HESI PN fundamentals exam. Questions and Answers 2025
QUESTION 1
History and Physical
The client is a 58-year-old female who had a partial colectomy for diverticulitis.
She has no other significant medical issues. She had a previous surgery for
bunions 3 years ago.
Nurse’s notes
Postoperative day (POD) 4
The client is awake and alert, denies pain. The client is still unable to tolerate
solid foods but is drinking full liquids with no issues. No signs of hypovolemia.
The surgical wound is slow- healing and red around the edges. Serosanguinous
drainage noted coming from the wound.
Laboratory Results
Glucose 78 mg/dL (4.33 μmol/L) 74 to 106 mg/dL (4.1 to
5.9 μmol/L)
Carbon dioxide (CO2) 25 mg/dL (25 μmol/L) 23 to 30 mEq/L (23 to 30
μmol/L)
Creatine 0.7 mg/dL (61.88 μmol/L) 0.5 to 1.1 mg/dL (44 to 97
μmol/L)
Orders
Admit to the surgical floor.
Clear liquids, advance to regular diet as tolerated
First dressing change POD 1 to be done by surgeon, then dressing changes daily
by nursing staff
,HESI PN fundamentals exam. Questions and Answers 2025
Wound care POD 2 and forward. Cleanse with sterile saline, pat dry, cover with
sterile gauze and secure with paper tape.
Exhibits
Review H and P, nurse's notes, laboratory results, and prescriptions.
Complete the diagram by dragging from the choices area to specify which
condition the client is most likely experiencing, two actions the practical nurse
(PN) should take to address that condition, and two parameters the PN should
monitor to assess the client's progress.
Actions to Take
Choices
A. Include protein supplement shakes in the client's diet
B. Place a feeding tube and start enteral feeds
C. Add table salt to any broth that the client takes
D. Advance diet to regular as tolerated
E.
Potential Conditions
Choices
A. lodine deficiency
B. Glucose deficiency
C. Sodium deficiency
D. Protein deficiency
Parameters to Monitor
Choices
A. Neck circumference
B. Signs of infection
C. Point of care blood glucose
D. Heart rhythm
E. Wound healing
,HESI PN fundamentals exam. Questions and Answers 2025
Answer
Correct Answer
Section Correct Answer
Actions to Take Include protein supplement shakes in the client's
diet
Advance diet to regular as tolerated
Potential Conditions Protein deficiency
Parameters to Monitor Signs of infection
Wound healing
QUESTION 2
In assisting a dyspneic client with morning care, which action by the practical
nurse (PN) is most important?
A. Schedule frequent rest periods during care.
B. Assist the client to a chair before making the bed.
C. Ask the client about his usual morning routine.
D. Encourage the client to participate in the care.
QUESTION 3
The practical nurse (PN) is providing care for a client with a history of a stroke
and who has aphasia. The client is exhibiting restlessness, shallow respirations
and is clenching teeth. Which problem should the PN assess further?
A. Alteration in comfort.
B. Deficit in diversional activity.
C. Elevated blood pressure.
D. Change in blood glucose level.
, HESI PN fundamentals exam. Questions and Answers 2025
QUESTION 4
The practical nurse (PN) turns a client with right sided paralysis from a supine to
a left lateral position. Which bony prominence is most likely to manifest signs of
erythema when first turned?
A. Sacrum.
B. Ischial tuberosities.
C. Lateral malleolus
D. Iliac crest.
QUESTION 5
One week after beginning a new prescription for potassium chloride, a client tells
the practical nurse (PN) that there is tingling and numbness in the feet and hands.
Which action should the PN take?
A. Notify the unit charge nurse of the client's reported symptoms immediately.
B. Reassure the client that the supplement will soon relieve those symptoms.
C. Explain that a calcium supplement may be necessary.
D. Encourage the client to decrease the intake of dietary sodium.
QUESTION 6
An older adult client with a stage one sacral pressure wound is discharged with
instructions for home care. Which information should the practical nurse
reinforce with the client?
A. Apply lotion to sacrum.
B. Use wet-to-dry dressings daily.
C. Elevate head of bed 30 degrees.
D. Change positions every 2 hours.
QUESTION 7
A client on a prescribed full liquid diet has a nursing problem of, "Risk for
impaired skin integrity related to reduced oral intake." Which snack would be best
to provide this client?
