PN HESI EXIT 1 Final Exam Revision Questions and
Verified Answers
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appearance,
and has a foul odor. Which assessment should the PN complete next?
Ask the client about urinary frequency
The practical nurse (PN) is caring for a client with a new prescription for fluticasone furoate
nasal spray prescribed for the client's allergy symptoms. While reinforcing instructions about
self-administration of the nasal spray, the PN should emphasize the need for the client to take
which action before self administration?
Gently blow the nose.
An older adult client who resides in a long-term care facility has a friend of the opposite sex
who often visits in the evenings. The practical nurse (PN) enters the client's room to
administer medications and finds the couple in bed together. Which action should the PN
take?
Exit the room and quietly close the door.
Several residents of a long-term care facility are receiving eye drops to treat glaucoma. The
practical nurse (PN) should caution the unlicensed assistive personnel (UAPs) caring for these
clients to observe for which effect because it places
the clients at risk for falls?
Pupillary constriction.
,Which action by a practical nurse (PN) indicates the best understanding of the principles
related to medical asepsis and effective handwashing?
Hold your hands lower than your elbows to promote microbe removal.
The practical nurse (PN) is removing the personal protective equipment (PPE) worn when
caring for a client. Which PPE should be removed first?
gloves
The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears
when light pressure is applied. How should the PN document this finding?
Thready pulse volume.
The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery. Which
finding should the PN report immediately to the charge nurse?
Rubra lochia saturating three perineal pads per hour.
Following the dressing change of an abdominal surgical wound, a client expresses concern to
the practical nurse (PN) about the scar that might result from the wound. Which response is
best for the PN to provide?
Tell me more about your concerns regarding an abdominal scar.
The practical nurse (PN) is making a home visit to an older adult client who was recently
diagnosed with Herpes zoster. The client reports the onset of severe burning pain along the
right side of the trunk. Which action should the PN take?
,Administer a prescribed PRN dose of analgesic.
When preparing to change a client's sterile dressing, the practical nurse (PN) opens a package
of gauze pads as seen in the picture. Which action should the PN take next?
Pick up pads and place them on a sterile field.
A client experiences a muscle strain or sprain to the ankle. Which intervention should the
practical nurse (PN) implement for an acute soft tissue injury?
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
The practical nurse (PN) is assisting the nurse with the admission physical assessment of a
client diagnosed with
pneumonia. What symptom(s) is the client most likely to exhibit?
a. Dyspnea
c. Lung crackles
e. Painful cough
The practical nurse (PN) is working with a newly hired PN on a medical-surgical unit. Which
action performed by the newly hired PN requires intervention by the PN?
Posting client names and healthcare providers on hospital room doors.
The practical nurse (PN) is caring for a 9-month-old infant with developmental dysplasia of
the hip (DDH) after a closed
reduction and hip spica cast application. After application of the cast, which is the most
, important intervention in caring for
the infant?
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
The practical nurse (PN) turns a client with right-sided paralysis from a supine to a left lateral
position. Which bony prominence is most likely to manifest signs of erythema when first
turned?
Sacrum
Which nursing intervention is most important to include in the plan of care for a child with
acute glomerulonephritis?
Weigh the child daily
The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older
adult client who had a hip arthroplasty with prosthesis placement four hours ago. Which
observation by the PN indicates that the UAPs need additional information about the turning
procedure?
The client is told to keep both legs straight and together while turning.
An older adult female resident of a long-term care facility experiences frequent episodes of
urinary incontinence. Which focused assessment is most important for the practical nurse
(PN) to perform regularly in response to the resident's
incontinence?
Appearance of skin in perineal area.
Verified Answers
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appearance,
and has a foul odor. Which assessment should the PN complete next?
Ask the client about urinary frequency
The practical nurse (PN) is caring for a client with a new prescription for fluticasone furoate
nasal spray prescribed for the client's allergy symptoms. While reinforcing instructions about
self-administration of the nasal spray, the PN should emphasize the need for the client to take
which action before self administration?
Gently blow the nose.
An older adult client who resides in a long-term care facility has a friend of the opposite sex
who often visits in the evenings. The practical nurse (PN) enters the client's room to
administer medications and finds the couple in bed together. Which action should the PN
take?
Exit the room and quietly close the door.
Several residents of a long-term care facility are receiving eye drops to treat glaucoma. The
practical nurse (PN) should caution the unlicensed assistive personnel (UAPs) caring for these
clients to observe for which effect because it places
the clients at risk for falls?
Pupillary constriction.
,Which action by a practical nurse (PN) indicates the best understanding of the principles
related to medical asepsis and effective handwashing?
Hold your hands lower than your elbows to promote microbe removal.
The practical nurse (PN) is removing the personal protective equipment (PPE) worn when
caring for a client. Which PPE should be removed first?
gloves
The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears
when light pressure is applied. How should the PN document this finding?
Thready pulse volume.
The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery. Which
finding should the PN report immediately to the charge nurse?
Rubra lochia saturating three perineal pads per hour.
Following the dressing change of an abdominal surgical wound, a client expresses concern to
the practical nurse (PN) about the scar that might result from the wound. Which response is
best for the PN to provide?
Tell me more about your concerns regarding an abdominal scar.
The practical nurse (PN) is making a home visit to an older adult client who was recently
diagnosed with Herpes zoster. The client reports the onset of severe burning pain along the
right side of the trunk. Which action should the PN take?
,Administer a prescribed PRN dose of analgesic.
When preparing to change a client's sterile dressing, the practical nurse (PN) opens a package
of gauze pads as seen in the picture. Which action should the PN take next?
Pick up pads and place them on a sterile field.
A client experiences a muscle strain or sprain to the ankle. Which intervention should the
practical nurse (PN) implement for an acute soft tissue injury?
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
The practical nurse (PN) is assisting the nurse with the admission physical assessment of a
client diagnosed with
pneumonia. What symptom(s) is the client most likely to exhibit?
a. Dyspnea
c. Lung crackles
e. Painful cough
The practical nurse (PN) is working with a newly hired PN on a medical-surgical unit. Which
action performed by the newly hired PN requires intervention by the PN?
Posting client names and healthcare providers on hospital room doors.
The practical nurse (PN) is caring for a 9-month-old infant with developmental dysplasia of
the hip (DDH) after a closed
reduction and hip spica cast application. After application of the cast, which is the most
, important intervention in caring for
the infant?
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
The practical nurse (PN) turns a client with right-sided paralysis from a supine to a left lateral
position. Which bony prominence is most likely to manifest signs of erythema when first
turned?
Sacrum
Which nursing intervention is most important to include in the plan of care for a child with
acute glomerulonephritis?
Weigh the child daily
The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older
adult client who had a hip arthroplasty with prosthesis placement four hours ago. Which
observation by the PN indicates that the UAPs need additional information about the turning
procedure?
The client is told to keep both legs straight and together while turning.
An older adult female resident of a long-term care facility experiences frequent episodes of
urinary incontinence. Which focused assessment is most important for the practical nurse
(PN) to perform regularly in response to the resident's
incontinence?
Appearance of skin in perineal area.
