HESI PN PRACTICE EXAM AND
QUESTIONS
The5nurse5is5planning5care5for5the5a5client5who5has5fourth5degree5midline5laceration5that5
occurred5during5vaginal5delivery5of5an585pound5105ounce5infant.5What5intervention5has5th
e5highest5priority?
A.5Administer5Prescribed5stool5softner5
B.5Administer5prescribed5PRN5sleep5medications.5
C.5Encourage5breastfeeding5to5promote5uterine5involution
D.5Encourage5use5of5prescribed5analgesic5perineal5sprays.5-5ans--
A.5Administer5Prescribed5stool5softner
The5nurse5is5palpating5the5right5upper5hypochondriac5region5of5the5abdomen5of5a5client.5
What5organ5lies5underneath5this5area.5
A.5Duodenum
B.5Gastric5Pylorus
C.5Liver
D.5Spleen5-5ans--C.5Liver
A5client5comes5to5the5antepartal5clinic5and5tells5the5nurse5that5she5is565weeks5pregnant.5
Which5sign5is5she5most5likely5to5report?
A.5Decreased5sexual5libido
B.5Amenorrhea
C.5Quickening
D.5Nocturia5-5ans--B5Amenorrhea
A5client's5daughter5phones5the5charge5nurse5to5report5that5the5night5nurse5did5not5provid
e5good5care5for5her5mother.5What5response5should5the5nurse5make?
A.5Ask5for5a5description5of5what5happened5during5the5night
B.5Tell5the5daughter5to5talk5to5the5unit's5nurse5manager
C.5Reassure5the5daughter5that5the5mother5will5get5better5care.
D.5Explain5that5all5the5staff5are5doing5the5best5they5can.5-5ans--
A.5Ask5for5a5description5of5what5happened5during5the5night
,A5hosptitalized5toddler5who5is5recovering5from5a5sickle5cell5crisis5holds5a5toy5and5say's5"
mine".5According5to5Erikson's5theory5of5psychosocial5development,5this5child's5behavior5i
s5a5demonstration5of5which5developmental5stage?
A.5Autonomy5vs.5Shame5and5doubt.
B.5Industry5vs.5Inferiority
C.5intiative5vs.5Guilt
D.5Trust5vs.5Mistrust5-5ans--A.5Autonomy5vs.5Shame5and5doubt.
Which5action5should5the5nurse5implement5in5caring5for5a5client5following5an5electroencep
halogram5(EEG)?
A.5Monitor5the5client's5vital5signs5q4h
B.5Assess5for5sensation5in5the5client's5lower5extremities
C.5Instruct5the5client5to5maintain5bed5rest5for5eight5hours
D.5Wash5any5paste5from5the5client's5hair5and5scalp5-5ans--
D.5Wash5any5paste5from5the5client's5hair5and5scalp
The5nurse5is5caring5for5a575-5year-
old5male5client5who5is5beginning5to5form5a5decubitus5ulcer5at5the5coccyx.5Which5intervent
ion5will5be5most5helpfull5in5preventing5further5development5of5the5decubitus?
A.5Encourage5the5client5to5eat5foods5high5in5protein
B.5Assess5the5client5with5daily5range5of5motion5exercises
C.5Teach5the5family5how5to5perform5sterile5wound5care
D.5Ensure5the5IV5fluids5are5administered5as5prescribed5-5ans--
A.5Encourage5the5client5to5eat5foods5high5in5protein
What5is5the5homeostatic5cellular5transport5mechanism5that5moves5water5from5a5hypotoni
c5to5a5hypertonic5fluid5space?
A.5Filtration
B.5Diffusion
C.5Osmosis
D.5Active5transport5-5ans--C.5Osmosis
The5nurse5is5taking5blood5presure5of5a5client5admitted5with5a5possible5myocardial5infarcti
on.5When5taking5the5client's5BP5at5the5brachial5artery,5the5nurse5should5place5the5client's
5arm5in5which5position?
A.5Slightly5above5the5level5of5the5heart
B.5At5the5level5of5the5heart
C.5At5the5level5of5comfort5for5the5client
D.5Below5the5level5of5the5heart5-5ans--B.5At5the5level5of5the5heart
What5are5the5final5parameters5that5produce5blood5pressure?5(select5all5that5apply)
,A.5Heart5rate
B.5Stroke5volume
C.5Peripheral5resistance
D.5Neuroendocring5hormones
E.5Muscle5tone5-5ans--A.5Heart5rate
B.5Stroke5volume
C.5Peripheral5resistance
A5client5begins5an5antidepressant5drug5during5the5second5day5of5hospitalization.5Which5
assessment5is5most5important5for5the5nurse5to5include5in5this5client's5plan5of5care5while5t
he5client5is5taking5the5antidepressant?
