SPECIALISTS EXAM
HESI PN FUNDAMENTAL WITH
QUESTIONS AND ANSWERS
Email us at for any academic assistance.
[Mainly Nursing & Medical courses]
1) A client who is in hospice care complains of increasing amounts
of pain. The healthcare provider prescribes an analgesic every four
hours as needed. Which action should the LPN/LVN implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily
activities. Correct Answer: A
2) When assessing a client with wrist restraints, the nurse observes
that the fingers on the right hand are blue. What action should the
LPN implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial
pulse. Correct Answer: A
3) The LPN/LVN is assessing the nutritional status of several clients.
Which client has the greatest nutritional need for additional intake
of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic
ulcer. Correct Answer: B
SPECIALISTS EXAM
, SPECIALISTS EXAM
4) A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled
to be administered. The client returns to the unit at 1300. What is
the best intervention for the LPN/LVN to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900
schedule in the morning.
C. Notify the charge nurse and complete an incident report to
explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to
administer daily at 1300.
Correct Answer: D
5) While instructing a male client's wife in the performance of passive
rangeof- motion exercises to his contracted shoulder, the nurse
observes that she is
SPECIALISTS EXAM
, SPECIALISTS EXAM
holding his arm above and below the elbow. What nursing action
should the LPN/LVN implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better
motion. Correct Answer: A
6) What is the most important reason for starting intravenous
infusions in the upper extremities rather than the lower extremities
of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg
or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more
painful procedure.
Correct Answer: B
7) The LPN observes an unlicensed assistive personnel (UAP)
taking a client's blood pressure with a cuff that is too small, but
the blood pressure reading obtained is within the client's usual
range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood
pressure. Correct Answer: B
8) A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The
preparation arrives from the pharmacy diluted in 50 ml of 0.9%
NaCl. The LPN plans to administer the IVPB dose over 20 minutes.
For how many ml/ hr should the infusion pump be set to deliver
the secondary infusion? Correct Answer: 150
9) Twenty minutes after beginning a heat application, the client
states that the heating pad no longer feels warm enough. What is
the best response by the LPN/LVN?
SPECIALISTS EXAM
, SPECIALISTS EXAM
A. That means you have derived the maximum benefit, and the
heat can be removed.
B. Your blood vessels are becoming dilated and removing the heat
from the site.
C. We will increase the temperature 5 degrees when the pad no
longer feels warm.
D. The body's receptors adapt over time as they are exposed
to heat. Correct Answer: D
10) The LPN is instructing a client with high cholesterol about diet and life
SPECIALISTS EXAM
HESI PN FUNDAMENTAL WITH
QUESTIONS AND ANSWERS
Email us at for any academic assistance.
[Mainly Nursing & Medical courses]
1) A client who is in hospice care complains of increasing amounts
of pain. The healthcare provider prescribes an analgesic every four
hours as needed. Which action should the LPN/LVN implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily
activities. Correct Answer: A
2) When assessing a client with wrist restraints, the nurse observes
that the fingers on the right hand are blue. What action should the
LPN implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial
pulse. Correct Answer: A
3) The LPN/LVN is assessing the nutritional status of several clients.
Which client has the greatest nutritional need for additional intake
of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic
ulcer. Correct Answer: B
SPECIALISTS EXAM
, SPECIALISTS EXAM
4) A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled
to be administered. The client returns to the unit at 1300. What is
the best intervention for the LPN/LVN to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900
schedule in the morning.
C. Notify the charge nurse and complete an incident report to
explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to
administer daily at 1300.
Correct Answer: D
5) While instructing a male client's wife in the performance of passive
rangeof- motion exercises to his contracted shoulder, the nurse
observes that she is
SPECIALISTS EXAM
, SPECIALISTS EXAM
holding his arm above and below the elbow. What nursing action
should the LPN/LVN implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better
motion. Correct Answer: A
6) What is the most important reason for starting intravenous
infusions in the upper extremities rather than the lower extremities
of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg
or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more
painful procedure.
Correct Answer: B
7) The LPN observes an unlicensed assistive personnel (UAP)
taking a client's blood pressure with a cuff that is too small, but
the blood pressure reading obtained is within the client's usual
range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood
pressure. Correct Answer: B
8) A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The
preparation arrives from the pharmacy diluted in 50 ml of 0.9%
NaCl. The LPN plans to administer the IVPB dose over 20 minutes.
For how many ml/ hr should the infusion pump be set to deliver
the secondary infusion? Correct Answer: 150
9) Twenty minutes after beginning a heat application, the client
states that the heating pad no longer feels warm enough. What is
the best response by the LPN/LVN?
SPECIALISTS EXAM
, SPECIALISTS EXAM
A. That means you have derived the maximum benefit, and the
heat can be removed.
B. Your blood vessels are becoming dilated and removing the heat
from the site.
C. We will increase the temperature 5 degrees when the pad no
longer feels warm.
D. The body's receptors adapt over time as they are exposed
to heat. Correct Answer: D
10) The LPN is instructing a client with high cholesterol about diet and life
SPECIALISTS EXAM
