FON HESI PRACTICE EXAM #1 QUESTIONS
WITH COMPLETE SOLUTIONS
A client is receiving a daily prescription for furosemide (Lasix) 40 mg PO but is unable to swallow. The
practical nurse (PN) should consult with the healthcare provider about which component of the
prescription?
a. Time of the dose.
b. The prescribed dosage.
c. The route of administration.
d. Available generic drug. - CORRECT ANSWER-c. the route of administration.
rationale: The healthcare provider should be consulted to determine if another route of administration
is indicated for the client who is unable to swallow oral tablets. The drug's time, dose, and generic
equivalent do not need clarification of the prescription.
An older male client who is incontinent receives a prescription for a condom (external) catheter. Which
steps should the practical nurse implement when applying the external catheter? (Select all that apply.)
a. Wrap the adhesive strip in a spiral around the penis.
b. Shave the perineal area before beginning.
c. Apply skin prep to the penile shaft and allow to dry.
d. Leave 1 to 2 inches between the tip of the penis and condom catheter.
e. Don sterile gloves prior to application of the condom catheter. - CORRECT ANSWER-a. Wrap the
adhesive strip in a spiral around the penis.
c. apply skin prep to penile shaft and allow to dry.
Rationale:
FON HESI Practice Exam #1 QUESTIONS WITH COMPLETE SOLUTIONS
,Spiral application of the adhesive strip minimizes the risk of constricting blood flow to the penis. A skin
prep to the skin of the penile shaft ensures condom adhesion to the skin surface and prevents leakage.
Adequate space between the tip of the penis and the end of the condom catheter allows urine to drain.
The healthcare provider prescribes a cleansing enema for an adult prior to bowel surgery. Which
interventions should the practical nurse implement to ensure adequate bowel cleansing? (Select all that
apply.)
a. Place the client on left side in Sims' position.
b. Use enema fluid that is near 105 F (40.5 C).
c. Repeat enemas until expelled fluid is clear.
d. Instill 500 ml to 1,000 ml fluids slowly.
e. Raise the enema container 20 inches above anus.
f. Encourage the client to retain fluid 10 to 15 minutes. - CORRECT ANSWER-a. place client on left side in
Sims' position.
b. use enema fluid that is near 105 F (40.5 C).
d. instill 500 mL to 1,000 mL fluids slowly.
f. encourage client to retain fluid 10-15 minutes.
Rationale: Placing the client in Sims' position, using a sufficient fluid temperature and volume that
stimulates peristalsis for an adequate retention time ensures maximal bowel evacuation and cleansing.
Fluid instilled at the height of 20 inches can causes excessive pressure and pain, which compromise the
client's ability to retain the fluid for proper bowel cleansing.
The practical nurse (PN) identifies several findings in an older client who is on prolonged bed rest. Which
finding requires prompt action by the PN?
a. Heart rate increase of 10 beats per minute.
b. Bowel movements decrease to one every third day.
c. Urinary output decrease of 250 ml in the last 24 hours.
d. Systolic blood pressure decrease of 10 mm Hg. - CORRECT ANSWER-b. Bowel movements decrease to
one every third day.
FON HESI Practice Exam #1 QUESTIONS WITH COMPLETE SOLUTIONS
,Rationale: Immobility reduces venous return, appetite, fluid intake, and peristalsis, which reduces the
frequency of bowel movements and increases the risk for constipation and impaction, which requires
prompt intervention.
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?
a. 1:30 pm: unable to void.
b. 5:30 pm: unable to void.
c. 3:30 pm: unable to void.
d. 11:30 am: unable to void. - CORRECT ANSWER-b. 5:30 pm: unable to void.
Rationale: A client is due to void within 8 hours of catheter removal, so at 5:30 PM, longer than 8 hours
after removal, catheter reinsertion may be necessary. If the bladder is not distended, further action may
not be needed at earlier times.
An older client who is unable to swallow is receiving continuous nasogastric tube (NGT) feeding. Before
administering medications through the NGT, what action should the practical nurse (PN) implement?
a. Flush the feeding tube with water.
b. Put the client in the supine position.
c. Assess the client's ability to swallow.
d. Prime the solution in the feeding pump. - CORRECT ANSWER-a. Flush the feeding tube with water.
