HESI PN Comprehensive Exam 3 –
Complete Practice Questions with Correct
Answers and Rationales (2024 Edition)
Introduction:
This document provides a full set of HESI PN Comprehensive
Exam 3 practice questions with verified correct answers and
detailed rationales. It covers critical nursing concepts such as
patient care, pharmacology, safety and infection control,
physiological adaptation, and psychosocial integrity. Each
question is followed by the correct answer and an explanation of
the underlying rationale to reinforce understanding and prepare
for HESI and NCLEX-PN exams.
Questions and Answers:
A female visitor walks up to the practical nurse (PN) in the
hall and asks if the male client who she is visiting is going to
recover from his illness. Which response should the PN
provide?
A. Explain that client information cannot be shared.
,B. Check the chart for the client's health history and
information.
C. Direct the visitor to talk with the charge nurse.
D. Tell the visitor to inquire with the client about his status. -
Answer:-A. Explain that client information cannot be shared.
Maintaining client confidentiality in clinical practice is best
supported by stating that client information cannot be shared
with others without the client's specified permission.
A client with T6 spinal cord injury who is implementing
intermittent catheterization for bladder training suddenly
complains of a throbbing headache. The practical nurse (PN)
determines the client's blood pressure is elevated. What
additional assessment should the PN implement?
A. Evaluate urine volumes obtained during bladder training.
B. Palpate the client's bladder for distention.
,C. Calculate the PO fluid intake for the day.
D. Determine if a PRN antihypertensive is prescribed. -
Answer:-B. Palpate the client's bladder for distention.
Autonomic dysreflexia, a potentially life-threatening
complication, is manifested by elevated blood pressure in a
client with a thoracic spinal cord injury. The most frequent
cause is bladder distention, so palpation of the bladder for
distention should be implemented to plan interventions to
relieve the triggering stimuli.
The practical nurse (PN) is caring for a female client with a T2
spinal cord injury who is scheduled to begin intensive
rehabilitation. When the PN is assisting the client to transfer
to a wheelchair, the client tells the PN that she does not feel
like getting up. The client complains of a sudden onset of a
severe throbbing headache. Which action should the PN
implement first?
A. Report the findings to the charge nurse.
B. Check the client's blood pressure.
, C. Check the client for an impaction.
D. Encourage the client to sit upright in the wheelchair. -
Answer:-B. Check the client's blood pressure.
In spinal cord injuries above T6, autonomic dysreflexia,
manifested by a sudden onset of an acute headache, results in
an elevated blood pressure in response to a noxious physical
stimuli. Checking the blood pressure is the first assessment.
The practical nurse (PN) administers a prescribed opiate for a
client with acute pancreatitis who is having severe abdominal
pain. Which additional intervention in the plan of care should
the PN implement?
A. Monitor daily serum amylase levels.
B. Maintain client's NPO status.
C. Give prescribed morphine PRN.
Complete Practice Questions with Correct
Answers and Rationales (2024 Edition)
Introduction:
This document provides a full set of HESI PN Comprehensive
Exam 3 practice questions with verified correct answers and
detailed rationales. It covers critical nursing concepts such as
patient care, pharmacology, safety and infection control,
physiological adaptation, and psychosocial integrity. Each
question is followed by the correct answer and an explanation of
the underlying rationale to reinforce understanding and prepare
for HESI and NCLEX-PN exams.
Questions and Answers:
A female visitor walks up to the practical nurse (PN) in the
hall and asks if the male client who she is visiting is going to
recover from his illness. Which response should the PN
provide?
A. Explain that client information cannot be shared.
,B. Check the chart for the client's health history and
information.
C. Direct the visitor to talk with the charge nurse.
D. Tell the visitor to inquire with the client about his status. -
Answer:-A. Explain that client information cannot be shared.
Maintaining client confidentiality in clinical practice is best
supported by stating that client information cannot be shared
with others without the client's specified permission.
A client with T6 spinal cord injury who is implementing
intermittent catheterization for bladder training suddenly
complains of a throbbing headache. The practical nurse (PN)
determines the client's blood pressure is elevated. What
additional assessment should the PN implement?
A. Evaluate urine volumes obtained during bladder training.
B. Palpate the client's bladder for distention.
,C. Calculate the PO fluid intake for the day.
D. Determine if a PRN antihypertensive is prescribed. -
Answer:-B. Palpate the client's bladder for distention.
Autonomic dysreflexia, a potentially life-threatening
complication, is manifested by elevated blood pressure in a
client with a thoracic spinal cord injury. The most frequent
cause is bladder distention, so palpation of the bladder for
distention should be implemented to plan interventions to
relieve the triggering stimuli.
The practical nurse (PN) is caring for a female client with a T2
spinal cord injury who is scheduled to begin intensive
rehabilitation. When the PN is assisting the client to transfer
to a wheelchair, the client tells the PN that she does not feel
like getting up. The client complains of a sudden onset of a
severe throbbing headache. Which action should the PN
implement first?
A. Report the findings to the charge nurse.
B. Check the client's blood pressure.
, C. Check the client for an impaction.
D. Encourage the client to sit upright in the wheelchair. -
Answer:-B. Check the client's blood pressure.
In spinal cord injuries above T6, autonomic dysreflexia,
manifested by a sudden onset of an acute headache, results in
an elevated blood pressure in response to a noxious physical
stimuli. Checking the blood pressure is the first assessment.
The practical nurse (PN) administers a prescribed opiate for a
client with acute pancreatitis who is having severe abdominal
pain. Which additional intervention in the plan of care should
the PN implement?
A. Monitor daily serum amylase levels.
B. Maintain client's NPO status.
C. Give prescribed morphine PRN.
