time. The
PN observes the client is semi-conscious with stable vital signs and cries out
in pain when turned or moved. A fentanyl patch is in place and skin lesions
are closed and dried. Which intervention should the PN implement?: A. Call for
ambulance transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.Discuss end-of-life decisions with the client's parents.
D.Remove the fentanyl patch as directed by prescription.
Answer: C
6. Twenty four hours after receiving a telephone prescription for a client's
medication, the practical nurse (P) observes that the prescription has not been
signed by the prescriber, which conflicts with agency policy. Which action
should the PN take?: A.Hold the next dose of medication and assess the client.
B.Continue to administer the medication as initially prescribed.
C.Contact the prescriber for a renewal of the prescription.
D.Discontinue the medication immediately.
Answer: c
7. An older adult female resident of a long-term care facility experiences fre-
quent episodes of urinary incontinence. Which focused assessment is most
important for
the practical nurse (P) to perform regularly in response to the resident's
incontinence?: A. Ability to perform Kegel exercises.
B.Fluctuations in the body weight.
C.Appearance of skin in perineal area.
D.Sleep and rest patterns and routines.
Answer: C
8. Which is the first intervention for the practical nurse (P) to implement when a
client refuses to take a prescribed medication?: A.Determine the client's reason
for refusing the medication
, HESI PN EXIT
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B.Instruct the client about the purpose of the medication.
C.Document the client's refusal on the medication record.
D.Explain to the client the potential harm in not taking the medication.
Answer:A
9. The practical nurse (P) is assisting a client who is multiparous in active labor
with breathing techniques during contractions. The client's contractions are
occurring every 2 minutes, with a duration of 80 seconds, when she suddenly
wants to go to the bathroom to have a bowel movement. Which should the PN
do first?: A.Obtain fetal heart rate and maternal vital signs.
B.Instruct the client to push with each contraction.
C.Notify the registered nurse (R) of the client's urge to push.
D.Provide the client with a bedpan to have a bowel movement.
Answer :C
10. At the end of a 12 hour shift, the practical nurse (P) observes the urine in a
client's drainage bag as seen in the picture. Which action should the PN take
next?: A.Note the most recent white blood cell count.
B.Obtain a fingerstick capillary glucose level.
C.Determine if the client's bladder feels distended.
D.Offer to administer a prescribed PRN analgesic.
Answer :A
11. The practical nurse (P) stops at a motor vehicle collision site to render aid
until the emergency personnel arrive, and applies pressure to a groin wound
that is bleeding profusely. Which act protects the PN from liability as long as
the care provided is performed in a reasonable and prudent manner?: A.The
Standards of Practice for Practical Nurses.
B.The Good Samaritan Act.
C.The Patient's Bill of Rights.
D.The Practical Nurse Code of Ethics.
Answer : B
12. A 4-year-old client returned to the day surgery unit after an inguinal
herniorrhaphy and has remained stable for the last four hours. The child is
taking PO liquids without any nausea, and the parent wants to take the client
home. Which finding is most important for the practical nurse (P) to obtain
before discharging the client?: A.Presence of bowel sounds.
B.Testes in the scrotal sac.
, HESI PN EXIT
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C.Ambulation tolerance.
D.Ability to void.
Answer: A
13. The practical nurse (P) is assisting the nurse with the admission physical
assessment of a client diagnosed with pneumonia. What symptom(s) is the
client most likely to exhibit? Select all that apply.: A.Lung crackles.
B.Ankle edema.
C.Painful cough.
D.Bradycardia.
E.Dyspnea.
Answers: A,C,E
14. The practical nurse (P) is providing instructions to the unlicensed assistive
personnel (UP) preparing to give a total bed bath to an immobile client who
has a continuous feeding via gastrostomy tube (GT). Which instruction is most
important for the PN to emphasize?: A.Keep the head of the bed raised while the
tube feeding is infusing.
B.Report any drainage observed around the GT insertion site.
C.Raise the entire bed while bathing the client to reduce back strain.
D.Use plenty of pillows to position the client on the side after bathing.
