PPL HESI Practice Questions WITH
Answers 100% Pass
Which task should the nurse delegate to the experienced unlicensed assistive
personnel (UAP)?
a. Evaluate the ability of a client to swallow ice one hour after a gastroscopy.
b. Assist a client with initial ambulation after a hip replacement using a walker.
c. Obtain a sterile urine specimen from an indwelling catheter with a closed
drainage system.
d. Change the disposable tracheostomy inner cannula when secretions become
tenacious. - ANSWER-c
Rationale: Functions of assessment, evaluation, and nursing judgment are
performed by the registered nurse (RN). The collection of sterile urine specimens
falls within the role of the UAP.
Four clients arrive at the mental health unit for admission at the same time. Which
client should the nurse assess first?
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,a. An older adult with Alzheimer's disease who is confused.
b. A young adult with phobias that interfere with daily activities.
c. An adult with schizophrenia who stopped taking medications.
d. A middle-aged adult with acute mania who is pacing the hallway. - ANSWER-d
Rationale: The nurse should first assess the client with symptoms of mania and
hyperactivity because if the client's judgment is extremely poor, there is a potential
for risk of injury to self and others, and the client may need constant observation.
The other clients can be monitored by another staff member until the nurse can
complete the assignments.
According to Gardner's Leadership model, which nursing role is most involved in
representing the nursing unit service and the organization to staff, other
departments, professional disciplines, and the community?
a. Nurse manager.
b. Unit staff nurse.
c. Nurse executive.
d. Nurse researcher. - ANSWER-a
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,Rationale: The nurse manager's role is most involved in representing the nursing
unit service and the organization to staff, other departments, professional
disciplines, and the community, according to Gardner's Leadership model. Unit
staff nurses represent the nursing profession and the organization to clients and
their families, and nurse executives represent the organization more generally to
internal and external constituents.
Female client signed a living will document two years ago that requested no heroic
measures be taken on her behalf. Today she is admitted 6 hours after the onset of
left hemiplegia, left-sided neglect, and hemianopsia. When the neurologist asks the
client if she wants to be ventilated, she responds, "If it will help." The daughter
asks the nurse what the family should do because the ventilator places her frail
mother at risk for other complications and is contrary to her mother's original
request, which was executed when she was healthy. What information is best for
the nurse to provide?
a. Client's original request based on the signed living will for no heroic measures
should be followed.
b. Family should be guided to support the client's current decision.
c. Client's cognitive ability should be evaluated before the use of a ventilator is
needed.
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, d. Family should discuss alternative treatment options with the HCP. - ANSWER-
b
Rationale: The client's verbalization to accept the ventilator or other treatment
should be honored because it is sufficient validation to revoke the client's living
will. If the client is cognizant and can make their own decisions, then the living will
stands. If the client becomes unable to make their own decisions, then the family
knows what course the client wishes to take.
The nurse is caring for a client with rhabdomyolysis after sustaining multiple
crushing injuries. Which intervention should the nurse include in the plan of care
to prevent acute renal failure?
a. Central venous catheter insertion for hydration.
b. Blood specimen collection for electrolyte analysis.
c. Antiinflammatory and opioid analgesics for pain.
d. Diuretic IV administration for third-spacing fluids. - ANSWER-a
Rationale: Crushing injuries release myoglobin (rhabdomyolysis) into the
circulation, which can occlude distal renal tubules and cause acute tubular necrosis
(ATN) or renal failure. To prevent renal complications, the nurse should prepare
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
Answers 100% Pass
Which task should the nurse delegate to the experienced unlicensed assistive
personnel (UAP)?
a. Evaluate the ability of a client to swallow ice one hour after a gastroscopy.
b. Assist a client with initial ambulation after a hip replacement using a walker.
c. Obtain a sterile urine specimen from an indwelling catheter with a closed
drainage system.
d. Change the disposable tracheostomy inner cannula when secretions become
tenacious. - ANSWER-c
Rationale: Functions of assessment, evaluation, and nursing judgment are
performed by the registered nurse (RN). The collection of sterile urine specimens
falls within the role of the UAP.
Four clients arrive at the mental health unit for admission at the same time. Which
client should the nurse assess first?
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,a. An older adult with Alzheimer's disease who is confused.
b. A young adult with phobias that interfere with daily activities.
c. An adult with schizophrenia who stopped taking medications.
d. A middle-aged adult with acute mania who is pacing the hallway. - ANSWER-d
Rationale: The nurse should first assess the client with symptoms of mania and
hyperactivity because if the client's judgment is extremely poor, there is a potential
for risk of injury to self and others, and the client may need constant observation.
The other clients can be monitored by another staff member until the nurse can
complete the assignments.
According to Gardner's Leadership model, which nursing role is most involved in
representing the nursing unit service and the organization to staff, other
departments, professional disciplines, and the community?
a. Nurse manager.
b. Unit staff nurse.
c. Nurse executive.
d. Nurse researcher. - ANSWER-a
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,Rationale: The nurse manager's role is most involved in representing the nursing
unit service and the organization to staff, other departments, professional
disciplines, and the community, according to Gardner's Leadership model. Unit
staff nurses represent the nursing profession and the organization to clients and
their families, and nurse executives represent the organization more generally to
internal and external constituents.
Female client signed a living will document two years ago that requested no heroic
measures be taken on her behalf. Today she is admitted 6 hours after the onset of
left hemiplegia, left-sided neglect, and hemianopsia. When the neurologist asks the
client if she wants to be ventilated, she responds, "If it will help." The daughter
asks the nurse what the family should do because the ventilator places her frail
mother at risk for other complications and is contrary to her mother's original
request, which was executed when she was healthy. What information is best for
the nurse to provide?
a. Client's original request based on the signed living will for no heroic measures
should be followed.
b. Family should be guided to support the client's current decision.
c. Client's cognitive ability should be evaluated before the use of a ventilator is
needed.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, d. Family should discuss alternative treatment options with the HCP. - ANSWER-
b
Rationale: The client's verbalization to accept the ventilator or other treatment
should be honored because it is sufficient validation to revoke the client's living
will. If the client is cognizant and can make their own decisions, then the living will
stands. If the client becomes unable to make their own decisions, then the family
knows what course the client wishes to take.
The nurse is caring for a client with rhabdomyolysis after sustaining multiple
crushing injuries. Which intervention should the nurse include in the plan of care
to prevent acute renal failure?
a. Central venous catheter insertion for hydration.
b. Blood specimen collection for electrolyte analysis.
c. Antiinflammatory and opioid analgesics for pain.
d. Diuretic IV administration for third-spacing fluids. - ANSWER-a
Rationale: Crushing injuries release myoglobin (rhabdomyolysis) into the
circulation, which can occlude distal renal tubules and cause acute tubular necrosis
(ATN) or renal failure. To prevent renal complications, the nurse should prepare
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
