HESI PN FUNDAMENTALS PRACTICE EXAM WITH ACTUAL
STUDY GUIDE QUESTIONS AND VERIFIED CORRECT
ANSWERS (RATIONALES PROVIDED), GRADED A+
Email us at for any academic assistance.
[Mainly Nursing & Medical courses]
Which position is best for the practical nurse to place the client during
administration of a rectal suppository for constipation?
A. Prone with pillows under abd
B. Supine with client on bedpan
C. Left Sims' with upper leg flexed
D. Right side-lying knee-chest position - CORRECT ANSWER C. Left Sims' with
upper leg flexed
Lessens the likelihood that suppository or feces will be expelled, exposes the anus
for visualization during insertion, and helps client relax the external anal sphincter
The practical nurse (PN) is adding tap water to several medications for
administration via feeding tube. Which preparation should the PN administer
without delay?
,A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - CORRECT ANSWER B. Time released capsule
Although the gelatin capsule can be opened to administer the spansule's granules,
the PN should not crush or allow the timed-released granules to dissolve before
administering this preparation via feeding tube since the timed-release function
can be compromised.
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?
A. Encourage deep breathing prior to suctioning.
B. Increase the oxygen flow rate during suctioning attempts.
C. Provide oxygen during rest periods between suctioning.
D. Limit suctioning attempts to five second intervals. - CORRECT ANSWER C.
Provide oxygen during rest periods between suctioning.
When a client is unable to effectively clear respiratory tract secretions with
coughing, suctioning with oxygen during rest periods of 10 to 15 seconds between
suction attempts should be provided to ensure maximal oxygenation.
Which assessment should the practical nurse (PN) make to best evaluate a client's
fluid status?
,A. Skin turgor
B. Intake and output
C. Daily body weight
D. Serum electrolyte levels - CORRECT ANSWER C. Daily body weight
This is the best indicator b/c a sudden increase or decrease in weight in 24 hours
provides an estimate to fluid volume retention or loss
Based on The Joint Commission (TJC) standards for pain assessment and
treatment, which action is most important for the practical nurse (PN) to
implement when assessing a client?
A. Use a pain scale to assess all clients for pain when obtaining vital signs.
B. Collect objective information about pain to provide the best prescribed
treatment.
C. Prioritize pain assessment for surgical clients before clients with chronic illness.
D. Give prescribed medications to all clients with outward expressions of pain. -
CORRECT ANSWER A. Use a pain scale to assess all clients for pain when
obtaining vital signs.
The priority action, consistent with TJC pain standards, includes assessing all
clients for pain, the fifth vital sign, which is best determined with a pain scale.
Which food should the practical nurse (PN) recommend to a client as a source of
complete protein?
, A. Oats
B. Eggs
C. Lentils
D. Peanuts - CORRECT ANSWER B. Eggs
Sources of complete protein are animal based
The practical nurse (PN) identifies several findings in an older female who is on
prolonged bed rest. Which finding requires prompt action by the PN?
A. Heart rate increase of 10 beats/minute
B. Bowel movements decreased to one every third day
C. Urinary output decreased to 250 mL in the last 24 hours
D. Systolic BP decrease of 10 mm Hg - CORRECT ANSWER B. Bowel movements
decreased to one every third day
Immobility reduces venous return, fluid intake, and peristalsis, which reduces
frequency for BM and increases risk for constipation and impaction
The practical nurse (PN) is providing wound care for a client with a stage III
pressure ulcer on the left heel. To achieve the goal, and increase in granulation
tissue development within two weeks, which intervention should the PN
implement?
A. Replace dry sterile dressing PRN
B. Irrigate wound with normal sterile saline
STUDY GUIDE QUESTIONS AND VERIFIED CORRECT
ANSWERS (RATIONALES PROVIDED), GRADED A+
Email us at for any academic assistance.
[Mainly Nursing & Medical courses]
Which position is best for the practical nurse to place the client during
administration of a rectal suppository for constipation?
A. Prone with pillows under abd
B. Supine with client on bedpan
C. Left Sims' with upper leg flexed
D. Right side-lying knee-chest position - CORRECT ANSWER C. Left Sims' with
upper leg flexed
Lessens the likelihood that suppository or feces will be expelled, exposes the anus
for visualization during insertion, and helps client relax the external anal sphincter
The practical nurse (PN) is adding tap water to several medications for
administration via feeding tube. Which preparation should the PN administer
without delay?
,A. Reconstituted powder.
B. Timed release capsule.
C. Cherry flavored elixir.
D. Flavorless suspension. - CORRECT ANSWER B. Time released capsule
Although the gelatin capsule can be opened to administer the spansule's granules,
the PN should not crush or allow the timed-released granules to dissolve before
administering this preparation via feeding tube since the timed-release function
can be compromised.
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?
A. Encourage deep breathing prior to suctioning.
B. Increase the oxygen flow rate during suctioning attempts.
C. Provide oxygen during rest periods between suctioning.
D. Limit suctioning attempts to five second intervals. - CORRECT ANSWER C.
Provide oxygen during rest periods between suctioning.
When a client is unable to effectively clear respiratory tract secretions with
coughing, suctioning with oxygen during rest periods of 10 to 15 seconds between
suction attempts should be provided to ensure maximal oxygenation.
Which assessment should the practical nurse (PN) make to best evaluate a client's
fluid status?
,A. Skin turgor
B. Intake and output
C. Daily body weight
D. Serum electrolyte levels - CORRECT ANSWER C. Daily body weight
This is the best indicator b/c a sudden increase or decrease in weight in 24 hours
provides an estimate to fluid volume retention or loss
Based on The Joint Commission (TJC) standards for pain assessment and
treatment, which action is most important for the practical nurse (PN) to
implement when assessing a client?
A. Use a pain scale to assess all clients for pain when obtaining vital signs.
B. Collect objective information about pain to provide the best prescribed
treatment.
C. Prioritize pain assessment for surgical clients before clients with chronic illness.
D. Give prescribed medications to all clients with outward expressions of pain. -
CORRECT ANSWER A. Use a pain scale to assess all clients for pain when
obtaining vital signs.
The priority action, consistent with TJC pain standards, includes assessing all
clients for pain, the fifth vital sign, which is best determined with a pain scale.
Which food should the practical nurse (PN) recommend to a client as a source of
complete protein?
, A. Oats
B. Eggs
C. Lentils
D. Peanuts - CORRECT ANSWER B. Eggs
Sources of complete protein are animal based
The practical nurse (PN) identifies several findings in an older female who is on
prolonged bed rest. Which finding requires prompt action by the PN?
A. Heart rate increase of 10 beats/minute
B. Bowel movements decreased to one every third day
C. Urinary output decreased to 250 mL in the last 24 hours
D. Systolic BP decrease of 10 mm Hg - CORRECT ANSWER B. Bowel movements
decreased to one every third day
Immobility reduces venous return, fluid intake, and peristalsis, which reduces
frequency for BM and increases risk for constipation and impaction
The practical nurse (PN) is providing wound care for a client with a stage III
pressure ulcer on the left heel. To achieve the goal, and increase in granulation
tissue development within two weeks, which intervention should the PN
implement?
A. Replace dry sterile dressing PRN
B. Irrigate wound with normal sterile saline