A.5Appetite
B.5Mood
C.5Withdrawl
D.5Energy5level5-5ans--B.5Mood
Based5on5the5documentation5in5the5medical5record,5which5action5should5the5nurse5imple
ment5next?
A.5Give5the5rubella5vaccine5subcutaneously
B.5Observe5the5mother5breastfeeding5her5infant
C.5Call5the5nursery5for5the5infant's5blodd5type5result
D.5Administer5Vicodin5one5tablet5for5pain5-5ans--
A.5Give5the5rubella5vaccine5subcutaneously
A5client5is5adminitted5to5the5hosptial5with5a5diagnosis5of5Pneumonia.5Which5intervetion5s
hould5the5nurse5implement5to5prevent5complications5associated5with5Pneumonia?
A.5Enourage5mobilization5and5ambulation
B.5Encourage5energy5conservation5with5complete5bed5rest
C.5Provide5humidified5oxygen5per5nasal5cannula5
D.5Restrict5PO5and5intravenous5fluids5-5ans--A.5Enourage5mobilization5and5ambulation
The5practical5nurse5is5preparing5to5administer5a5prescription5for5cefazolin5(kefzol)56005m
g5IM5every565hours.5The5available5vial5is5labeled,5"Cefazolin5(Kefzol)515gram5and5the5inst
rutions5for5reconsittution,5"For5IM5use5add52ml5sterile5water5for5injection.5Total5volume5aft
er5reconstruction5=52.55ml.5"when5reconstituded,5how5many5milligrams5are5in5each5mil5of5
solutions5(Enter5numeric5value5only)5-5ans--15
Which5nursing5activity5is5within5the5scope5of5practice5for5the5practical5nurse?
A.5Complete5an5admission5assessment5in5the5normal5newborn5nursery.
B.5Discontinue5a5central5venous5catheter5that5has5become5dislodged
C.5Observe5a5client5rotate5the5subcutaneous5site5for5an5insulin5pump
, D.5Monitor5a5continous5narcotic5epidural5for5a5postoperative5client5-5ans--
C.5Observe5a5client5rotate5the5subcutaneous5site5for5an5insulin5pump
After5morning5dressing5changes5are5completed,5a5male5client5who5has5paraplegia5conta
minates5his5ischial5decubiti5dressing5with5a5diarrheal5stool.5What5activity5is5best5for5the5n
urse5to5assign5to5the5unlicensed5assistive5personnel?
A.5Identify5the5need5for5additional5supplies5to5provide5an5extra5dressing5change
B.5Provide5perianal5care5and5collect5clean5linens5for5the5dressing5change
C.5Document5the5diarrhea5that5necessitates5an5additional5dressing5change
D.5Position5the5client5for5access5to5the5decubiti5sties5and5remove5dressings5-5ans--
B.5Provide5perianal5care5and5collect5clean5linens5for5the5dressing5change
The5nurse5is5planning5to5evaluate5the5effectiveness5of5several5drugs5administered5by5diff
erent5routes.5Arrage5the5routes5of5administration5in5the5order5from5fastest5to5slowest5rate
5of5absorption.
Subcutaenous
Intravenous5
Intramuscular
Sublingual
Oral5-5ans--Intravenous,5sublingual,5intramuscular,5subcutaneous,5oral.
A526-year-
old5gravida54,5para505had5a5spontaneous5abortion5at595weeks5gestation.5At5one-
house5post5dilation5and5curettage5(D&C)5the5nurse5assess5the5vital5signs5and5vaginal5bl
eeding.5The5client5begins5to5cry5softly.5How5should5the5nurse5intervene?
A.5Offer5to5call5the5social5worker5to5discuss5the5possiblity5of5abortion
B.5Reassure5the5client5that5the5infertility5specialist5can5help
C.5Express5sorrow5for5the5client's5grief5and5offer5to5sit5with5her
D.5Chart5the5vital5signs5and5amount5of5vaginal5bleeding5-5ans--
C.5Express5sorrow5for5the5client's5grief5and5offer5to5sit5with5her
A5terminally5ill5male5client5and5his5family5are5requesting5hospice5care5after5discharge5fro
m5the5hosptial5and5ask5the5nurse5to5explain5what5kind5of5care5they5should5expect.5The5n
urse5should5indicate5that5hospice5philosophy5focuses5on5what5aspect5of5health5care?
A.5Enhance5symptom5management5to5improve5end5of5life5quality5
B.5facilitates5assisted5suicide5with5the5client's5consent
C.5Offers5ways5to5postpone5the5death5experience5at5home
D.5Provide5training5for5family5members5to5care5for5the5client.5-5ans--
A.5Enhance5symptom5management5to5improve5end5of5life5quality
QUESTIONS
The5nurse5is5planning5care5for5the5a5client5who5has5fourth5degree5midline5laceration5that5
occurred5during5vaginal5delivery5of5an585pound5105ounce5infant.5What5intervention5has5th
e5highest5priority?
