HESI Fundamentals Practice Exam: Certified
Academic Excellence with Questions and Solutions
from Leading Educators Worldwide
A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN)
assesses the client every two hours for the desire to void. Which documented assessment
requires 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 ANS- -B. 5:30 pm: unable to void.
Should be able to void within 8 hours after catheter is removed
The healthcare provider prescribes a cleansing enema for an adult prior to bowel surgery.
Which intervention(s) should the practical nurse implement to ensure adequate bowel
cleansing? (Select all that apply)
A. Place the client on the left side in Sim's position.
B. Use enema fluid that is near 105 F (40.4 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 ANS- -A. Place the client
on the left side in Sim's position.
B. Use enema fluid that is near 105 F (40.4 C).
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.
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 ANS- -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 ANS- -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.
Which action should the practical nurse (PN) take when drawing medication from an
ampule?
, A. Aspirate with a filter needle and syringe
B. Tap bottom of ampule lightly
C. Snap neck of ampule towards nurse
D. Use alcohol swab to open ampule - CORRECT ANS- -A. Aspirate with a filter needle and
syringe
Ampule is made of glass with a constricted neck that is snapped off to allow access to the
medication. Meds are easily withdrawn from ampule by aspirating with a filter needle and
syringe. Filter needles are used when withdrawing medication from an ampule to prevent
glass particles from being drawn into the syringe with the medication
The practical nurse (PN) is preparing to reconstitute a drug from powder for for IM
administration. Which step should the PN implement first?
A. Verify the drug with the medication administration record (MAR).
B. Mix powder with the solution
C. Attach needle to syringe
D. Read label to determine amount of dilutent to use - CORRECT ANS- -A. Verify the drug
with the medication administration record (MAR)
5 rights of medication administration: right drug, right dose, right route, right time, and right
client
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds?
A. Produce a bleb at injection site
Academic Excellence with Questions and Solutions
from Leading Educators Worldwide
A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN)
assesses the client every two hours for the desire to void. Which documented assessment
requires 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 ANS- -B. 5:30 pm: unable to void.
Should be able to void within 8 hours after catheter is removed
The healthcare provider prescribes a cleansing enema for an adult prior to bowel surgery.
Which intervention(s) should the practical nurse implement to ensure adequate bowel
cleansing? (Select all that apply)
A. Place the client on the left side in Sim's position.
B. Use enema fluid that is near 105 F (40.4 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 ANS- -A. Place the client
on the left side in Sim's position.
B. Use enema fluid that is near 105 F (40.4 C).
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.
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 ANS- -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 ANS- -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.
Which action should the practical nurse (PN) take when drawing medication from an
ampule?
, A. Aspirate with a filter needle and syringe
B. Tap bottom of ampule lightly
C. Snap neck of ampule towards nurse
D. Use alcohol swab to open ampule - CORRECT ANS- -A. Aspirate with a filter needle and
syringe
Ampule is made of glass with a constricted neck that is snapped off to allow access to the
medication. Meds are easily withdrawn from ampule by aspirating with a filter needle and
syringe. Filter needles are used when withdrawing medication from an ampule to prevent
glass particles from being drawn into the syringe with the medication
The practical nurse (PN) is preparing to reconstitute a drug from powder for for IM
administration. Which step should the PN implement first?
A. Verify the drug with the medication administration record (MAR).
B. Mix powder with the solution
C. Attach needle to syringe
D. Read label to determine amount of dilutent to use - CORRECT ANS- -A. Verify the drug
with the medication administration record (MAR)
5 rights of medication administration: right drug, right dose, right route, right time, and right
client
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds?
A. Produce a bleb at injection site
