HESI Fundamentals Exam Practice
Questions
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? - ✔✔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? - ✔✔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) - ✔✔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? - ✔✔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? - ✔✔Timed release
capsule.
Which action should the practical nurse (PN) take when drawing medication from an ampule? -
✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? -
✔✔Remove all four sides by moving to the center of the incision.
Which action should the practical nurse (PN) follow when applying an elasticized bandage to a
client's leg? - ✔✔Overlap turns of the bandage equally.
An older client who has been on bed rest in not eating well and is exhibiting abdominal
distension, cramping, and is passing small amounts of liquid stool. Which prescribed action is
Questions
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? - ✔✔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? - ✔✔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) - ✔✔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? - ✔✔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? - ✔✔Timed release
capsule.
Which action should the practical nurse (PN) take when drawing medication from an ampule? -
✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? -
✔✔Remove all four sides by moving to the center of the incision.
Which action should the practical nurse (PN) follow when applying an elasticized bandage to a
client's leg? - ✔✔Overlap turns of the bandage equally.
An older client who has been on bed rest in not eating well and is exhibiting abdominal
distension, cramping, and is passing small amounts of liquid stool. Which prescribed action is
