HESI PN FUNDAMENTAL FINAL
EXAM QUESTIONS AND
CORRECT ANSWERS (LATEST
UPDATE 2024/2025)
A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. He client expresses fear about
becoming addicted to these drugs. What informa=on should the prac=cal nurse
(PN) provide?
Prescribed opiates for cancer pain relief improve quality of life.
A client's indwelling urinary catheter is removed at 9:30 AM. The prac=cal
nurse (PN) assesses the client every two hours for the desire to void. Which
documented assessment requires further interven=on by the PN?
5:30 pm: unable to void.
The healthcare provider prescribes a cleansing enema for an adult prior to
bowel surgery. Which interven=on(s) should the prac=cal nurse implement to
ensure adequate bowel cleansing? (Select all that apply)
Place the client on the leM side in Sim's posi=on.
Use enema fluid that is near 105 F (40.4 C).
Ins=ll 500 ml to 1,000 ml fluids slowly.
Raise the enema container 20 inches above anus.
Encourage the client to retain fluid 10 to 15 minutes.
Which posi=on is best for the prac=cal nurse to place the client during
administra=on of a rectal suppository for cons=pa=on?
LeM Sim's posi=on with upper leg flexed.
,The prac=cal nurse (PN) is adding tap water to several medica=ons for
administra=on via feeding tube. Which prepara=on should the PN administer
without delay?
Timed release capsule.
Which ac=on should the prac=cal nurse (PN) take when drawing medica=on
from an ampule?
Aspirate with a filter needle and syringe.
The prac=cal nurse (PN) is preparing to recons=tute a drug from powder for for
IM administra=on. Which step should the PN implement first?
Verify the drug with the medica=on administra=on record (MAR).
Which ac=on should the prac=cal nurse (PN) implement when administering a
subcutaneous injec=on to a client who weighs 325 pounds?
Select a needle with a longer shaM.
Which finding indicates to the prac=cal nurse (PN) that an older client who is
receiving intravenous therapy is experiencing fluid overload?
Crackles in the lung fields.
The prac=cal nurse (PN) is checking the surgical dressing for a client who
arrived on the postopera=ve unit an hour ago. The dressing has an increase in
the accumula=on of serosanguinous drainage. What nursing ac=on should the
PN take?
Mark the outlined area of drainage with date, =me and ini=als.
The male client who is 2 days postopera=ve for exploratory abdominal surgery
is ambula=ng in the hall with the prac=cal nurse (PN). The client tells the PN, "I
think something in my incision just let go." which ac=on should the PN
implement first?
Assist the client to a supine posi=on.
,The prac=cal nurse (PN) is applying a dry, sterile dressing to a client's
abdominal wound. Which allergy should the PN verify with the client?
Tape.
The prac=cal nurse (PN) is changing a postopera=ve 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.
Which ac=on should the prac=cal nurse (PN) follow when applying an
elas=cized bandage to a client's leg?
Overlap turns of the bandage equally.
An older client who has been on bed rest in not ea=ng well and is exhibi=ng
abdominal distension, cramping, and is passing small amounts of liquid stool.
Which prescribed ac=on is most important for the prac=cal nurse (PN) to
implement?
Digitally remove a fecal impac=on.
Acetaminophen is prescribed for an unconscious client with a temperature of
104 F. Which route should the prac=cal nurse (PN) plan to administer this
medica=on?
Rectal.
Which interven=on should the prac=cal nurse (PN) implement to help a client
cope effec=vely with chronic pain?
Encourage using relaxa=on techniques.
A young woman, who is the primary caregiver for her mother who has
Alzheimer's disease, tells the prac=cal nurse (PN), "Some=mes I hate my
mother for living this long and my Dad for dying and not caring for her." What
response should the PN offer?
What you do to cope with these feelings?
, During inser=on of a nasogastric tube (NGT) into the right nares, the client
starts to cough. Which ac=on should the prac=cal nurse (PN) implement?
Withdraw the NGT to the oral pharynx, repos=on client's head and reinsert.
The client is receiving a con=nuous tube feeding. While checking the gastric
residual volume, the prac=cal nurse (PN) aspirates 150 ml of gastric contents.
What ac=on should the PN take?
Return all the aspirated contents to the stomach followed with water and
consult the agency policy.
The prac=cal nurse (PN) is assis=ng a client plan a balanced vegetarian diet that
provides the highest in protein quality. Which selec=on should the PN
recommend to the client?
Soybeans
The prac=cal nurse (PN) is caring for a client who is admiced with influenza and
vomi=ng for 3 days. The client's skin turgor is poor and oral mucous
membranes are dry. Which finding is most important for the prac=cal nurse
(PN) to report to the charge nurse?
Hypotension and tachycardia
The prac=cal nurse (PN) contacts the healthcare provider about an older client
who is agitated and aggressive with the staff. Which reason should the PN use
to request a prescrip=on for wrist restraints?
To ensure the client's safety when the benefits outweigh the risk.
Which ac=on should the prac=cal nurse (PN) implement when suppor=ng an
older client who is afraid of dying?
Use open-ended ques=ons to encourage the client to share feelings.
