HESI PN comprehensive EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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HESI PN Comprehensive Exam 2 2026 A+ GRADE ASSUR
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ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (7
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6F6F)




QUESTION 1 vc




When reviewing the safety precautions regarding newborns, what information should th
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e practical nurse communicate to the parents?
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A. Position the infant to sleep on the baby's back.
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B. Use a crib with slats no more than 4 inches apart.
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C. Propping a bottle can be done when the infant gets older.
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D. Place the infant a front-facing car seat in the automobile.
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ANSWER

A. Position the infant to sleep on the baby's back. Rationale: The incident of sudden infant death syndro
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me (SIDS) decline when infants are positioned on their backs (A), instead of prone for sleeping. Crib slat
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s(
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B) 2.375 inches apart to prevent the baby from slipping. (
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C) Never prop a babies bottle. (D)Infant who weighs less than 30lbs should be placed in a rear facing ca
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r seat.
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QUESTION 2 vc




When monitoring a newborn, which observation should the practical nurse report to the
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healthcare provider? C. C. Heart rate of 110 beats per minute. Correct
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A. Rectal temperature of 37.6°
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B. Axillary temperature of 37.1°
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C.
D. Respiration rate of 40 breaths per minute.
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ANSWER

C. Heart rate of 110 beats per minute Rationale: The normal range for a heart beat for an infant is 120-
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160 so a heart rate of 110 should be reported to the healthcare provider. Newborn temperature ranges
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from 97.7,99.4,36.5,37.5 and normal respiratory rate is 30-60
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,QUESTION 3 vc




Which action should the practical nurse perform first for a child who is injured on the sc
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hool grounds and has an obvious mis-alignment of the lower forearm?
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A. Remove the child's finger rings.
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B. Assess and document the child's level of pain.
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C. Evaluate the child's range of motion.
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D. Place arm in a sling at level of the child's heart.
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ANSWER

A. Remove the child's finger rings. Rationale: The child is a risk for swelling in the distal areas of the aff
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ected arm and hand. Removal of finger rings (
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A) should be implemented first to remove any potential constriction that may occur after tissue injury o
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r fracture of the lower arm
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QUESTION 4 vc




A group of practical nurses (PNs) who work on a medical-
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surgical unit believe they are understaffed. Which data should the PNs consider when pr
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eparing the justification for additional staff?
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A. Staffing ratios in other states.
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B. Client acuity and census.
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C. Overtime payment and unfilled positions.
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D. Number and frequency of client complaints.
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ANSWER

B. Client acuity and census. Rationale: When presenting the need for increased staff, the PNs should pre
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sent the request using staffing guidelines that consider client acuity, number of clients, and length of sta
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y(B).



QUESTION 5 vc




A client with type 2 diabetes mellitus is admitted to the hospital for an exacerbation of a
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sthma. The practical nurse (PN) administers hydrocortisone (Solu-
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Cortef) 60 mg PO every 6 hours. What information should the PN to review the next day?
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A. Serum potassium.
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B. Serum glucose.
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C. Respiratory rate.
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D. Blood pressure.
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ANSWER

B. Serum glucose. Rationale: High doses of glucocorticoidsteriods can cause an elevation in the serum gl
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ucose level, so the PN should review the clients serum glucose(B)
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QUESTION 6 vc

, A 14-year-
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old female arrives in the school nurse's office seeking information about healthcare agen
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cies in the community. The practical nurse (PN) understands the client can make an auto
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nomous healthcare decision if she has which circumstance?
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A. Pregnancy.
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B. Funds to pay for her own care.
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C. Homelessness.
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D. A life-threatening condition.
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ANSWER

A. Pregnancy. Rationale: According to the supreme court a minor who is pregnant (
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A) can make an autonomous healthcare decision
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QUESTION 7 vc




A child is admitted for severe abdominal pain and possible appendicitis. Laboratory and
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x-
ray studies are prescribed. During the diagnostic period, the practical nurse should impl
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ement which nursing actions? (Check all that apply.)
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A. Maintain child's comfort.
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B. Relieve parent and child's anxiety.
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C. Prepare for surgery.
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D. Give oral home medications.
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E. Encourage ambulation.
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ANSWER

A. Maintain child's comfort.
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B. Relieve parent and child's anxiety.
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C. Prepare for surgery.
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QUESTION 8 vc




A male client is eating at his bedside table and suddenly starts gagging, is unable to talk,
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and places both hands over his throat. Which action should the practical nurse impleme
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nt?
A. Provide manual ventilation with a mask bag.
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B. Give five back blows or slaps.
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C. Use a blind finger sweep inside the mouth.
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D. Apply successive abdominal thrusts.
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ANSWER

D. Apply successive abdominal thrusts. Rationale: Abdominal thrusts, also known as the Heimlich maneu
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ver (D), should be performed to loosen the obstructing foreign body. The client's airway is obstructed a
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nd ( vc



A) is ineffective. Back blows (
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