Answer: A
15. The practical nurse (P) observes a client's initial postoperative dressing
and drain as seen in the picture. What follow up action(s) should the PN
implement?
Select all that apply.: A.Clamp the drainage tubing for the next four hours.
B.Report the appearance of the dressing to the charge nurse.
C.Compress the drainage device before closing the tab.
D.Document the appearance of the wound as inflamed.
E.Remove the drainage device and apply a pressure dressing.
Answer: B,D
16. A client who is a primigravida tells the practical nurse (P), "My baby seems
to be sleeping, but is making funny movements." The PN notices that the infant
is making hand-to-hand movements, smacking the lips, and turning the head.
Which is the best response for the PN to make?: A.These movements indicate
that the infant is hungry.
B.Check to see if the infant needs a diaper change.
Study online at https://quizlet.com/_hlnrox
1. Following the dressing change of an abdominal surgical wound, a client
expresses concern to the practical nurse (P) about the scar that might result
from the wound. Which response is best for the PN to provide?: A."You can
always wear clothing to cover the scar."
B." know you are frightened about how you will appear later."
C. "Tell me more about your concerns regarding an abdominal scar."
D." have heard that rubbing coco butter on the scar helps it fade away
Answer :C
2. The practical nurse (P) is caring for a 17-year-old client who fell 20 feet
while climbing the side of a cliff and has been in a sustained vegetative
state for 5 months since the accident. Which intervention should the PN
implement?: A.Inquire about food allergies and food likes and dislikes.
B Monitor vital signs and neurological status every 2 hours.
C Talk directly to the adolescent while providing care.
D Initiate open communication with the teens parents.
Answer : C
3. The practical nurse (P) is assisting with the development of a plan of care for
an older adult client who reports blurred vision and who is newly diagnosed
with type 2 diabetes (DM). Which outcome should the PN include in the plan
of care?
Reference Ranges:
Glycosylated hemoglobin (A1C) [4% to 5.9%]
Fasting Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]: A .The client's
fasting glucose reading will be greater than 140 mg/dL (8 mmol/L) every day.
B. The client will express acceptance of their newly diagnosed health status.
C. The client's hemoglobin AlC will be less than 7.0 % in 3 months.
D. The PN will reinforce with the client on how to perform stress management
techniques.
Answer : C
4. at 39 weeks gestation is admitted in early labor. During the focused as-
sessment, the practical nurse (PN) reviews the obstetrical history with the
client o reports that she has been pregnant five times but has only two living
children, both of whom were full term. The other three pregnancies were
miscarriages ing the first trimester. Which parity should the PN document for
term, premature, abortion, and living children (TPAL) for this client?: A.Term 2,
Premature 1, Abortion 0,Living 3.
, HESI PN EXIT
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B.Term 3, Premature 0, Abortion 3,Living 2.
C.Term 2, Premature 3, Abortion 3,Living 2
D. Term 6, Premature 3, Abortion 3,Living 2.
Answer: B
5. The home health practical nurse (P) visits a young male client with AIDS
who has Kaposi's sarcoma and peripheral neuropathies. His parents, who
provide care for the client, state that their son sleeps most of the time. The
PN observes the client is semi-conscious with stable vital signs and cries out
in pain when turned or moved. A fentanyl patch is in place and skin lesions
are closed and dried. Which intervention should the PN implement?: A. Call for
ambulance transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.Discuss end-of-life decisions with the client's parents.
D.Remove the fentanyl patch as directed by prescription.
Answer: C
6. Twenty four hours after receiving a telephone prescription for a client's
medication, the practical nurse (P) observes that the prescription has not been
signed by the prescriber, which conflicts with agency policy. Which action
should the PN take?: A.Hold the next dose of medication and assess the client.
B.Continue to administer the medication as initially prescribed.
C.Contact the prescriber for a renewal of the prescription.
D.Discontinue the medication immediately.
Answer: c
7. An older adult female resident of a long-term care facility experiences fre-
quent episodes of urinary incontinence. Which focused assessment is most
important for
the practical nurse (P) to perform regularly in response to the resident's
incontinence?: A. Ability to perform Kegel exercises.
