HESI PN LPN FUNDAMENTALS EXAM 2025
QUESTIONS AND CORRECT ANSWERS
ALREADY A GRADE
1. A clientwith cancerwhohas beentaking opioid analgesicsfor two years
now requires increased doses to obtain pain relief. The client expresses
fear about becoming addicted to these drugs. What
informationshouldthepracticalnurse(PN) provide?A. Opioid use with
cancer does not cause addiction.
B. Addiction is easilyreversedif it occursduring pain management.
C. Prescribedopiatesfor cancerpain reliefimprovequalifyof life.
D. Opioid dosages can be tapered if a client fears addiction.
- Correct
Answer>>C. Prescribedopiatesfor cancerpain reliefimprovequalifyof life
The goal of pain managementfor clientswith cancerusing opiatesis to minimize
pain and maintain quality of life
2. A client'sindwellingurinary catheteris removedat 9:30AM. The
practicalnurse(PN) assessestheclienteverytwohoursfor thedesireto void.
Which documented assessment requires further intervention by the PN?
A. 1:30pm: unableto void.
B. 5:30pm: unableto void.
C. 3:30pm: unableto void.
D. 11:30am: unableto void. - Correct Answer>>B. A clientis dueto void
within 8 hours of catheter removal, so at 5:30 PM. Longer than 8
hoursafterremoval,catheterreinsertionmay benecessary.If the bladder
is not distended, further action may not be needed
,3. Which positionis bestfor thepracticalnurseto placetheclientin
during administration of a rectal suppository for constipation? A.
Pronewith pillowsundertheclient'sabdomen.
B. Supinewith theclienton a bedpan.
C. Left Sims' positionwith upperleg flexed.
D. Right-sidelying knee-chestposition.- CorrectAnswer>>C. Left
sidelyingSims'positionlessensthelikelihoodthatthesuppositoryor feces will
be expelled, exposes the anus for visualization during
insertion,and helpstheclientto relaxtheexternalanalsphincter
4. The practicalnurse (PN) is adding tap waterto severalmedications for
administration via feeding tube. Which preparation should the PN
administer without delay? A. Reconstituted powder.
B. Timed releasecapsule.
C. Cherry flavoredelixir.
D. Flavorless suspension. - Correct Answer>>B. Although the gelatin capsule
can
beopenedto administerthespansule'sgranules,thePN should not crush or
allow the timed
- released granules to dissolve
beforeadministeringthis preparationvia feedingtubesincethe
timedrelease function can be compromised.
What actionshouldthepracticalnurse(PN) takewhendrawing medication
from an ampule?
A. Aspiratewith a filterneedleand syringe.
B. Tap thebottomof theampulelightly.
C. Snap theneck of ampuletowardsnurse.
D. Use an alcoholswabto openampule.- CorrectAnswer>>A. An
ampuleis madeof glasswith a constrictedneck thatis snappedoff to allow
access to the medication. Medications are easily withdrawn
from theampuleby aspiratingthefluid with a filterneedleand
,syringe.Filter needlesareusedwhenwithdrawingmedicationfrom a
, glass ampule to prevent glass particles from being drawn into the syringe
with themedication.Tap thetop,not thebottom(B), of the ampulelightly
to allowall of themedicationto drop to thebottom. When opening the
ampule, the top should be snapped away from the nurse's face and body
(C). An opened alcohol swab wrapped
aroundthetop of theampulemay allowalcoholto leak into theampule
The practicalnurse(PN) is preparingto reconstitutea drug from powder form for
IM administration. Which step should the PN implement first?
A. Verify thedrug withthemedicationadministrationrecord.
B. Mix thepowderwith thesolution.
C. Attachtheneedleto thesyringe.
D. Read the label to determine the amount of diluent to- use.Correct
Answer>>A. The Five Rights of medicationadministrationincludethe right
drug, right dose, right route, right time, and right client. The
first actionshouldbe verificationof theright drug in thepowder form for
reconstitution.
Which action should the practical nurse (PN) implement when
administeringa subcutaneousinjectionto a clientwho weighs325 pounds?
A. Producea blebat theinjectionsite.
B. Inserttheneedleat a 15-degreeangle.
C. Selecta needlewith a longershaft.
D. Rub vigorously for a faster response.- Correct Answer>>C. To ensure
penetrationinto the deeplayer of subcutaneuosadiposefor a client who is
obese, the needle length should be longer than the usual
needle (preferably 3/8 to 5/8 inch in length) for subcutaneous
injection.
