Comprehensive Predictor HESI PN Test
Bank
Comprehensive Predictor HESI PN Test
Bank 300+ verified questions and answers
with detailed Rationales Graded A+ - Brand
New Q&As Latest
Examination of a client complaining of itching on his right arm reveals a rash made up of multiple flat areas
of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding?
A. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
C. Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
D. Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
Macules are localized flat skin discolorations less than 1 cm in diameter. However, when recording such a
finding the nurse should describe the appearance (B) rather than simply naming the condition. (A) identifies
vesicles -- fluid filled blisters -- an incorrect description given the symptoms listed. (C) identifies papules --
solid elevated lesions, again not correctly identifying the symptoms. (D) identifies petechiae -- pinpoint red
to purple skin discolorations that do not itch, again an incorrect identification.
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the
client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a surface (D).
Reddened areas should not be massaged (A) since this may increase the damage to already traumatized skin.
HALINTONE 1
, Comprehensive Predictor HESI PN Test
Bank
To control pain and muscle spasms, active range of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client with a fractured left hip.
.!
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
B. Flush the tube with water.
The NGT should be flushed before, after and in between each medication administered (B). Once all
medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
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 nurse 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.
A. Give an around-the-clock schedule for administration of analgesics.
The most effective management of pain is achieved using an around-the-clock schedule that provides
analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less effective if pain
persists until it is severe, so an analgesic medication should be administered before the client's pain peaks
(B). Providing comfort is a priority for the client who is dying, but sedation that impairs the client's ability
to interact and experience the time before life ends should be minimized (C). Offering a medication-free
period allows the serum drug level to fall, which is not an effective method to manage chronic pain (D).
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue.
What action should the nurse 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.
A. Loosen the right wrist restraint.
HALINTONE 2
, Comprehensive Predictor HESI PN Test
Bank
The priority nursing action is to restore circulation by loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are also important nursing interventions, but do not
have the priority of (A). Pulse oximetry (B) measures the saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to mechanical compression (the restraints).
.! Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first.
C. Keep gloved hands above the elbows.
Gloved hands held below waist level are considered unsterile (C). (A and B) are not essential to maintaining
asepsis. While it may be helpful to put the glove on the dominant hand first, it is not necessary to ensure
asepsis (D).
.!
A client's infusion of normal saline infiltrated earlier today, and approximately 500 ml of saline infused into
the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger
pain medications." What initial action is most important for the nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area.
B. Measure the pulse volume and capillary refill distal to the infiltration.
Pain and diminished pulse volume (B) are signs of compartment syndrome, which can progress to complete
loss of the peripheral pulse in the extremity. Compartment syndrome occurs when external pressure (usually
from a cast), or internal pressure (usually from subcutaneous infused fluid), exceeds capillary perfusion
pressure resulting in decreased blood flow to the extremity. (A) should not be pursued until physical causes
of the pain are ruled out. (C) is of less priority than determining the effects of the edema on circulation and
nerve function. Further assessment of the client's ecchymosis can be delayed until the signs of edema and
compression that suggest compartment syndrome have been examined (D).
.!
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving bolus
enteral feedings though a gastrostomy tube. What is the best client position for administration of the bolus
tube feedings?
A. Prone.
HALINTONE 3
, Comprehensive Predictor HESI PN Test
Bank
B. Fowler's.
C. Sims'.
D. Supine.
B. Fowler's.
The client should be positioned in a semi-sitting (Fowler's) (B) position during feeding to decrease the
occurrence of aspiration. A gastrostomy tube, known as a PEG tube, due to placement by a percutaneous
endoscopic gastrostomy procedure, is inserted directly into the stomach through an incision in the abdomen
for long-term administration of nutrition and hydration in the debilitated client. In (A and/or C), the client is
placed on the abdomen, an unsafe position for feeding. Placing the client in (D) increases the risk of
aspiration.
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from
a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's
teaching plan?
A. In 8 weeks, you will be able to bend at the waist to reach items on the floor.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
C. It is safe to use a walker to get out of bed, but you need assistance when walking.
D. Take pain medication 30 minutes after your physical therapy sessions.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
The client's affected hip joint following a hemiarthroplasty (partial hip replacement) is at risk of dislocation
for 6 months to a year following the procedure. Hip precautions to prevent dislocation include placing a
pillow between the knees to maintain abduction of the hips (B). Clients should be instructed to avoid
bending at the waist (A), to seek assistance for both standing and walking until they are stable on a walker
or cane (C), and to take pain medication 20 to 30 minutes prior to physical therapy sessions, rather than
waiting until the pain level is high after their therapy.
.!
.!
The nurse is completing a mental assessment for a client who is demonstrating slow thought processes,
personality changes, and emotional lability. Which area of the brain controls these neuro-cognitive
functions?
A. Thalamus.
B. Hypothalamus.
C. Frontal lobe.
D. Parietal lobe.
C. Frontal lobe.
The frontal lobe (C) of the cerebrum controls higher mental activities, such as memory, intellect, language,
emotions, and personality. (A) is an afferent relay center in the brain that directs impulses to the cerebral
HALINTONE 4
Bank
Comprehensive Predictor HESI PN Test
Bank 300+ verified questions and answers
with detailed Rationales Graded A+ - Brand
New Q&As Latest
Examination of a client complaining of itching on his right arm reveals a rash made up of multiple flat areas
of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding?
A. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
C. Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
D. Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter.
B. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
Macules are localized flat skin discolorations less than 1 cm in diameter. However, when recording such a
finding the nurse should describe the appearance (B) rather than simply naming the condition. (A) identifies
vesicles -- fluid filled blisters -- an incorrect description given the symptoms listed. (C) identifies papules --
solid elevated lesions, again not correctly identifying the symptoms. (D) identifies petechiae -- pinpoint red
to purple skin discolorations that do not itch, again an incorrect identification.
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the
client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a surface (D).
Reddened areas should not be massaged (A) since this may increase the damage to already traumatized skin.
HALINTONE 1
, Comprehensive Predictor HESI PN Test
Bank
To control pain and muscle spasms, active range of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client with a fractured left hip.
.!
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
B. Flush the tube with water.
The NGT should be flushed before, after and in between each medication administered (B). Once all
medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
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 nurse 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.
A. Give an around-the-clock schedule for administration of analgesics.
The most effective management of pain is achieved using an around-the-clock schedule that provides
analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less effective if pain
persists until it is severe, so an analgesic medication should be administered before the client's pain peaks
(B). Providing comfort is a priority for the client who is dying, but sedation that impairs the client's ability
to interact and experience the time before life ends should be minimized (C). Offering a medication-free
period allows the serum drug level to fall, which is not an effective method to manage chronic pain (D).
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue.
What action should the nurse 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.
A. Loosen the right wrist restraint.
HALINTONE 2
, Comprehensive Predictor HESI PN Test
Bank
The priority nursing action is to restore circulation by loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are also important nursing interventions, but do not
have the priority of (A). Pulse oximetry (B) measures the saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to mechanical compression (the restraints).
.! Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first.
C. Keep gloved hands above the elbows.
Gloved hands held below waist level are considered unsterile (C). (A and B) are not essential to maintaining
asepsis. While it may be helpful to put the glove on the dominant hand first, it is not necessary to ensure
asepsis (D).
.!
A client's infusion of normal saline infiltrated earlier today, and approximately 500 ml of saline infused into
the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger
pain medications." What initial action is most important for the nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area.
B. Measure the pulse volume and capillary refill distal to the infiltration.
Pain and diminished pulse volume (B) are signs of compartment syndrome, which can progress to complete
loss of the peripheral pulse in the extremity. Compartment syndrome occurs when external pressure (usually
from a cast), or internal pressure (usually from subcutaneous infused fluid), exceeds capillary perfusion
pressure resulting in decreased blood flow to the extremity. (A) should not be pursued until physical causes
of the pain are ruled out. (C) is of less priority than determining the effects of the edema on circulation and
nerve function. Further assessment of the client's ecchymosis can be delayed until the signs of edema and
compression that suggest compartment syndrome have been examined (D).
.!
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving bolus
enteral feedings though a gastrostomy tube. What is the best client position for administration of the bolus
tube feedings?
A. Prone.
HALINTONE 3
, Comprehensive Predictor HESI PN Test
Bank
B. Fowler's.
C. Sims'.
D. Supine.
B. Fowler's.
The client should be positioned in a semi-sitting (Fowler's) (B) position during feeding to decrease the
occurrence of aspiration. A gastrostomy tube, known as a PEG tube, due to placement by a percutaneous
endoscopic gastrostomy procedure, is inserted directly into the stomach through an incision in the abdomen
for long-term administration of nutrition and hydration in the debilitated client. In (A and/or C), the client is
placed on the abdomen, an unsafe position for feeding. Placing the client in (D) increases the risk of
aspiration.
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from
a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's
teaching plan?
A. In 8 weeks, you will be able to bend at the waist to reach items on the floor.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
C. It is safe to use a walker to get out of bed, but you need assistance when walking.
D. Take pain medication 30 minutes after your physical therapy sessions.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
The client's affected hip joint following a hemiarthroplasty (partial hip replacement) is at risk of dislocation
for 6 months to a year following the procedure. Hip precautions to prevent dislocation include placing a
pillow between the knees to maintain abduction of the hips (B). Clients should be instructed to avoid
bending at the waist (A), to seek assistance for both standing and walking until they are stable on a walker
or cane (C), and to take pain medication 20 to 30 minutes prior to physical therapy sessions, rather than
waiting until the pain level is high after their therapy.
.!
.!
The nurse is completing a mental assessment for a client who is demonstrating slow thought processes,
personality changes, and emotional lability. Which area of the brain controls these neuro-cognitive
functions?
A. Thalamus.
B. Hypothalamus.
C. Frontal lobe.
D. Parietal lobe.
C. Frontal lobe.
The frontal lobe (C) of the cerebrum controls higher mental activities, such as memory, intellect, language,
emotions, and personality. (A) is an afferent relay center in the brain that directs impulses to the cerebral
HALINTONE 4
