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Comprehensive Predictor HESI PN Test
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Which action should the practical nurse (PN) implement to help a male client cope with his
fear as he approaches death?
A. Tell client that he will soon find peace and comfort
B. Encourage family members to cry at client's bedside
C. Hold the client's hand and tell him he is not alone
D. Explain signs of impending death to client's family - ANS :C. Hold the client's hand and
tell him he is not alone
Therapeutic touch communicates the presence of others and helps reduce feelings of
aloneness, expresses genuine care and concern, and supports a fearful client
An older client is receiving nasogastric tube (NGT) feedings for several days. Which finding
should the PN report to the HCP?
A. Soft, formed stools
B. Urine output of 2000mL a day
C. Abd distention and nausea
D. Dried mucus around nasal tube - ANS :C. Abd distention and nausea
Abd distention and nausea indicate a decrease in rate of stomach emptying or an excessive
rate of intake
The practical nurse (PN) is caring for an older client who is NPO after surgery. The client
complains that his mouth and mucous membranes are dry. Which intervention should the
PN implement to increase the client's comfort?
A. Increase oral fluid intake
B. Preform oral hygiene frequently
C. Swab inside of mouth with petroleum jelly
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D. Report rate of IV fluid administration - ANS :B. Preform oral hygiene frequently
The practical nurse (PN) is giving oral care to an older female client with tender gums that
bleed easily because of a medication she is taking. What intervention should the PN
implement?
A. Encourage client to massage gums
B. Use mouth wash only
C. Obtain a soft-bristle brush for the client
D. Have client rinse with warm salt water - ANS :C. Obtain a soft-bristle brush for the client
Client needs oral hygiene and soft bristle brushes minimize gingival bleeding
Which time frame should the practical nurse (PN) reposition a client?
A. q 4 hours when awake
B. Twice per shift
C. q 2 hours
D. With each client request - ANS :C. q 2 hours
An older male client tells the practical nurse (PN) that his religion does not permit him to
bathe daily. How should the PN respond?
A. State that the HCP has prescribed a bath today
B. Offer the client several choices of times to bathe during the day
C. Review the importance of hygienic measures for improved health
D. Request that the client clarify his religious beliefs about bathing - ANS :D. Request that
the client clarify his religious beliefs about bathing
An older male client who is sedentary complains of not having a formed bowel movement in
four days and tells the practical nurse (PN) that he feels rectal pressure and has a constant
headache. The PN determines the client is having frequent small, liquid stools. Which
nursing action should the PN take first?
A. Provide frequent intake of oral fluids
B. Digitally assess for impacted stool
C. Give prescribed stool softener
D. Administer a mild analgesic - ANS :B. Digitally assess for impacted stool
Presence of liquid stool indicates impaction
The practical nurse (PN) is obtaining information for a male client's psychosocial
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assessment. Which action should the PN implement first?
A. Determine the value the client places on his health
B. Establish a therapeutic relationship
C. Determine is he has abnormal behaviors
D. Ask the client to share info about his past - ANS :B. Establish a therapeutic relationship
Which food should the practical nurse (PN) recommend for a client to increase the dietary
intake of potassium.
A. Corn
B. Baked potato
C. Popcorn
D. Grape juice - ANS :B. Baked potato
An 80 year old male client who has arthritis and is having difficulty walking, tells the
practical nurse (PN), "It's awful to be old, It seems as thought every day is a struggle. No one
cares about an old person." What is the best response for the PN to provide?
A. "It's true. We are a youth-oriented society"
B. "Oh, let's not focus on the negative. Tell me something good"
C. "It sounds as though you're having a difficult time. Tell me about it"
D. "You're still able to get around, and your mind is as sharp as a tack - ANS :C. "It sounds as
though you're having a difficult time. Tell me about it"
Communicating empathy and acknowledging the client's difficulty allows the client to
express his feelings
A client whose diet is low in fiber is at risk for which condition?
A. Hip fracture.
B. Diarrhea.
C. Confusion.
D. Colon cancer. - ANS :D. Colon cancer
Fiber speeds the movement of substances through the GI tract, reducing the amount of time
the colon absorbs water and its exposure to digestive end-products that may be
carcinogenic. Low-fiber diets increase the risk for constipation and colon cancer
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 factor(s)?
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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 - ANS :B. Encourage food preparation
with various vegetable oils
Which action by the practical nurse (PN) demonstrates the value of dignity in client care?
A. Reviews medications and allergies with charge nurse
B. Closes the door and covers the client during a bath
C. Uses the client's first name during admission
D. Shares concerns about client's condition with family - ANS :B. Closes the door and covers
the client during a bath
Which growth and developmental characteristic should the practical nurse (PN) consider
when discussing spirituality with an adolescent client?
A. Has a good concept of a supreme being.
B. Questions religious practices and values.
C. Gives oneself to spiritual tasks.
D. Accepts the meaning of spiritual faith. - ANS :B. Questions religious practices and values.
An adolescent often reconsiders child-like concepts of a spiritual power, and in the search
for an identity may either question practices and values, or may find spiritual power as the
motivation to seek a clearer meaning to life. Older adults, not adolescents, often turn to
important relationships and give themselves to spiritual tasks
The practical nurse (PN) identifies a client's need for spiritual support. What is the first
action the PN should take?
A. Refer the client to a client advocate or personal chaplain.
B. Provide the client with religious literature and references.
C. Suggest the client use one's religious faith to cope.
D. Determine the client's perceptions and belief system. - ANS :D. Determine the client's
perceptions and belief system.
Exploring the client's spirituality may reveal responses to health problems that require
nursing intervention. A client's perceptions and belief system should be determined, which
may reveal a strong set of resources that enable the client to cope effectively. Once the
client's value and belief systems are assessed, then (A, B and C) may be implemented to
provide the client with spiritual support.
The practical nurse (PN) is obtaining the vital signs for a client who has a urinary tract
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