QUESTIONS AND CORRECT ANSWERS
ALREADY A GRADE
1. A clientwith cancerwhohas beentaking opioid analgesicsfor two years
now requires increased doses to obtain pain relief. The client expresses
fear about becoming addicted to these drugs. What
informationshouldthepracticalnurse(PN) provide?A. Opioid use with
cancer does not cause addiction.
B. Addiction is easilyreversedif it occursduring pain management.
C. Prescribedopiatesfor cancerpain reliefimprovequalifyof life.
D. Opioid dosages can be tapered if a client fears addiction.
- Correct
Answer>>C. Prescribedopiatesfor cancerpain reliefimprovequalifyof life
The goal of pain managementfor clientswith cancerusing opiatesis to minimize
pain and maintain quality of life
2. A client'sindwellingurinary catheteris removedat 9:30AM. The
practicalnurse(PN) assessestheclienteverytwohoursfor thedesireto void.
Which documented assessment requires further intervention by the PN?
A. 1:30pm: unableto void.
B. 5:30pm: unableto void.
C. 3:30pm: unableto void.
D. 11:30am: unableto void. - Correct Answer>>B. A clientis dueto void
within 8 hours of catheter removal, so at 5:30 PM. Longer than 8
hoursafterremoval,catheterreinsertionmay benecessary.If the bladder
is not distended, further action may not be needed
,3. Which positionis bestfor thepracticalnurseto placetheclientin
during administration of a rectal suppository for constipation? A.
Pronewith pillowsundertheclient'sabdomen.
B. Supinewith theclienton a bedpan.
C. Left Sims' positionwith upperleg flexed.
D. Right-sidelying knee-chestposition.- CorrectAnswer>>C. Left
sidelyingSims'positionlessensthelikelihoodthatthesuppositoryor feces will
be expelled, exposes the anus for visualization during
insertion,and helpstheclientto relaxtheexternalanalsphincter
4. The practicalnurse (PN) is adding tap waterto severalmedications for
administration via feeding tube. Which preparation should the PN
administer without delay? A. Reconstituted powder.
B. Timed releasecapsule.
C. Cherry flavoredelixir.
D. Flavorless suspension. - Correct Answer>>B. Although the gelatin capsule
can
beopenedto administerthespansule'sgranules,thePN should not crush or
allow the timed
- released granules to dissolve
beforeadministeringthis preparationvia feedingtubesincethe
timedrelease function can be compromised.
What actionshouldthepracticalnurse(PN) takewhendrawing medication
from an ampule?
A. Aspiratewith a filterneedleand syringe.
B. Tap thebottomof theampulelightly.
C. Snap theneck of ampuletowardsnurse.
D. Use an alcoholswabto openampule.- CorrectAnswer>>A. An
ampuleis madeof glasswith a constrictedneck thatis snappedoff to allow
access to the medication. Medications are easily withdrawn
from theampuleby aspiratingthefluid with a filterneedleand
,syringe.Filter needlesareusedwhenwithdrawingmedicationfrom a
, glass ampule to prevent glass particles from being drawn into the syringe
with themedication.Tap thetop,not thebottom(B), of the ampulelightly
to allowall of themedicationto drop to thebottom. When opening the
ampule, the top should be snapped away from the nurse's face and body
(C). An opened alcohol swab wrapped
aroundthetop of theampulemay allowalcoholto leak into theampule
The practicalnurse(PN) is preparingto reconstitutea drug from powder form for
IM administration. Which step should the PN implement first?
A. Verify thedrug withthemedicationadministrationrecord.
B. Mix thepowderwith thesolution.
C. Attachtheneedleto thesyringe.
D. Read the label to determine the amount of diluent to- use.Correct
Answer>>A. The Five Rights of medicationadministrationincludethe right
drug, right dose, right route, right time, and right client. The
first actionshouldbe verificationof theright drug in thepowder form for
reconstitution.
Which action should the practical nurse (PN) implement when
administeringa subcutaneousinjectionto a clientwho weighs325 pounds?
A. Producea blebat theinjectionsite.
B. Inserttheneedleat a 15-degreeangle.
C. Selecta needlewith a longershaft.
D. Rub vigorously for a faster response.- Correct Answer>>C. To ensure
penetrationinto the deeplayer of subcutaneuosadiposefor a client who is
obese, the needle length should be longer than the usual
needle (preferably 3/8 to 5/8 inch in length) for subcutaneous
injection.
