PN Hesi Fundamentals Practice questions
and answers 2026\2027 A+ Grade
Which assessment should the practical nurse (PN) make to best evaluate a client's fluid status?
- correct answer Daily body weight
The practical nurse (PN) is changing a postoperative dressing for a client with a horizontal lower
abdominal incision. What method should the PN use to remove the tape from the dressing?
- correct answer Remove all four sides by moving to the center of the incision.
A male client ho is 2 days postoperative for exploratory abdominal surgery is ambulating in the hall with
the practical nurse (PN). The client tells the PN, "I think something in my incision just let go." Which
action should the PN implement first?
- correct answer Assist the client to a supine position.
An older client who is unable to swallow is receiving continuous NGT feeding. Before administering
medications through the NGT, what action should the practical nurse implement?
- correct answer Flush the feeding tube with water.
Which action should the practical nurse implement to help a male client cope with his fear as he
approaches death?
- correct answer Hold the client's hand and tell him he is no alone.
The practical nurse is giving oral care to an older female client with tender gums that bleed easily
because of a medication she is taking. What intervention should the PN implement?
- correct answer Obtain a soft-bristle brush for the client.
The practical nurse is caring for a client who is admitted with influenza and vomiting for 3 days. The
clients skin turbot is poor and oral mucous membranes are dry. Which finding is most important for the
PN to report to the charge nurse?
- correct answer Hypotension and tachycardia
, Which food should the practical nurse recommend for a client to increase the dietary intake of
potassium?
- correct answer Baked potatoes
When irrigating the external ear canals of an older adult client, which action should the PN use to soften
dry cerumen for removal?
- correct answer Instill mineral oil in the external auditory canal overnight before irrigation.
An older female state the medication tablet brought in a cup looks different from the tablet that she
takes at home. Which action should the practical nurse take?
- correct answer Check the written prescription to verify the medication
Which action should the PN implement when administering a subcutaneous injection to a client who
weighs 325 pounds?
- correct answer Select a needle with a longer shaft
Which intervention provides confirmation of NGT placement before NGT feedings are started?
- correct answer X-ray of the abdomen
An older male client who is incontinent receives a prescription for a condom catheter. Which steps
should the PN implement when applying the external catheter.
- correct answer Wrap the adhesive strip in a spiral around the penis
Apply skin prep to the penile shaft and allow to dry
Leave 1-2 inches between the tip of the penis and condom catheter
Acetaminophen is prescribed for an unconscious client with a temp of 104' F. Which route should the PN
plan to administer this medication?
- correct answer Rectal
An older male client who is sedentary complains of not having a formed bowel movement in four days
and tells the PN that he feels rectal pressure and has a constant headache. The PN determines the client
is having frequent small, liquid stools. Which nursing action should the PN take first?
- correct answer Digitally assess for impacted stool.
and answers 2026\2027 A+ Grade
Which assessment should the practical nurse (PN) make to best evaluate a client's fluid status?
- correct answer Daily body weight
The practical nurse (PN) is changing a postoperative dressing for a client with a horizontal lower
abdominal incision. What method should the PN use to remove the tape from the dressing?
- correct answer Remove all four sides by moving to the center of the incision.
A male client ho is 2 days postoperative for exploratory abdominal surgery is ambulating in the hall with
the practical nurse (PN). The client tells the PN, "I think something in my incision just let go." Which
action should the PN implement first?
- correct answer Assist the client to a supine position.
An older client who is unable to swallow is receiving continuous NGT feeding. Before administering
medications through the NGT, what action should the practical nurse implement?
- correct answer Flush the feeding tube with water.
Which action should the practical nurse implement to help a male client cope with his fear as he
approaches death?
- correct answer Hold the client's hand and tell him he is no alone.
The practical nurse is giving oral care to an older female client with tender gums that bleed easily
because of a medication she is taking. What intervention should the PN implement?
- correct answer Obtain a soft-bristle brush for the client.
The practical nurse is caring for a client who is admitted with influenza and vomiting for 3 days. The
clients skin turbot is poor and oral mucous membranes are dry. Which finding is most important for the
PN to report to the charge nurse?
- correct answer Hypotension and tachycardia
, Which food should the practical nurse recommend for a client to increase the dietary intake of
potassium?
- correct answer Baked potatoes
When irrigating the external ear canals of an older adult client, which action should the PN use to soften
dry cerumen for removal?
- correct answer Instill mineral oil in the external auditory canal overnight before irrigation.
An older female state the medication tablet brought in a cup looks different from the tablet that she
takes at home. Which action should the practical nurse take?
- correct answer Check the written prescription to verify the medication
Which action should the PN implement when administering a subcutaneous injection to a client who
weighs 325 pounds?
- correct answer Select a needle with a longer shaft
Which intervention provides confirmation of NGT placement before NGT feedings are started?
- correct answer X-ray of the abdomen
An older male client who is incontinent receives a prescription for a condom catheter. Which steps
should the PN implement when applying the external catheter.
- correct answer Wrap the adhesive strip in a spiral around the penis
Apply skin prep to the penile shaft and allow to dry
Leave 1-2 inches between the tip of the penis and condom catheter
Acetaminophen is prescribed for an unconscious client with a temp of 104' F. Which route should the PN
plan to administer this medication?
- correct answer Rectal
An older male client who is sedentary complains of not having a formed bowel movement in four days
and tells the PN that he feels rectal pressure and has a constant headache. The PN determines the client
is having frequent small, liquid stools. Which nursing action should the PN take first?
- correct answer Digitally assess for impacted stool.