A.5Administer5Prescribed5stool5softner5
B.5Administer5prescribed5PRN5sleep5medications.5
C.5Encourage5breastfeeding5to5promote5uterine5involution
D.5Encourage5use5of5prescribed5analgesic5perineal5sprays.5-5ans--
A.5Administer5Prescribed5stool5softner
The5nurse5is5palpating5the5right5upper5hypochondriac5region5of5the5abdomen5of5a5client.5
What5organ5lies5underneath5this5area.5
A.5Duodenum
B.5Gastric5Pylorus
C.5Liver
D.5Spleen5-5ans--C.5Liver
A5client5comes5to5the5antepartal5clinic5and5tells5the5nurse5that5she5is565weeks5pregnant.5
Which5sign5is5she5most5likely5to5report?
A.5Decreased5sexual5libido
B.5Amenorrhea
C.5Quickening
D.5Nocturia5-5ans--B5Amenorrhea
A5client's5daughter5phones5the5charge5nurse5to5report5that5the5night5nurse5did5not5provid
e5good5care5for5her5mother.5What5response5should5the5nurse5make?
A.5Ask5for5a5description5of5what5happened5during5the5night
B.5Tell5the5daughter5to5talk5to5the5unit's5nurse5manager
C.5Reassure5the5daughter5that5the5mother5will5get5better5care.
D.5Explain5that5all5the5staff5are5doing5the5best5they5can.5-5ans--
A.5Ask5for5a5description5of5what5happened5during5the5night
,A5hosptitalized5toddler5who5is5recovering5from5a5sickle5cell5crisis5holds5a5toy5and5say's5"
mine".5According5to5Erikson's5theory5of5psychosocial5development,5this5child's5behavior5i
s5a5demonstration5of5which5developmental5stage?
A.5Autonomy5vs.5Shame5and5doubt.
B.5Industry5vs.5Inferiority
C.5intiative5vs.5Guilt
D.5Trust5vs.5Mistrust5-5ans--A.5Autonomy5vs.5Shame5and5doubt.
Which5action5should5the5nurse5implement5in5caring5for5a5client5following5an5electroencep
halogram5(EEG)?
A.5Monitor5the5client's5vital5signs5q4h
B.5Assess5for5sensation5in5the5client's5lower5extremities
C.5Instruct5the5client5to5maintain5bed5rest5for5eight5hours
D.5Wash5any5paste5from5the5client's5hair5and5scalp5-5ans--
D.5Wash5any5paste5from5the5client's5hair5and5scalp
The5nurse5is5caring5for5a575-5year-
old5male5client5who5is5beginning5to5form5a5decubitus5ulcer5at5the5coccyx.5Which5intervent
ion5will5be5most5helpfull5in5preventing5further5development5of5the5decubitus?
A.5Encourage5the5client5to5eat5foods5high5in5protein
B.5Assess5the5client5with5daily5range5of5motion5exercises
C.5Teach5the5family5how5to5perform5sterile5wound5care
D.5Ensure5the5IV5fluids5are5administered5as5prescribed5-5ans--
A.5Encourage5the5client5to5eat5foods5high5in5protein
What5is5the5homeostatic5cellular5transport5mechanism5that5moves5water5from5a5hypotoni
c5to5a5hypertonic5fluid5space?
A.5Filtration
B.5Diffusion
C.5Osmosis
D.5Active5transport5-5ans--C.5Osmosis
The5nurse5is5taking5blood5presure5of5a5client5admitted5with5a5possible5myocardial5infarcti
on.5When5taking5the5client's5BP5at5the5brachial5artery,5the5nurse5should5place5the5client's
5arm5in5which5position?
A.5Slightly5above5the5level5of5the5heart
B.5At5the5level5of5the5heart
C.5At5the5level5of5comfort5for5the5client
D.5Below5the5level5of5the5heart5-5ans--B.5At5the5level5of5the5heart
What5are5the5final5parameters5that5produce5blood5pressure?5(select5all5that5apply)
,A.5Heart5rate
B.5Stroke5volume
C.5Peripheral5resistance
D.5Neuroendocring5hormones
E.5Muscle5tone5-5ans--A.5Heart5rate
B.5Stroke5volume
C.5Peripheral5resistance
A5client5begins5an5antidepressant5drug5during5the5second5day5of5hospitalization.5Which5
assessment5is5most5important5for5the5nurse5to5include5in5this5client's5plan5of5care5while5t
he5client5is5taking5the5antidepressant?