B.Fluctuations in the body weight.
C.Appearance of skin in perineal area.
D.Sleep and rest patterns and routines.
Answer: C
8. Which is the first intervention for the practical nurse (P) to implement when a
client refuses to take a prescribed medication?: A.Determine the client's reason
for refusing the medication
, HESI PN EXIT
Study online at https://quizlet.com/_hlnrox
B.Instruct the client about the purpose of the medication.
C.Document the client's refusal on the medication record.
D.Explain to the client the potential harm in not taking the medication.
Answer:A
9. The practical nurse (P) is assisting a client who is multiparous in active labor
with breathing techniques during contractions. The client's contractions are
occurring every 2 minutes, with a duration of 80 seconds, when she suddenly
wants to go to the bathroom to have a bowel movement. Which should the PN
do first?: A.Obtain fetal heart rate and maternal vital signs.
B.Instruct the client to push with each contraction.
C.Notify the registered nurse (R) of the client's urge to push.
D.Provide the client with a bedpan to have a bowel movement.
Answer :C
10. At the end of a 12 hour shift, the practical nurse (P) observes the urine in a
client's drainage bag as seen in the picture. Which action should the PN take
next?: A.Note the most recent white blood cell count.
B.Obtain a fingerstick capillary glucose level.
C.Determine if the client's bladder feels distended.
D.Offer to administer a prescribed PRN analgesic.
Answer :A
11. The practical nurse (P) stops at a motor vehicle collision site to render aid
until the emergency personnel arrive, and applies pressure to a groin wound
that is bleeding profusely. Which act protects the PN from liability as long as
the care provided is performed in a reasonable and prudent manner?: A.The
Standards of Practice for Practical Nurses.
B.The Good Samaritan Act.
C.The Patient's Bill of Rights.
D.The Practical Nurse Code of Ethics.
Answer : B
12. A 4-year-old client returned to the day surgery unit after an inguinal
herniorrhaphy and has remained stable for the last four hours. The child is
taking PO liquids without any nausea, and the parent wants to take the client
home. Which finding is most important for the practical nurse (P) to obtain
before discharging the client?: A.Presence of bowel sounds.
B.Testes in the scrotal sac.
, HESI PN EXIT
Study online at https://quizlet.com/_hlnrox
C.Ambulation tolerance.
D.Ability to void.
Answer: A
13. The practical nurse (P) is assisting the nurse with the admission physical
assessment of a client diagnosed with pneumonia. What symptom(s) is the
client most likely to exhibit? Select all that apply.: A.Lung crackles.
B.Ankle edema.
C.Painful cough.
D.Bradycardia.
E.Dyspnea.
Answers: A,C,E
14. The practical nurse (P) is providing instructions to the unlicensed assistive
personnel (UP) preparing to give a total bed bath to an immobile client who
has a continuous feeding via gastrostomy tube (GT). Which instruction is most
important for the PN to emphasize?: A.Keep the head of the bed raised while the
tube feeding is infusing.
B.Report any drainage observed around the GT insertion site.
C.Raise the entire bed while bathing the client to reduce back strain.
D.Use plenty of pillows to position the client on the side after bathing.
Answer: A
15. The practical nurse (P) observes a client's initial postoperative dressing
and drain as seen in the picture. What follow up action(s) should the PN
implement?
Select all that apply.: A.Clamp the drainage tubing for the next four hours.
B.Report the appearance of the dressing to the charge nurse.
C.Compress the drainage device before closing the tab.
D.Document the appearance of the wound as inflamed.
E.Remove the drainage device and apply a pressure dressing.
Answer: B,D
16. A client who is a primigravida tells the practical nurse (P), "My baby seems
to be sleeping, but is making funny movements." The PN notices that the infant
is making hand-to-hand movements, smacking the lips, and turning the head.
Which is the best response for the PN to make?: A.These movements indicate
that the infant is hungry.
B.Check to see if the infant needs a diaper change.
