HESI PN FUNDAMENTALS RETAKE 2026 PROCTORED EXAM WITH
RESEARCHED QUESTIONS AND
COMPLETELY VERIFIED ANSWERS
GRADED A+(240/240 CORRECT ANSWES/GUARANTEED PASS)
The practical nurse (PN) 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?
A. Encourage client to massage gums
B. Use mouth wash only
C. Obtain a soft-bristle brush for the client
D. Have client rinse with warm salt water - ANSWER>>C. Obtain a
softbristle brush for the client
Client needs oral hygiene and soft bristle brushes minimize gingival
bleeding
Which time frame should the practical nurse (PN) reposition a client?
A. q 4 hours when awake
B. Twice per shift
C. q 2 hours
D. With each client request - ANSWER>>C. q 2 hours
The nurse is assessing a client with dark skin who is in Respiratory
Distress. Which client response should the nurse evaluate to determine
cyanosis in this particular client?
A. Cyanosis in a client with dark skin is seen in the sclera
B. Abnormal skin color changes in a client with dark skin cannot be
determined
C. The lips and mucus membranes of a client with dark skin are dusky in
color
D. Blanching the soles of the feet in a client with dark skin reveals cyanosis
- ANSWER>>C. The lips and mucus membranes of a client with dark
skin are dusky in color
,Causes of cyanosis include hypoxemia and decreased cardiac output,
which provides clues to respiratory status with changes in skin color and
mucous membranes. Cyanosis, a late sign of hypoxemia, is best observed
in tissue that has superficial capillary supply, such as mucous membranes,
the conjunctiva, lips, palms, and under the tongue, which is readily visible in
dark skin
Which technique should the PN use to most accurately assess a client's
baseline BP during a routine health exam?
A. Measure the pressure in each arm while the client sits with both arms
supported at heart level
B. Calculate avg BP using readings obtained in both arms
C. Obtain BP first with client lying supine and then when standing
D. Take additional measurements for readings with a 10 mm Hg difference
- ANSWER>>A. Measure the pressure in each arm while the client sits
with both arms supported at heart level
BP should be taken initially in both arms while the client is seated or supine
with the arm bared, supported, and positioned at the level of the heart
A client with gastroenteritis, nausea, and vomiting is currently on Nothing
by mouth (NPO) status. The healthcare provider prescribes oral intake to
be advanced as tolerated. Which fluid should the practical nurse offer first?
A. Tea
B. Broth
C. Water
D. Soda - ANSWER>>C. Water
Water or ice chips are the first choices of clear fluids for rehydration by
mouth
An older client who is admitted to the hospital with dehydration and
electrolyte imbalance is confused and incontinent of urine. Which action
provides the best strategy for the practical nurse (PN) to implement for the
client's incontinence?
, A. Insert an indwelling urinary catheter
B. Apply absorbent incontinence pads
C. Restrict fluids after the evening meal
D. Establish a 2-hour voiding schedule - ANSWER>>D. Establish a 2-hour
voiding schedule
A 2 hour voiding schedule is the best strategy for urinary incontinence
management b/c it provides the client who is confused an opportunity to
empty the bladder which minimizes incontinence due to overfilling
Which intervention should the practical nurse (PN) implement to reduce the
incidence of urinary tract infections in a client with an indwelling catheter?
A. Irrigate cath with sterile distilled water
B. Dilute an antiseptic solution in the perineal wash
C. Cleanse perineal area with soap and water BID and PRN
D. Apply an antibiotic ointment around urinary meatus BID - ANSWER>>C.
Cleanse perineal area with soap and water BID and PRN
Daily perineal care BID and PRN should include cleansing of the meatus
and catheter junction with soap and water
A male client is upset with the healthcare provider's recommendation that
he should consent to an above-knee amputation. He tells the practical
nurse (PN), if they want to cut off my leg, they should just shoot me
instead. How should the PN respond?
A. Ask the client how the surgery might effect his lifestyle
B. Offer to stay with the client wile he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis - ANSWER>>A.
Ask the client how the surgery might effect his lifestyle
Limb amputation alters body image and changes the client's ADLs,
work,
and recreational activities, which triggers a grieving process for the
client.