Rationale: Flushing the tube with water before instilling the medication prevents any interactions that
may plug the tube. The best technique for NGT medication administration uses gravity flow with a
feeding syringe, not an enteral pump.
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?
FON HESI Practice Exam #1 QUESTIONS WITH COMPLETE SOLUTIONS
, a. Recommend adoption of a low sodium vegetarian diet.
b. Encourage food preparation with various vegetable oils.
c. Explain the benefits of a modified exercise program.
d. Provide pamphlets which outline CAD risk factors. - CORRECT ANSWER-b. encourage food preparation
with various vegetable oils.
rationale: Dietary saturated fats and cholesterol are modifiable risk factors for CAD, so encouraging the
use of vegetable oils that are low in saturated fats should help the client learn ways to reduce this
contributing factor.
What nutritional information should the PN provide a client with heart failure (HF)?
a. Abstain from alcoholic beverages.
b. Restrict dietary sodium intake.
c. Maintain a healthy weight.
d. Exclude dietary saturated fats. - CORRECT ANSWER-b. restrict dietary sodium intake.
rationale: To lessen the workload of the heart, restricting dietary sodium reduces fluid retention and
blood pressure and is a dietary recommendation for HF. Abstaining from alcoholic beverages is not
necessary but should be limited for a client with HF. Although decreasing saturated fat is a
recommendation to reduce the risk of heart disease, sodium restriction focuses on reducing fluid
retention and the workload of the failing heart.
The practical nurse (PN) is irrigating a client's indwelling urinary catheter. After injecting sterile solution
as prescribed, what action should the PN implement?
a. Massage the client's bladder for 30 to 45 seconds.
b. Keep the tubing clamped for 30 to 45 minutes.
c. Unclamp the tubing and lower the collection bag.
d. Ask the client to take a deep breath and hold it. - CORRECT ANSWER-c. unclamp the tubing and lower
the collection bag.
FON HESI Practice Exam #1 QUESTIONS WITH COMPLETE SOLUTIONS
WITH COMPLETE SOLUTIONS
A client is receiving a daily prescription for furosemide (Lasix) 40 mg PO but is unable to swallow. The
practical nurse (PN) should consult with the healthcare provider about which component of the
prescription?
a. Time of the dose.
b. The prescribed dosage.
c. The route of administration.
d. Available generic drug. - CORRECT ANSWER-c. the route of administration.
rationale: The healthcare provider should be consulted to determine if another route of administration
is indicated for the client who is unable to swallow oral tablets. The drug's time, dose, and generic
equivalent do not need clarification of the prescription.
An older male client who is incontinent receives a prescription for a condom (external) catheter. Which
steps should the practical nurse implement when applying the external catheter? (Select all that apply.)
a. Wrap the adhesive strip in a spiral around the penis.
b. Shave the perineal area before beginning.
c. Apply skin prep to the penile shaft and allow to dry.
d. Leave 1 to 2 inches between the tip of the penis and condom catheter.
e. Don sterile gloves prior to application of the condom catheter. - CORRECT ANSWER-a. Wrap the
adhesive strip in a spiral around the penis.
c. apply skin prep to penile shaft and allow to dry.
Rationale:
FON HESI Practice Exam #1 QUESTIONS WITH COMPLETE SOLUTIONS
,Spiral application of the adhesive strip minimizes the risk of constricting blood flow to the penis. A skin
prep to the skin of the penile shaft ensures condom adhesion to the skin surface and prevents leakage.
Adequate space between the tip of the penis and the end of the condom catheter allows urine to drain.
The healthcare provider prescribes a cleansing enema for an adult prior to bowel surgery. Which
interventions should the practical nurse implement to ensure adequate bowel cleansing? (Select all that
apply.)
a. Place the client on left side in Sims' position.
b. Use enema fluid that is near 105 F (40.5 C).
c. Repeat enemas until expelled fluid is clear.
d. Instill 500 ml to 1,000 ml fluids slowly.
e. Raise the enema container 20 inches above anus.
f. Encourage the client to retain fluid 10 to 15 minutes. - CORRECT ANSWER-a. place client on left side in
Sims' position.
b. use enema fluid that is near 105 F (40.5 C).
d. instill 500 mL to 1,000 mL fluids slowly.
f. encourage client to retain fluid 10-15 minutes.
