Hondros HESI PN Review (NEW 2026/ 2027 Update) | Questions & Answers| Grade A| 100% Correct (Accurate Solutions)

…..DLDD Hondros HESI PN Exit Exam Review (NEW 2026/ 2027 Update) | Questions & Answers| Grade A| 100% Correct (Accurate Solutions) Q. Heart Audio Sounds ANSWERS S3 Q. Video - Patient giving an injection in the leg ANSWERS The patient should rotate the injection site Q. What to chart about Coumadin ANSWERS 2 mg. Oral route Q. The pregnant patient's GPTAL ANSWERS G2P1 Q. The patient with the baby that has baby acne across the cheeks? ANSWERS Tell her it's normal, and will resolve on it's own. Q. The patient with a head injury, what do you do? ANSWERS Perform neurological checks, and watch for subdural intracranial pressure. (This is a select all that apply) Q. What's the order of trache care? ANSWERS 1. Hperoxygenate, 2. Insert, 3. Suction, 4. Withdrawl Q. The picture with the finger stick, what should they have done differently? ANSWERS Wear Gloves Q. The doctor tells the nurse to cut a patient with diabetic toenails. How should the nurse respond? ANSWERS The nurse should inform the doctor that this is not hospital policy. Q. A wheelchair patient with left hemiplegia, how would you place their wheelchair when they are in bed? ANSWERS Place the wheelchair at the right side of the bed. Q. When should you start screening kids for childhood obesity? ANSWERS Kindergarten Q. With patient's with hyperthyroidism, what type of diet should you expect them to be ordered to have? ANSWERS Continue with a high calorie diet. Q. When a patient experiences symptoms of alcohol withdrawal, what medication can the PN expect to be ordered? ANSWERS Ativan (Lorazepam) Q. What mobility interventions would the PN expect to see for a patient with a recent hip surgery? ANSWERS Abduction positioning Q. The pregnant patient is only comfortable laying flat on her back. What interventions should the PN perform to prevent complications? ANSWERS Place a pillow under her right hip. Q. The pregnant patient is taking prenatal vitamins, and reports changes in her stool. What can the PN advise her is likely the cause of these changes? ANSWERS This is common, especially with taking a vitamin loaded with Iron (FE Sulfate). Q. The patient with liver cirrhosis needs an assessment, what findings would you be looking for in this assessment? Select all that apply. ANSWERS Assess the legs, feet, and look for jaundice. (Assessing the legs shows any signs of edema) Q. The baby just threw up their dose of Digoxin. What should the PN do next? ANSWERS Nothing, monitor, document, and wait for the next scheduled dose. Q. What are normal hemoglobin levels? ANSWERS For men - 13.5 to 17.5 For women - 12.0 to 15.5 Q. When cleaning the enema, how should the PN hold the container? ANSWERS Raise the enema container 6 inches. Q. Where can the apical pulse be heard at the best? ANSWERS You need to go to the 5th intercostal space for adults, and the fourth intercostal space for a young child or infant. If you place a stethoscope at the apex of your heart, you should be able to listen for the lub dub sounds. Q. The patient's husband has been told his wife is dying. What do you suggest he do next? ANSWERS Suggest hospice care. Q. The patient refused to bathe for 3 days, what should the PN do to address this issue? ANSWERS Ask him why. Q. The patient with cataracts just had surgery on his right side. How would you assist him with movement to promote safety? ANSWERS Guide him on the right side. Q. What type of cancer does a TN01n show? ANSWERS Node Q. What questions should you ask a patient to determine if they are oriented? ANSWERS Ask the patient their name, location, reason for hospitalization, and the season of the year. Q. How do you assess a fistula? ANSWERS Listen for a bruit, feel for a thrill. Q. Video for shoulder extension - ANSWERS Arm abduction, elbow flexion, and arm supine. Q. The PN reinforces information with a client about portion control and diet management. Which portion description indicates that the client understands the instructions? ANSWERS Four small cookies are about the size of four poker chips. Q. The PN is performing nasotracheal suctioning. After the client's trachea is suctioned for 15 seconds, large amounts of thick yellow secretions return. What action should the PN implement next? ANSWERS Reoxygenate the client before attempting to suction again. When reading a prescription, what should the PN verify in addition to the "five rights" of medication administration? Prescriber's Signature Before performing a fecal occult blood test or guiac test on a stool specimen, the PN should ask the client about the regular use of which vitamin? Vitamin C While performing colostomy care, the PN observes skin irritation around the stomal site. What action should the PN take when reapplying the colostomy bag? Ensure that the hydrocolloidal stomal wafer covers the peristomal skin. Which client finding requires further action by the PN? The drainage tube of an indwelling catheter is looped below the client's bladder. The spouse of a client with terminal cancer provided the PN with a copy of the client's living will. What action should the PN take? Notify the healthcare provider of the client's wishes. A client has been taking oral corticosteroids for the past 5 days because of seasonal allergies. Which assessment finding os of the most concern to the PN? Purulent Sputum A client has an oral intake during the previous 8 hours of the following: 2 cups of coffee, 240 ml milk, 3/4 cup of applesauce, 1 liter of water, 6 ounces of fruit juice, and 3 ounces of pudding. How many mL will the PN record as the total 8-hour oral intake? 