A family member of a dying client asks the prac=cal 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?
EXAM QUESTIONS AND
CORRECT ANSWERS (LATEST
UPDATE 2024/2025)
A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. He client expresses fear about
becoming addicted to these drugs. What informa=on should the prac=cal nurse
(PN) provide?
Prescribed opiates for cancer pain relief improve quality of life.
A client's indwelling urinary catheter is removed at 9:30 AM. The prac=cal
nurse (PN) assesses the client every two hours for the desire to void. Which
documented assessment requires further interven=on by the PN?
5:30 pm: unable to void.
The healthcare provider prescribes a cleansing enema for an adult prior to
bowel surgery. Which interven=on(s) should the prac=cal nurse implement to
ensure adequate bowel cleansing? (Select all that apply)
Place the client on the leM side in Sim's posi=on.
Use enema fluid that is near 105 F (40.4 C).
Ins=ll 500 ml to 1,000 ml fluids slowly.
Raise the enema container 20 inches above anus.
Encourage the client to retain fluid 10 to 15 minutes.
Which posi=on is best for the prac=cal nurse to place the client during
administra=on of a rectal suppository for cons=pa=on?
LeM Sim's posi=on with upper leg flexed.
,The prac=cal nurse (PN) is adding tap water to several medica=ons for
administra=on via feeding tube. Which prepara=on should the PN administer
without delay?
Timed release capsule.
Which ac=on should the prac=cal nurse (PN) take when drawing medica=on
from an ampule?
Aspirate with a filter needle and syringe.
The prac=cal nurse (PN) is preparing to recons=tute a drug from powder for for
IM administra=on. Which step should the PN implement first?
Verify the drug with the medica=on administra=on record (MAR).
Which ac=on should the prac=cal nurse (PN) implement when administering a
subcutaneous injec=on to a client who weighs 325 pounds?
Select a needle with a longer shaM.
Which finding indicates to the prac=cal nurse (PN) that an older client who is
receiving intravenous therapy is experiencing fluid overload?
Crackles in the lung fields.
The prac=cal nurse (PN) is checking the surgical dressing for a client who
arrived on the postopera=ve unit an hour ago. The dressing has an increase in
the accumula=on of serosanguinous drainage. What nursing ac=on should the
PN take?
Mark the outlined area of drainage with date, =me and ini=als.
The male client who is 2 days postopera=ve for exploratory abdominal surgery
is ambula=ng in the hall with the prac=cal nurse (PN). The client tells the PN, "I
think something in my incision just let go." which ac=on should the PN
implement first?
Assist the client to a supine posi=on.
,The prac=cal nurse (PN) is applying a dry, sterile dressing to a client's
abdominal wound. Which allergy should the PN verify with the client?
Tape.
The prac=cal nurse (PN) is changing a postopera=ve 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.
Which ac=on should the prac=cal nurse (PN) follow when applying an
elas=cized bandage to a client's leg?
Overlap turns of the bandage equally.
An older client who has been on bed rest in not ea=ng well and is exhibi=ng
abdominal distension, cramping, and is passing small amounts of liquid stool.
Which prescribed ac=on is most important for the prac=cal nurse (PN) to
implement?
Digitally remove a fecal impac=on.
Acetaminophen is prescribed for an unconscious client with a temperature of
104 F. Which route should the prac=cal nurse (PN) plan to administer this
medica=on?
Rectal.
Which interven=on should the prac=cal nurse (PN) implement to help a client
cope effec=vely with chronic pain?
Encourage using relaxa=on techniques.
A young woman, who is the primary caregiver for her mother who has
Alzheimer's disease, tells the prac=cal nurse (PN), "Some=mes I hate my
mother for living this long and my Dad for dying and not caring for her." What
response should the PN offer?
What you do to cope with these feelings?
, During inser=on of a nasogastric tube (NGT) into the right nares, the client
starts to cough. Which ac=on should the prac=cal nurse (PN) implement?
Withdraw the NGT to the oral pharynx, repos=on client's head and reinsert.
The client is receiving a con=nuous tube feeding. While checking the gastric
residual volume, the prac=cal nurse (PN) aspirates 150 ml of gastric contents.
What ac=on should the PN take?
Return all the aspirated contents to the stomach followed with water and
consult the agency policy.
The prac=cal nurse (PN) is assis=ng a client plan a balanced vegetarian diet that
provides the highest in protein quality. Which selec=on should the PN
recommend to the client?
Soybeans
The prac=cal nurse (PN) is caring for a client who is admiced with influenza and
vomi=ng for 3 days. The client's skin turgor is poor and oral mucous
membranes are dry. Which finding is most important for the prac=cal nurse
(PN) to report to the charge nurse?
Hypotension and tachycardia
The prac=cal nurse (PN) contacts the healthcare provider about an older client
who is agitated and aggressive with the staff. Which reason should the PN use
to request a prescrip=on for wrist restraints?
To ensure the client's safety when the benefits outweigh the risk.
Which ac=on should the prac=cal nurse (PN) implement when suppor=ng an
older client who is afraid of dying?
Use open-ended ques=ons to encourage the client to share feelings.
A family member of a dying client asks the prac=cal 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?
