HESI PN FUNDAMENTALS RETAKE
PROCTORED EXAM
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?
Obtain a soft-bristle brush for the client.
Which time frame should the practical nurse (PN) reposition a client?
Every 2 hours.
An older male client tells the practical nurse (PN) that his religion does not
permit him to bathe daily. How should the PN respond?
Request that the client clarify his religious beliefs about bathing.
An older male client who is sedentary complains of not having a formed bowel
movement in four days and tells the practical nurse (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?
Digitally assess for impacted stool.
,The practical nurse (PN) is obtaining information for a male client's psychosocial
assessment. Which action should the PN implement first?
Establish a therapeutic relationship.
Which food should the practical nurse (PN) recommend for a client to increase
the dietary intake of potassium.
Baked potato.
A male Native American client with tuberculosis is visiting a health care clinic for
follow up treatment. During the interview, the practical nurse (PN) notices that
the client keeps his eyes on the floor and does not make eye contact. How
should the PN interpret this client's behavior?
His culture finds sustained eye contact rude or disrespectful.
The practical nurse (PN) observes a client who begins to choke during a meal.
determining that the client cannot speak, what action should the PN implement?
Place a fist halfway between the xiphoid process and umbilicus.
, An older male client who is incontinent receives a prescription for a condom
catheter. Which step(s) should the practical nurse implement when applying the
external catheter? (select all that apply)
Wrap the adhesive strip in a spiral around the penis.
Apply skin prep to the penile shaft and allow to dry.
Leave 1 to 2 inches between the tip of the penis and condom catheter.
An older female states that the medication tablet brought in a cup looks
different from the tablet that she takes at home. Which action should the
practical nurse (PN) take?
Check the written prescription to verify the medication.
While taking an adult's vital signs, the practical nurse (PN) notes an irregular
radial pulse, What action should the PN implement to obtain the most accurate
assessment?
Preform an apical-radial pulse assessment with another nurse.
Which intervention should the practical nurse (PN) implement to reduce the
incidence of urinary tract infections in a client with an indwelling catheter?
Cleanse perineum area with soap and water BID and PRN.
PROCTORED EXAM
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?
Obtain a soft-bristle brush for the client.
Which time frame should the practical nurse (PN) reposition a client?
Every 2 hours.
An older male client tells the practical nurse (PN) that his religion does not
permit him to bathe daily. How should the PN respond?
Request that the client clarify his religious beliefs about bathing.
An older male client who is sedentary complains of not having a formed bowel
movement in four days and tells the practical nurse (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?
Digitally assess for impacted stool.
,The practical nurse (PN) is obtaining information for a male client's psychosocial
assessment. Which action should the PN implement first?
Establish a therapeutic relationship.
Which food should the practical nurse (PN) recommend for a client to increase
the dietary intake of potassium.
Baked potato.
A male Native American client with tuberculosis is visiting a health care clinic for
follow up treatment. During the interview, the practical nurse (PN) notices that
the client keeps his eyes on the floor and does not make eye contact. How
should the PN interpret this client's behavior?
His culture finds sustained eye contact rude or disrespectful.
The practical nurse (PN) observes a client who begins to choke during a meal.
determining that the client cannot speak, what action should the PN implement?
Place a fist halfway between the xiphoid process and umbilicus.
, An older male client who is incontinent receives a prescription for a condom
catheter. Which step(s) should the practical nurse implement when applying the
external catheter? (select all that apply)
Wrap the adhesive strip in a spiral around the penis.
Apply skin prep to the penile shaft and allow to dry.
Leave 1 to 2 inches between the tip of the penis and condom catheter.
An older female states that the medication tablet brought in a cup looks
different from the tablet that she takes at home. Which action should the
practical nurse (PN) take?
Check the written prescription to verify the medication.
While taking an adult's vital signs, the practical nurse (PN) notes an irregular
radial pulse, What action should the PN implement to obtain the most accurate
assessment?
Preform an apical-radial pulse assessment with another nurse.
Which intervention should the practical nurse (PN) implement to reduce the
incidence of urinary tract infections in a client with an indwelling catheter?
Cleanse perineum area with soap and water BID and PRN.