A. A liquid nutritional supplement that contains protein.
B. Beef broth, or chicken broth.
QUESTION 1
History and Physical
The client is a 58-year-old female who had a partial colectomy for diverticulitis.
She has no other significant medical issues. She had a previous surgery for
bunions 3 years ago.
Nurse’s notes
Postoperative day (POD) 4
The client is awake and alert, denies pain. The client is still unable to tolerate
solid foods but is drinking full liquids with no issues. No signs of hypovolemia.
The surgical wound is slow- healing and red around the edges. Serosanguinous
drainage noted coming from the wound.
Laboratory Results
Glucose 78 mg/dL (4.33 μmol/L) 74 to 106 mg/dL (4.1 to
5.9 μmol/L)
Carbon dioxide (CO2) 25 mg/dL (25 μmol/L) 23 to 30 mEq/L (23 to 30
μmol/L)
Creatine 0.7 mg/dL (61.88 μmol/L) 0.5 to 1.1 mg/dL (44 to 97
μmol/L)
Orders
Admit to the surgical floor.
Clear liquids, advance to regular diet as tolerated
First dressing change POD 1 to be done by surgeon, then dressing changes daily
by nursing staff
,HESI PN fundamentals exam. Questions and Answers 2025
Wound care POD 2 and forward. Cleanse with sterile saline, pat dry, cover with
sterile gauze and secure with paper tape.
Exhibits
Review H and P, nurse's notes, laboratory results, and prescriptions.
Complete the diagram by dragging from the choices area to specify which
condition the client is most likely experiencing, two actions the practical nurse
(PN) should take to address that condition, and two parameters the PN should
monitor to assess the client's progress.
Actions to Take
Choices
A. Include protein supplement shakes in the client's diet
B. Place a feeding tube and start enteral feeds
C. Add table salt to any broth that the client takes
D. Advance diet to regular as tolerated
E.
Potential Conditions
Choices
A. lodine deficiency
B. Glucose deficiency
C. Sodium deficiency
D. Protein deficiency
Parameters to Monitor
Choices
A. Neck circumference
B. Signs of infection
C. Point of care blood glucose
D. Heart rhythm
E. Wound healing
,HESI PN fundamentals exam. Questions and Answers 2025
Answer
Correct Answer
Section Correct Answer
Actions to Take Include protein supplement shakes in the client's
diet
Advance diet to regular as tolerated
Potential Conditions Protein deficiency
Parameters to Monitor Signs of infection
Wound healing
QUESTION 2
In assisting a dyspneic client with morning care, which action by the practical
nurse (PN) is most important?
A. Schedule frequent rest periods during care.
B. Assist the client to a chair before making the bed.
C. Ask the client about his usual morning routine.
D. Encourage the client to participate in the care.
QUESTION 3
The practical nurse (PN) is providing care for a client with a history of a stroke
and who has aphasia. The client is exhibiting restlessness, shallow respirations
and is clenching teeth. Which problem should the PN assess further?
A. Alteration in comfort.
B. Deficit in diversional activity.
C. Elevated blood pressure.
D. Change in blood glucose level.
, HESI PN fundamentals exam. Questions and Answers 2025
QUESTION 4
The practical nurse (PN) turns a client with right sided paralysis from a supine to
a left lateral position. Which bony prominence is most likely to manifest signs of
erythema when first turned?
A. Sacrum.
B. Ischial tuberosities.
C. Lateral malleolus
D. Iliac crest.
QUESTION 5
One week after beginning a new prescription for potassium chloride, a client tells
the practical nurse (PN) that there is tingling and numbness in the feet and hands.
Which action should the PN take?
A. Notify the unit charge nurse of the client's reported symptoms immediately.
B. Reassure the client that the supplement will soon relieve those symptoms.
C. Explain that a calcium supplement may be necessary.
D. Encourage the client to decrease the intake of dietary sodium.
QUESTION 6
An older adult client with a stage one sacral pressure wound is discharged with
instructions for home care. Which information should the practical nurse
reinforce with the client?
A. Apply lotion to sacrum.
B. Use wet-to-dry dressings daily.
C. Elevate head of bed 30 degrees.
D. Change positions every 2 hours.
QUESTION 7
A client on a prescribed full liquid diet has a nursing problem of, "Risk for
impaired skin integrity related to reduced oral intake." Which snack would be best
to provide this client?
A. A liquid nutritional supplement that contains protein.
B. Beef broth, or chicken broth.