Determining the client's perception of the procedure's impact on his
lifestyle
RESEARCHED QUESTIONS AND
COMPLETELY VERIFIED ANSWERS
GRADED A+(240/240 CORRECT ANSWES/GUARANTEED PASS)
The practical nurse (PN) 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?
A. Encourage client to massage gums
B. Use mouth wash only
C. Obtain a soft-bristle brush for the client
D. Have client rinse with warm salt water - ANSWER>>C. Obtain a
softbristle brush for the client
Client needs oral hygiene and soft bristle brushes minimize gingival
bleeding
Which time frame should the practical nurse (PN) reposition a client?
A. q 4 hours when awake
B. Twice per shift
C. q 2 hours
D. With each client request - ANSWER>>C. q 2 hours
The nurse is assessing a client with dark skin who is in Respiratory
Distress. Which client response should the nurse evaluate to determine
cyanosis in this particular client?
A. Cyanosis in a client with dark skin is seen in the sclera
B. Abnormal skin color changes in a client with dark skin cannot be
determined
C. The lips and mucus membranes of a client with dark skin are dusky in
color
D. Blanching the soles of the feet in a client with dark skin reveals cyanosis
- ANSWER>>C. The lips and mucus membranes of a client with dark
skin are dusky in color
,Causes of cyanosis include hypoxemia and decreased cardiac output,
which provides clues to respiratory status with changes in skin color and
mucous membranes. Cyanosis, a late sign of hypoxemia, is best observed
in tissue that has superficial capillary supply, such as mucous membranes,
the conjunctiva, lips, palms, and under the tongue, which is readily visible in
dark skin
Which technique should the PN use to most accurately assess a client's
baseline BP during a routine health exam?
A. Measure the pressure in each arm while the client sits with both arms
supported at heart level
B. Calculate avg BP using readings obtained in both arms
C. Obtain BP first with client lying supine and then when standing
D. Take additional measurements for readings with a 10 mm Hg difference
- ANSWER>>A. Measure the pressure in each arm while the client sits
with both arms supported at heart level
BP should be taken initially in both arms while the client is seated or supine
with the arm bared, supported, and positioned at the level of the heart
A client with gastroenteritis, nausea, and vomiting is currently on Nothing
by mouth (NPO) status. The healthcare provider prescribes oral intake to
be advanced as tolerated. Which fluid should the practical nurse offer first?
A. Tea
B. Broth
C. Water
D. Soda - ANSWER>>C. Water
Water or ice chips are the first choices of clear fluids for rehydration by
mouth
An older client who is admitted to the hospital with dehydration and
electrolyte imbalance is confused and incontinent of urine. Which action
provides the best strategy for the practical nurse (PN) to implement for the
client's incontinence?
, A. Insert an indwelling urinary catheter
B. Apply absorbent incontinence pads
C. Restrict fluids after the evening meal
D. Establish a 2-hour voiding schedule - ANSWER>>D. Establish a 2-hour
voiding schedule
A 2 hour voiding schedule is the best strategy for urinary incontinence
management b/c it provides the client who is confused an opportunity to
empty the bladder which minimizes incontinence due to overfilling
Which intervention should the practical nurse (PN) implement to reduce the
incidence of urinary tract infections in a client with an indwelling catheter?
A. Irrigate cath with sterile distilled water
B. Dilute an antiseptic solution in the perineal wash
C. Cleanse perineal area with soap and water BID and PRN
D. Apply an antibiotic ointment around urinary meatus BID - ANSWER>>C.
Cleanse perineal area with soap and water BID and PRN
Daily perineal care BID and PRN should include cleansing of the meatus
and catheter junction with soap and water
A male client is upset with the healthcare provider's recommendation that
he should consent to an above-knee amputation. He tells the practical
nurse (PN), if they want to cut off my leg, they should just shoot me
instead. How should the PN respond?
A. Ask the client how the surgery might effect his lifestyle
B. Offer to stay with the client wile he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis - ANSWER>>A.
Ask the client how the surgery might effect his lifestyle
Limb amputation alters body image and changes the client's ADLs,
work,
and recreational activities, which triggers a grieving process for the
client.
Determining the client's perception of the procedure's impact on his
lifestyle