1,900 ml Intake includes all liquid taken by mouth, any foods that turn to liquid at room temperature and IV fluids or tube feedings. Applesauce and pudding aren't included. Math should have been as follows: 480 mL + 240 mL + 1,000 mL + 180 mL = 1,900 mL Which intervention is most important for the PN to implement for a client who is experiencing urinary retention? Assess for bladder distention. (Don't be tricked on the wording of this one, you wouldn't encourage more fluids) To administer a saline enema to a client, the PN inserts the enema tubing 3 inches into the client's rectum, and elevates the saline container 6 inches above the client's body. After the PN opens the clamp, the saline solution does not infuse. What is the best action for the PN to take? Raise the saline container 6 MORE inches above the body. For a uterine cord prolapse being detected, what position should the PN implement? Knee to chest position, or push the presenting part of the cord until immediate cesarean delivery is accomplished. What does TRUE labor consist of? Pain in the lower back that radiates to abdomen Accompanied by regular, rhythmic contractions Contractions that intensify with ambulation Progressive cervical dilation and effacement What does FALSE labor consist of? Discomfort is localize in the abdomen No lower back pain Contractions decrease in intensity and or frequency with ambulation No cervical changes The practical nurse (P) is removing the personal protective equipment (PPE) worn when caring for a client. Which PPE should be removed first? A.Cap. B.Gloves. C.Disposable gown. D.Face mask. Answer : B A hospitalized client had difficulty falling asleep the last two nights and is becoming irritable and restless. Which action by the practical nurse (PN) is best? A.Determine the client's usual bedtime routine and include rituals in the plan of care as safety allows. B.Encourage the client to avoid pain medication during the day, which may increase daytime napping. C.Instruct the unlicensed assistive personnel (UAP) not to wake client under any circumstances during the night. D.Place a "Do Not Disturb" sign on the door and change assessments from every 4 hours to every 8 hours. Answer:A A client is admitted with a hemothorax following a motor vehicle collision, and the surgeon inserts a chest tube that is attached to a chest drainage system with suction at 20 cm water pressure. The practical nurse (P) observes that the suction chamber fluid level is at 15 cm. Which action should the PN implement to ensure effective functioning of the chest drainage system? A.Additional sterile water should be added to the suction chamber to the 20 cm level. B .The tubing should be manipulated until the chest drainage collects in the chamber. C .The chest tube should be irrigated with 20 mL normal saline to ensure patency. D .Suction at the wall unit should be increased to enhance the velocity of bubbling. Answer: A The practical nurse (P) observes two unlicensed assistive personnel (UAP) turning an older adult client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UPs need additional information about the turning procedure? A.The client is told to keep both legs straight and together while turning. B.The UAPs keep their backs straight and knees bent when moving the client. C.A turning sheet is used under the client for turning and repositioning. D.An abduction pillow is placed between the client's legs when positioned. Answer : A The client is a 12-year-old male who sustained a gunshot wound to his abdomen. He had a surgical repair of a perforated small intestine 4 days ago. The client is 112.4 lb (51 kg). He has a nasogastric tube, a left femoral central line for fluids, and a peripheral IV catheter in the right hand. Review H and P, laboratory results, flow sheet, and prescriptions. The practical nurse (P) receives the report from the laboratory and documents the intake and output for 1600 Based on the client's information at 1600, which symptoms should the PN look for? Select all that apply. A.Edema B.Hypertension C.Irritability D.Dry skin E.Fatigue F.Muscle weakness G.Intense thirst Answer: A,D,F,G In older adult client who resides in a long term care facility has a friend of the opposite sex who often visits in the evenings. The practical nurse (PN) enters the lient's room to administer medications and finds the couple in bed together. Which action should the PN take? A.Report the incident to the family. B.Request that the friend get up and leave. C.Ask when the nurse should return. D.Exit the room and quietly close the door. Answer: D The practical nurse (P) is feeding a 2-month-old infant with heart failure (HF) due to a ventricular septal defect (VSD). Which intervention should the PN implement? A.Feed the infant when it cries. B.Insert a nasogastric feeding tube. C.Allow infant to rest before feeding. D.Weigh before and after feeding. Answer:C A client receives a prescription for diphenhydramine 12.5 mg PO for rhinitis. The medication is available in 25 mg scored tablets. How many tablets should the practical nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth). 0.5 The practical nurse (PN) is caring for an older client who is receiving chemotherapy for lung cancer. Which finding is the highest priority for the PN to report to the charge nurse? Reference ranges: Blood urea nitrogen (BUN): [Adult: 10 to 20 mg/dL or 3.6 to 7.1 mmol/L] Platelets: [150,000 to 400,000/mm3 or 150 to 400 x 1019/L] Blood urea nitrogen 75 mg/dL or 12.9 mmol/L The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips? Trochanter rolls. The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPs need additional information about the turning procedure? The client is told to keep both legs straight and together while turning. Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)? Checks the medical record for the correct signed consent form prior to the examination. The practical nurse (PN) is caring for a client with coronary artery disease who is admitted with intermittent chest pain. The admission laboratory results indicate elevations in troponin I and creatine phosphokinase myoglobin isoenzyme (CK-MB) levels. What should the PN consider the most significant risk for this client on the second day of admission? The lab results indicate myocardial damage, and the client is at risk for cardiac dysrhythmias The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car door. After administering the prescribed hydrocodone /acetaminophen for pain, which intervention should the PN include in the client's care? Implement ongoing assessments for signs of shallow or slow breathing. A mother asks the practical nurse (PN) about the immunization schedule for whooping cough. Which is the recommended schedule that the PN should convey? 2.4.6 months, and boosters at 15 to 18 months and 4 to 6 years of age. The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's room and find the client lying on the bed. The PN determines that the client is unresponsive. Which instruction should the PN give the UAP first? Obtain emergency help. The practical nurse (PN) prepares to suction a client's tracheostomy as seen in the video. What should the PN do next? (Please view the video to select the option that applies. To repeat the video, click the play button again.) Insert the catheter into the tracheostomy A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the PN? Pulse oximetry of 88% O2 saturation. A client receives ondansetron prior to a chemotherapy treatment. How should the practical nurse evaluate the effectiveness of the medication? Monitor the client for nausea or vomiting following the treatment. Which client finding should the practical nurse (PN) report to the registered nurse (RN) immediately? Coffee-ground secretions draining via nasogastric tube suction. A client reports experiencing numbness and tingling in the extremities. Which of the client's serum laboratory values should the practical nurse (PN) prioritize reporting to the healthcare provider? Electrolytes The single mother of a child with a head injury is sitting at the child's bedside crying when the practical nurse (PN) enters the room. The mother states, "Why did this happen to my child? I just can't cope with this." How should the PN respond? Determine if someone else can help her cope with this tragedy. The practical nurse (PN) is checking residual volume prior to the administration of a bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG) tube when the unlicensed assistive personnel (UAP) reports that another client has requested pain medication for postoperative pain. Which action should the PN take? Have the UAP notify the client in pain that the PN will be in to check on the client after completing the procedure in progress. The practical nurse (PN) overhears a conversation between an unlicensed assistive personnel (UAP) and another staff member in the hospital cafeteria line concerning a client's reaction to being given a diagnosis of terminal cancer. What is the best nursing action? Approach the individuals involved and ask them to stop. The practical nurse (PN) is assisting the recreational director of a long-term care facility plan outdoor activities for the wheelchair-bound older residents who are mentally alert. Which activity meets the physical and social needs of these residents? A team ring-toss competition. The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement? Review the client's expectations of elimination after surgery. this error? The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has been made. What should the PN do to rectify this error Draw one line through the entry and insert the correct information. The practical nurse (PN) is administering a saline enema to a client who was admitted because of a fever of unknown origin and is now constipated. Which techniques should the PN use? (Select all that apply.) Position client in left lateral recumbent position to expose buttocks. Encourage client to retain solution for at least 5 minutes. Insert lubricated tip of tubing 3 to 4 inches into the rectum. Which intervention should the practical nurse (PN) reinforce for a client with pruritus? Keep finger nail trimmed short The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.). Empty bedside drainage unit for a client with an indwelling urinary catheter. Transport a urine culture sample to the laboratory. Obtain a post-voided residual (PVR) volume. In completing a focused assessment of a client who has completed treatment for Herpes zoster (shingles), what assessment data is most important for the practical nurse to obtain? pain scale A client who is in active labor is admitted with her cervix dilated to 3 cm with 50% effacement and the presenting part at 0 station. An hour later, she tells the practical nurse (PN) that she wants to go to the bathroom to empty her bladder. The nurse examines the client again and determines her vaginal exam is unchanged. Which action should the PN implement? Assist the client up to the bathroom.