A.5Appetite
B.5Mood
C.5Withdrawl
D.5Energy5level5-5ans--B.5Mood
Based5on5the5documentation5in5the5medical5record,5which5action5should5the5nurse5imple
ment5next?
A.5Give5the5rubella5vaccine5subcutaneously
B.5Observe5the5mother5breastfeeding5her5infant
C.5Call5the5nursery5for5the5infant's5blodd5type5result
D.5Administer5Vicodin5one5tablet5for5pain5-5ans--
A.5Give5the5rubella5vaccine5subcutaneously
A5client5is5adminitted5to5the5hosptial5with5a5diagnosis5of5Pneumonia.5Which5intervetion5s
hould5the5nurse5implement5to5prevent5complications5associated5with5Pneumonia?
A.5Enourage5mobilization5and5ambulation
B.5Encourage5energy5conservation5with5complete5bed5rest
C.5Provide5humidified5oxygen5per5nasal5cannula5
D.5Restrict5PO5and5intravenous5fluids5-5ans--A.5Enourage5mobilization5and5ambulation
The5practical5nurse5is5preparing5to5administer5a5prescription5for5cefazolin5(kefzol)56005m
g5IM5every565hours.5The5available5vial5is5labeled,5"Cefazolin5(Kefzol)515gram5and5the5inst
rutions5for5reconsittution,5"For5IM5use5add52ml5sterile5water5for5injection.5Total5volume5aft
er5reconstruction5=52.55ml.5"when5reconstituded,5how5many5milligrams5are5in5each5mil5of5
solutions5(Enter5numeric5value5only)5-5ans--15
Which5nursing5activity5is5within5the5scope5of5practice5for5the5practical5nurse?
A.5Complete5an5admission5assessment5in5the5normal5newborn5nursery.
B.5Discontinue5a5central5venous5catheter5that5has5become5dislodged
C.5Observe5a5client5rotate5the5subcutaneous5site5for5an5insulin5pump
, D.5Monitor5a5continous5narcotic5epidural5for5a5postoperative5client5-5ans--
C.5Observe5a5client5rotate5the5subcutaneous5site5for5an5insulin5pump
After5morning5dressing5changes5are5completed,5a5male5client5who5has5paraplegia5conta
minates5his5ischial5decubiti5dressing5with5a5diarrheal5stool.5What5activity5is5best5for5the5n
urse5to5assign5to5the5unlicensed5assistive5personnel?
A.5Identify5the5need5for5additional5supplies5to5provide5an5extra5dressing5change
B.5Provide5perianal5care5and5collect5clean5linens5for5the5dressing5change
C.5Document5the5diarrhea5that5necessitates5an5additional5dressing5change
D.5Position5the5client5for5access5to5the5decubiti5sties5and5remove5dressings5-5ans--
B.5Provide5perianal5care5and5collect5clean5linens5for5the5dressing5change
The5nurse5is5planning5to5evaluate5the5effectiveness5of5several5drugs5administered5by5diff
erent5routes.5Arrage5the5routes5of5administration5in5the5order5from5fastest5to5slowest5rate
5of5absorption.
Subcutaenous
Intravenous5
Intramuscular
Sublingual
Oral5-5ans--Intravenous,5sublingual,5intramuscular,5subcutaneous,5oral.
A526-year-
old5gravida54,5para505had5a5spontaneous5abortion5at595weeks5gestation.5At5one-
house5post5dilation5and5curettage5(D&C)5the5nurse5assess5the5vital5signs5and5vaginal5bl
eeding.5The5client5begins5to5cry5softly.5How5should5the5nurse5intervene?
A.5Offer5to5call5the5social5worker5to5discuss5the5possiblity5of5abortion
B.5Reassure5the5client5that5the5infertility5specialist5can5help
C.5Express5sorrow5for5the5client's5grief5and5offer5to5sit5with5her
D.5Chart5the5vital5signs5and5amount5of5vaginal5bleeding5-5ans--
C.5Express5sorrow5for5the5client's5grief5and5offer5to5sit5with5her
A5terminally5ill5male5client5and5his5family5are5requesting5hospice5care5after5discharge5fro
m5the5hosptial5and5ask5the5nurse5to5explain5what5kind5of5care5they5should5expect.5The5n
urse5should5indicate5that5hospice5philosophy5focuses5on5what5aspect5of5health5care?
A.5Enhance5symptom5management5to5improve5end5of5life5quality5
B.5facilitates5assisted5suicide5with5the5client's5consent
C.5Offers5ways5to5postpone5the5death5experience5at5home
D.5Provide5training5for5family5members5to5care5for5the5client.5-5ans--
A.5Enhance5symptom5management5to5improve5end5of5life5quality
