HESI FUNDAMENTAL 2025/2026
EXAMINATION
A client with cancer who has been taking opioid analgesics for two years
now requires increased doses to obtain pain relief. he client expresses
fear about becoming addicted to these drugs. What information should
the practical nurse (PN) provide? - ANSWER-Prescribed opiates for
cancer pain relief improve quality of life.
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? - ANSWER-5:30 pm: unable to void.
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) -
ANSWER-Place the client on the left side in Sim's position.
Use enema fluid that is near 105 F (40.4 C).
Instill 500 mL to 1,000 mL fluids slowly.
,Raise the enema container 20 inches above anus.
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? - ANSWER-Left
Sim's position with upper leg flexed.
The practical nurse (PN) is adding tap water to several medications for
administration via feeding tube. Which preparation should the PN
administer without delay? - ANSWER-Timed release capsule.
Which action should the practical nurse (PN) take when drawing
medication from an ampule? - ANSWER-Aspirate with a filter needle
and syringe.
The practical nurse (PN) is preparing to reconstitute a drug from powder
for for IM administration. Which step should the PN implement first? -
ANSWER-Verify the drug with the medication administration record
(MAR).
Which action should the practical nurse (PN) implement when
administering a subcutaneous injection to a client who weighs 325
pounds? - ANSWER-select a needle with a longer shaft.
, Which finding indicates to the practical nurse (PN) that an older client
who is receiving intravenous therapy is experiencing fluid overload? -
ANSWER-Crackles in the lung fields.
The practical nurse (PN) is checking the surgical dressing for a client
who arrived on the postoperative unit an hour ago. The dressing has an
increase in the accumulation of serosanguinous drainage. what nursing
action should the PN take? - ANSWER-Mark the outlined area of
drainage with date, time and initials.
The male client who is 2 days postoperative for exploratory abdominal
surgery is ambulating in the hall with the practical nurse (PN). The client
tells the PN, "I think something in my incision just let go." which action
should the PN implement first? - ANSWER-Assist the client to a supine
position.
The practical nurse (PN) is applying a dry, sterile dressing to a client's
abdominal wound. Which allergy should the PN verify with the client? -
ANSWER-tape.
The practical nurse (PN) is changing a postoperative dressing for a client
with a horizontal lower abdominal incision. What method should the PN
use to remove the tape from the dressing? - ANSWER-Remove all four
sides by moving to the center of the incision.
EXAMINATION
A client with cancer who has been taking opioid analgesics for two years
now requires increased doses to obtain pain relief. he client expresses
fear about becoming addicted to these drugs. What information should
the practical nurse (PN) provide? - ANSWER-Prescribed opiates for
cancer pain relief improve quality of life.
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? - ANSWER-5:30 pm: unable to void.
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) -
ANSWER-Place the client on the left side in Sim's position.
Use enema fluid that is near 105 F (40.4 C).
Instill 500 mL to 1,000 mL fluids slowly.
,Raise the enema container 20 inches above anus.
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? - ANSWER-Left
Sim's position with upper leg flexed.
The practical nurse (PN) is adding tap water to several medications for
administration via feeding tube. Which preparation should the PN
administer without delay? - ANSWER-Timed release capsule.
Which action should the practical nurse (PN) take when drawing
medication from an ampule? - ANSWER-Aspirate with a filter needle
and syringe.
The practical nurse (PN) is preparing to reconstitute a drug from powder
for for IM administration. Which step should the PN implement first? -
ANSWER-Verify the drug with the medication administration record
(MAR).
Which action should the practical nurse (PN) implement when
administering a subcutaneous injection to a client who weighs 325
pounds? - ANSWER-select a needle with a longer shaft.
, Which finding indicates to the practical nurse (PN) that an older client
who is receiving intravenous therapy is experiencing fluid overload? -
ANSWER-Crackles in the lung fields.
The practical nurse (PN) is checking the surgical dressing for a client
who arrived on the postoperative unit an hour ago. The dressing has an
increase in the accumulation of serosanguinous drainage. what nursing
action should the PN take? - ANSWER-Mark the outlined area of
drainage with date, time and initials.
The male client who is 2 days postoperative for exploratory abdominal
surgery is ambulating in the hall with the practical nurse (PN). The client
tells the PN, "I think something in my incision just let go." which action
should the PN implement first? - ANSWER-Assist the client to a supine
position.
The practical nurse (PN) is applying a dry, sterile dressing to a client's
abdominal wound. Which allergy should the PN verify with the client? -
ANSWER-tape.
The practical nurse (PN) is changing a postoperative dressing for a client
with a horizontal lower abdominal incision. What method should the PN
use to remove the tape from the dressing? - ANSWER-Remove all four
sides by moving to the center of the incision.
