PN HESI LPN FUNDAMENTALS EXAM \ HESI PN LPN
FUNDAMENTALS EXAM 2025 ALL REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH EXPLANATIONS
(VERIFIED ANSWERS) A NEW UPDATED VERSION LATEST|
GUARANTEED A+
Email us at for any academic assistance.
[Mainly Nursing & Medical courses]
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?
A. Reinforce the dressing with clean gauze sponges and tape.
B. Change the surgical dressing immediately to prevent infection.
C. Mark the outlined area of drainage with date, time and initials.
D. Collect a sample of the drainage for a culture and sensitivity - CORRECT
ANSWER-C. The area of bleeding on the dressing should be outlined, dated,
timed and initialed for furture comparison and evaluation
,A 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?
A. Notify the healthcare provider.
B. Assist the client to a supine position.
C. Instruct the client to avoid deep breathing.
D. Request an abdominal binder from a coworker. - CORRECT ANSWER-B. The
sensation of the surgical site letting go is characteristic of wound dehiscence in
the early postoperative period. The client should be placed into 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?
A. Tape.
B. Antibiotic ointment.
C. Povidone-iodine.
D. Hydrogen peroxide. - CORRECT ANSWER-A. a dry, sterile dressing includes the
use of gauze and tape . Although a client may be allergic to the other substances
used in wound care, (B, C, and D) are not used for a dry, sterile dressing.
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?
A. Pull from the left to right across the abdomen.
B. Peel across the abdomen from the right to the left.
C. Start from the top of the incision moving to the bottom.
D. Remove all four sides by moving to the center of the incision. - CORRECT
ANSWER-D. The tape should be removed by starting all four sides and moving
towards the center of the incision to prevent disruption of the wound.
Which action should the practical nurse (PN) follow when applying an elasticized
,bandage to a client's leg?
A. Secure the end with metal clips.
B. Overlap turns of the bandage equally.
C. Adjust the tension as needed.
D. Wrap from the proximal to distal end. - CORRECT ANSWER-B. The overlapping
turns of the elasticized bandage should be evenly wrapped. Metal clips (A) may
release and cause injury to the client. The bandage should be applied from the
distal end to the proximal end of an extremity
An older client who has been on bed rest is not eating well and is exhibiting
abdominal distension, cramping, and is passing small amounts of liquid stool.
Which prescribed action is most important for the practical nurse (PN) to
implement?
A. Place incontinent pads on the bed.
B. Give a PRN dose of a stool softener.
C. Digitally remove a fecal impaction.
D. Administer a soap suds enema. - CORRECT ANSWER-C. Abdominal distension,
cramping, and passage of small amounts of liquid stool are signs and symptoms
of fecal impaction, which is relieved by digital removal.
Acetaminophen is prescribed for an unconscious client with a temperature of
104° F. Which route should the practical nurse (PN) plan to administer this
medication?
A. Oral.
B. Rectal.
C. Buccal.
D. Topical. - CORRECT ANSWER-B. The rectal route, ensures absorption and safety
for an unconscious client who is at risk for aspiration. (A and C) are
contraindicated for an unconscious client who may have a compromised gag
reflex and is unable to swallow
, Which intervention should the practical nurse (PN) implement to help a client
cope effectively with chronic pain?
A. Administer around-the-clock opiate drugs.
B. Give scheduled doses of benzodiazepines.
C. Recommend avoiding painful activities.
D. Encourage using relaxation techniques. - CORRECT ANSWER-D. Relaxation
techniques can be an effective long-term strategy to help a client control tension,
anxiety, and cope with chronic pain. (A and B) are not useful for long term
management of chronic pain. (C) may not be feasible if activities of daily living
are painful.
• A client with cancer who has been taking opioid analgesics for two years
now requires increased doses to obtain pain relief. The client expresses fear
about becoming addicted to these drugs. What information should the
practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - CORRECT ANSWER-
C. Prescribed opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize
pain and maintain 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?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - CORRECT ANSWER-B. A client is due to void within 8
FUNDAMENTALS EXAM 2025 ALL REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH EXPLANATIONS
(VERIFIED ANSWERS) A NEW UPDATED VERSION LATEST|
GUARANTEED A+
Email us at for any academic assistance.
