HESI PN 2025/2026 EXAMINATION
An 80 year old male client who has arthritis and who is having difficulty
walking tells the practical nurse (PN). ''It's awful to be old. It seems as
though every day a struggle. No one cares about an old person." What is
the best response for the PN to provide.
A. "its true. We are a youth- oriented society."
B. Oh, lets 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." -
ANSWER-C. "It sounds as though you're having a difficult time. Tell me
about it."
An essential component of the nurse-client relationship is
communicating empathy, which indicates to a client that his feelings are
important, so acknowledging the clients difficulty (C) best allows the
client to express his feelings. (A,B,D) dismiss the client's verbal and
nonverbal communication and do not reflect an understanding of the
despair the client is communicating.
,A client's indwelling urinary catheter is removed at 9:30am. The
practical nurse (PN) assesses the client every 2 hours for the desire to
void. Which documented assessment requires further intervention by the
PN?
A. 1:30pm- unable to void.
B. 5:30pm- unable to void
C. 3:30pm- unable to void
D 11:30 am- unable to void. - ANSWER-B. 5:30pm- unable to void.
A client is due to void within 8 hours of catheter removal, so at 5:30pm
(B), longer than 8 hours after removal, catheter reinsertion may be
necessary. If the bladder is not distended, further action may not be
needed at times indicated in (A,C, D)
The practical nurse (PN) is assessing a client with dark skin who is in
respiratory distress. Which client response should the PN evaluate to
determine cyanosis in the client?
A. Cyanosis in a client with dark skin is seen only in the sclera.
B. Abnormal skin color changes in a client with dark skin cannot be
determined.
C. The lips and mucous membranes of a client with dark skin are dusky
in color.
D. Blanching the soles of the feet in a client with dark skin reveals
cyanosis. - ANSWER-C. The lips and mucous membranes of a client
with dark skin are dusky in color
Causes of cyanosis include hypoxemia and decreased cardiac output,
which provided clues to respiratory status with changes in skin color and
, mucous membranes. Cyanosis, a late sign of hypoxia, is best observed in
the tissue that has superficial capillary supply, such as mucous
membranes, the conjunctivae, lips, palms and under the tongue (C),
which is readily visible in dark skin. (A,B,D) do not provide accurate
assessment.
What action should the practical nurse (PN) take when drawing
medication from an ampule?
A. Aspirate with a filter needle and syringe
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - ANSWER-A. Aspirate with a
filter needle and syringe
An ampule is made of glass with a constricted neck that is snapped off to
allow access to the medication. Medications are easily withdrawn from
the ampule by aspirating the fluid with a filter needle and syringe. Filter
needles are used when withdrawing medication from a glass ampule to
prevent glass particles from being drawn into the syringe with the
medication (A). Tap the top, not the bottom (B) of the ampule lightly to
allow all of the medication to drop to the bottom. When opening the
ampule, the top should be snapped away from the nurse's face and body
(C). An opened alcohol swab wrapped around the top of the ampule may
allow alcohol to leak into the ampule (D).
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.)
An 80 year old male client who has arthritis and who is having difficulty
walking tells the practical nurse (PN). ''It's awful to be old. It seems as
though every day a struggle. No one cares about an old person." What is
the best response for the PN to provide.
A. "its true. We are a youth- oriented society."
B. Oh, lets 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." -
ANSWER-C. "It sounds as though you're having a difficult time. Tell me
about it."
An essential component of the nurse-client relationship is
communicating empathy, which indicates to a client that his feelings are
important, so acknowledging the clients difficulty (C) best allows the
client to express his feelings. (A,B,D) dismiss the client's verbal and
nonverbal communication and do not reflect an understanding of the
despair the client is communicating.
,A client's indwelling urinary catheter is removed at 9:30am. The
practical nurse (PN) assesses the client every 2 hours for the desire to
void. Which documented assessment requires further intervention by the
PN?
A. 1:30pm- unable to void.
B. 5:30pm- unable to void
C. 3:30pm- unable to void
D 11:30 am- unable to void. - ANSWER-B. 5:30pm- unable to void.
A client is due to void within 8 hours of catheter removal, so at 5:30pm
(B), longer than 8 hours after removal, catheter reinsertion may be
necessary. If the bladder is not distended, further action may not be
needed at times indicated in (A,C, D)
The practical nurse (PN) is assessing a client with dark skin who is in
respiratory distress. Which client response should the PN evaluate to
determine cyanosis in the client?
A. Cyanosis in a client with dark skin is seen only in the sclera.
B. Abnormal skin color changes in a client with dark skin cannot be
determined.
C. The lips and mucous membranes of a client with dark skin are dusky
in color.
D. Blanching the soles of the feet in a client with dark skin reveals
cyanosis. - ANSWER-C. The lips and mucous membranes of a client
with dark skin are dusky in color
Causes of cyanosis include hypoxemia and decreased cardiac output,
which provided clues to respiratory status with changes in skin color and
, mucous membranes. Cyanosis, a late sign of hypoxia, is best observed in
the tissue that has superficial capillary supply, such as mucous
membranes, the conjunctivae, lips, palms and under the tongue (C),
which is readily visible in dark skin. (A,B,D) do not provide accurate
assessment.
What action should the practical nurse (PN) take when drawing
medication from an ampule?
A. Aspirate with a filter needle and syringe
B. Tap the bottom of the ampule lightly.
C. Snap the neck of ampule towards nurse.
D. Use an alcohol swab to open ampule. - ANSWER-A. Aspirate with a
filter needle and syringe
An ampule is made of glass with a constricted neck that is snapped off to
allow access to the medication. Medications are easily withdrawn from
the ampule by aspirating the fluid with a filter needle and syringe. Filter
needles are used when withdrawing medication from a glass ampule to
prevent glass particles from being drawn into the syringe with the
medication (A). Tap the top, not the bottom (B) of the ampule lightly to
allow all of the medication to drop to the bottom. When opening the
ampule, the top should be snapped away from the nurse's face and body
(C). An opened alcohol swab wrapped around the top of the ampule may
allow alcohol to leak into the ampule (D).
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.)
