HESI RN FUNDAMENTAL VERSION 4
EXAM 2024-2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
A client who has a pressure-relieving mattress overlay is mobilized to a chair and imprints of the client's
buttocks, heels, and scapula are evident on the mattress overlay. What action should the practical nurse
implement?
Apply a different pressure-relieving device and assess its effectiveness for this client.
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.
In planning care for an older client on bed rest, which intervention should the practical nurse include in
the prevention of pressure ulcers?
Elevate the head of the bed less than 30 degrees.
A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses the client
every 2 hours for the desire to void. Which documented assessment is the earliest time requiring further
intervention by the PN?
5:30 pm: unable to void.
1|Page
, A male client who 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?
Assist the client to a supine position.
A client receiving supplemental oxygen needs to be suctioned to remove excess secretions from the
airway. Which intervention should the practical nurse implement to maximize the client's oxygenation?
Provide oxygen during rest periods between suctioning.
Following a cholecystectomy, a client asks the practical nurse (PN) about dietary restrictions that may
need to be followed. Which diet should the PN recommend?
A well-balanced diet with no other restrictions.
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.
The practical nurse (PN) is assessing a client with dark skin who is in respiratory distress. Which client
response should the PN evaluate to determine cyanosis in this client?
The lips and mucous membranes of a client with dark skin are dusky in color.
An older female recently diagnosed with coronary artery disease (CAD) cooks at home using saturated
fats. Which intervention should the practical nurse implement to help the client reduce modifiable risk
factors?
Encourage food preparation with various vegetable oils.
A family member of a dying client asks the practical nurse (PN) if the client knows the family is at the
bedside. The PN explains that which of the five senses persists the longest during the dying process?
Hearing.
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?
Remove all four sides by moving to the center of the incision
A client with cancer who has been taking opioid analgesics for two years now requires increased doses
to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide?
Prescribed opiates for cancer pain relief improve qualify of life.
Which technique should the practical nurse (PN) use to most accurately assess a client's baseline blood
pressure during a routine health examination?
Measure the pressure in each arm while the client sits with the arm supported at heart level.
2|Page
EXAM 2024-2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
A client who has a pressure-relieving mattress overlay is mobilized to a chair and imprints of the client's
buttocks, heels, and scapula are evident on the mattress overlay. What action should the practical nurse
implement?
Apply a different pressure-relieving device and assess its effectiveness for this client.
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.
In planning care for an older client on bed rest, which intervention should the practical nurse include in
the prevention of pressure ulcers?
Elevate the head of the bed less than 30 degrees.
A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses the client
every 2 hours for the desire to void. Which documented assessment is the earliest time requiring further
intervention by the PN?
5:30 pm: unable to void.
1|Page
, A male client who 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?
Assist the client to a supine position.
A client receiving supplemental oxygen needs to be suctioned to remove excess secretions from the
airway. Which intervention should the practical nurse implement to maximize the client's oxygenation?
Provide oxygen during rest periods between suctioning.
Following a cholecystectomy, a client asks the practical nurse (PN) about dietary restrictions that may
need to be followed. Which diet should the PN recommend?
A well-balanced diet with no other restrictions.
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.
The practical nurse (PN) is assessing a client with dark skin who is in respiratory distress. Which client
response should the PN evaluate to determine cyanosis in this client?
The lips and mucous membranes of a client with dark skin are dusky in color.
An older female recently diagnosed with coronary artery disease (CAD) cooks at home using saturated
fats. Which intervention should the practical nurse implement to help the client reduce modifiable risk
factors?
Encourage food preparation with various vegetable oils.
A family member of a dying client asks the practical nurse (PN) if the client knows the family is at the
bedside. The PN explains that which of the five senses persists the longest during the dying process?
Hearing.
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?
Remove all four sides by moving to the center of the incision
A client with cancer who has been taking opioid analgesics for two years now requires increased doses
to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What
information should the practical nurse (PN) provide?
Prescribed opiates for cancer pain relief improve qualify of life.
Which technique should the practical nurse (PN) use to most accurately assess a client's baseline blood
pressure during a routine health examination?
Measure the pressure in each arm while the client sits with the arm supported at heart level.
2|Page