[Mainly Nursing & Medical courses]
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?
A. Reinforce the dressing with clean gauze sponges and tape.
B. Change the surgical dressing immediately to prevent infection.
C. Mark the outlined area of drainage with date, time and initials.
D. Collect a sample of the drainage for a culture and sensitivity - CORRECT
ANSWER-C. The area of bleeding on the dressing should be outlined, dated,
timed and initialed for furture comparison and evaluation
,A 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?
A. Notify the healthcare provider.
B. Assist the client to a supine position.
C. Instruct the client to avoid deep breathing.
D. Request an abdominal binder from a coworker. - CORRECT ANSWER-B. The
sensation of the surgical site letting go is characteristic of wound dehiscence in
the early postoperative period. The client should be placed into 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?
A. Tape.
B. Antibiotic ointment.
C. Povidone-iodine.
D. Hydrogen peroxide. - CORRECT ANSWER-A. a dry, sterile dressing includes the
use of gauze and tape . Although a client may be allergic to the other substances
used in wound care, (B, C, and D) are not used for a dry, sterile dressing.
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?
A. Pull from the left to right across the abdomen.
B. Peel across the abdomen from the right to the left.
C. Start from the top of the incision moving to the bottom.
D. Remove all four sides by moving to the center of the incision. - CORRECT
ANSWER-D. The tape should be removed by starting all four sides and moving
towards the center of the incision to prevent disruption of the wound.
Which action should the practical nurse (PN) follow when applying an elasticized
,bandage to a client's leg?
A. Secure the end with metal clips.
B. Overlap turns of the bandage equally.
C. Adjust the tension as needed.
D. Wrap from the proximal to distal end. - CORRECT ANSWER-B. The overlapping
turns of the elasticized bandage should be evenly wrapped. Metal clips (A) may
release and cause injury to the client. The bandage should be applied from the
distal end to the proximal end of an extremity
An older client who has been on bed rest is not eating well and is exhibiting
abdominal distension, cramping, and is passing small amounts of liquid stool.
Which prescribed action is most important for the practical nurse (PN) to
implement?
A. Place incontinent pads on the bed.
B. Give a PRN dose of a stool softener.
C. Digitally remove a fecal impaction.
D. Administer a soap suds enema. - CORRECT ANSWER-C. Abdominal distension,
cramping, and passage of small amounts of liquid stool are signs and symptoms
of fecal impaction, which is relieved by digital removal.
Acetaminophen is prescribed for an unconscious client with a temperature of
104° F. Which route should the practical nurse (PN) plan to administer this
medication?
A. Oral.
B. Rectal.
C. Buccal.
D. Topical. - CORRECT ANSWER-B. The rectal route, ensures absorption and safety
for an unconscious client who is at risk for aspiration. (A and C) are
contraindicated for an unconscious client who may have a compromised gag
reflex and is unable to swallow
, Which intervention should the practical nurse (PN) implement to help a client
cope effectively with chronic pain?
A. Administer around-the-clock opiate drugs.
B. Give scheduled doses of benzodiazepines.
C. Recommend avoiding painful activities.
D. Encourage using relaxation techniques. - CORRECT ANSWER-D. Relaxation
techniques can be an effective long-term strategy to help a client control tension,
anxiety, and cope with chronic pain. (A and B) are not useful for long term
management of chronic pain. (C) may not be feasible if activities of daily living
are painful.
• A client with cancer who has been taking opioid analgesics for two years
now requires increased doses to obtain pain relief. The client expresses fear
about becoming addicted to these drugs. What information should the
practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction.
B. Addiction is easily reversed if it occurs during pain management.
C. Prescribed opiates for cancer pain relief improve qualify of life.
D. Opioid dosages can be tapered if a client fears addiction. - CORRECT ANSWER-
C. Prescribed opiates for cancer pain relief improve qualify of life
The goal of pain management for clients with cancer using opiates is to minimize
pain and maintain 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?
A. 1:30 pm: unable to void.
B. 5:30 pm: unable to void.
C. 3:30 pm: unable to void.
D. 11:30 am: unable to void. - CORRECT ANSWER-B. A client is due to void within 8