Rationale: Placing the client in Sims' position, using a sufficient fluid temperature and volume that
stimulates peristalsis for an adequate retention time ensures maximal bowel evacuation and cleansing.
Fluid instilled at the height of 20 inches can causes excessive pressure and pain, which compromise the
client's ability to retain the fluid for proper bowel cleansing.
The practical nurse (PN) identifies several findings in an older client who is on prolonged bed rest. Which
finding requires prompt action by the PN?
a. Heart rate increase of 10 beats per minute.
b. Bowel movements decrease to one every third day.
c. Urinary output decrease of 250 ml in the last 24 hours.
d. Systolic blood pressure decrease of 10 mm Hg. - CORRECT ANSWER-b. Bowel movements decrease to
one every third day.
FON HESI Practice Exam #1 QUESTIONS WITH COMPLETE SOLUTIONS
,Rationale: Immobility reduces venous return, appetite, fluid intake, and peristalsis, which reduces the
frequency of bowel movements and increases the risk for constipation and impaction, which requires
prompt intervention.
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?
a. 1:30 pm: unable to void.
b. 5:30 pm: unable to void.
c. 3:30 pm: unable to void.
d. 11:30 am: unable to void. - CORRECT ANSWER-b. 5:30 pm: unable to void.
Rationale: A client is due to void within 8 hours of catheter removal, so at 5:30 PM, longer than 8 hours
after removal, catheter reinsertion may be necessary. If the bladder is not distended, further action may
not be needed at earlier times.
An older client who is unable to swallow is receiving continuous nasogastric tube (NGT) feeding. Before
administering medications through the NGT, what action should the practical nurse (PN) implement?
a. Flush the feeding tube with water.
b. Put the client in the supine position.
c. Assess the client's ability to swallow.
d. Prime the solution in the feeding pump. - CORRECT ANSWER-a. Flush the feeding tube with water.
Rationale: Flushing the tube with water before instilling the medication prevents any interactions that
may plug the tube. The best technique for NGT medication administration uses gravity flow with a
feeding syringe, not an enteral pump.
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?
FON HESI Practice Exam #1 QUESTIONS WITH COMPLETE SOLUTIONS
, a. Recommend adoption of a low sodium vegetarian diet.
b. Encourage food preparation with various vegetable oils.
c. Explain the benefits of a modified exercise program.
d. Provide pamphlets which outline CAD risk factors. - CORRECT ANSWER-b. encourage food preparation
with various vegetable oils.
rationale: Dietary saturated fats and cholesterol are modifiable risk factors for CAD, so encouraging the
use of vegetable oils that are low in saturated fats should help the client learn ways to reduce this
contributing factor.
What nutritional information should the PN provide a client with heart failure (HF)?
a. Abstain from alcoholic beverages.
b. Restrict dietary sodium intake.
c. Maintain a healthy weight.
d. Exclude dietary saturated fats. - CORRECT ANSWER-b. restrict dietary sodium intake.
rationale: To lessen the workload of the heart, restricting dietary sodium reduces fluid retention and
blood pressure and is a dietary recommendation for HF. Abstaining from alcoholic beverages is not
necessary but should be limited for a client with HF. Although decreasing saturated fat is a
recommendation to reduce the risk of heart disease, sodium restriction focuses on reducing fluid
retention and the workload of the failing heart.
The practical nurse (PN) is irrigating a client's indwelling urinary catheter. After injecting sterile solution
as prescribed, what action should the PN implement?
a. Massage the client's bladder for 30 to 45 seconds.
b. Keep the tubing clamped for 30 to 45 minutes.
c. Unclamp the tubing and lower the collection bag.
d. Ask the client to take a deep breath and hold it. - CORRECT ANSWER-c. unclamp the tubing and lower
the collection bag.
FON HESI Practice Exam #1 QUESTIONS WITH COMPLETE SOLUTIONS
