Hondrosl HESIl PNl Comprehensivel Exitl
Examl (2)l (NEWl 2025/l 2026l Update)l |l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)
QUESTION
Whenl reviewingl thel needl tol takel warfarinl sodiuml (Coumadin)l withl al malel clientl whol
isl recentlyl diagnosedl withl chronicl atriall fibrillation,l whatl explanationl shouldl thel
practicall nursel reinforcel withl thel client?
A.l Preventl emboli.l
B.l Stopl plaquel buildup.l
C.l Dissolvel bloodl clots.l
D.l Controll heartl rhythm.
Answer:
A.l Preventl emboli.
Rationale:l Atriall fibrillationl isl al conditionl inl whichl thel upperl twol chambersl ofl thel
heartl beatl irregularlyl withl thel lowerl twol chambers,l whichl isl al chaoticl rhythml thatl
causesl thel bloodl tol pooll andl clot,l whichl leadsl tol stroke.l Coumadinl helpsl tol preventl
thel formationl ofl embolil (A)l byl blockingl thel actionl ofl vitaminl Kl inl thel liverl andl
reducingl thel amountl ofl clottingl factorsl inl thel blood.l Coumadinl doesl notl stopl thel
buildupl ofl plaquel (B),l dissolvel existingl bloodl clotsl (C),l orl controll thel rhythml ofl thel
heartl (D).
QUESTION
Whatl findingl isl mostl importantl forl thel practicall nursel tol considerl beforel ambulatingl anl
olderl client?
A.l Lengthl ofl intravenousl tubing.l
B.l Historyl ofl Alzheimer'sl disease.l
C.l Usel ofl assistivel devices.l
D.l Timel thel clientl lastl voided.
Answer:
C.l Usel ofl assistivel devices.l
Rationale:l Tol ensurel thel client'sl safety,l itl isl mostl importantl tol determinel ifl anyl
assistivel devicesl arel neededl priorl tol ambulationl (C).l Althoughl (A,l B,l andl D)l providel
usefull information,l theyl dol notl havel thel importancel ofl (C).
,QUESTION
Thel practicall nursel (PN)l isl caringl forl al clientl whol isl receivingl chemotherapyl forl
cervicall cancerl whol isl scheduledl tol gol forl al chestl xray.l Currentl laboratoryl resultsl
includel hemoglobinl 10.0l grams/dl,l absolutel neutrophill countl (ANC)l ofl 500,l plateletsl
120,000/mm3,l andl whitel bloodl cellsl 4,000/mm3.l Whatl actionl shouldl thel PNl implementl
first?
A.l Notifyl healthcarel providerl aboutl laboratoryl results.l
B.l Comparel client'sl resultsl withl pastl laboratoryl values.l
C.l Examinel thel clientl forl thel presencel ofl ecchymosis.l
D.l Placel al protectivel maskl onl thel clientl forl transport.
Answer:
D.l Placel al protectivel maskl onl thel clientl forl transport.l
Rationale:l Thel clientl isl immunosuppressedl duel tol al sidel effectl ofl chemotherapy,l asl
evidencedl byl thel client'sl ANCl (whichl isl calculatedl dailyl usingl #l WBCl xl %l
neutrophils).l Ifl thel ANCl isl lessl thanl 1,000,l protectivel precautionsl (reversel isolation)l isl
indicated,l sol thel PNl shouldl placel al protectivel maskl onl thel clientl forl transportl tol xrayl
(D).l (A,l B,l andl C)l arel implementedl afterl (D).
QUESTION
Thel practicall nursel (PN)l entersl al client'sl rooml atl 0900l tol administerl al heparinl
injectionl thatl isl prescribedl BID.l Thel physicall therapistl isl inl thel middlel ofl providingl
bedsidel therapy.l Whatl actionl shouldl thel PNl take?
A.l Askl thel therapistl tol stopl andl stepl outl forl thel medicationl administration.l
B.l Administerl medicationl whilel thel therapistl continuesl thel therapy.l
C.l Leavel withl thel medicationl andl comel backl afterl thel therapistl isl finished.l
D.l Takel thel injectionl andl administerl itl atl thel nextl administrationl time.
Answer:
C.l Leavel withl thel medicationl andl comel backl afterl thel therapistl isl finished.
Rationale:l Sincel thel heparinl injectionl doesl notl requirel immediatel administration,l thel
bestl actionl isl tol allowl thel professionall colleaguel tol finishl thel therapyl sessionl andl thenl
returnl tol givel thel medicationl withinl thel allowedl hourl afterl thel scheduledl timel (C).l
Interruptingl thel therapyl sessionl (A)l doesl notl respectl thel importancel ofl thel therapist'sl
rolel inl thel client'sl care.l Itl isl notl necessaryl tol administerl twol non-emergentl therapiesl atl
thel samel timel (B).l (D)l omitsl onel ofl thel prescribedl dosages
QUESTION
,Anl olderl clientl whol takesl digoxinl (Lanoxin)l dailyl callsl thel clinicl aboutl notl feelingl
well.l Thel newl onsetl ofl whichl findingl shouldl thel practicall nursel advisel thel clientl tol
comel forl al visitl withl thel healthcarel provider?
A.l Vomiting.l
B.l Tachycardia.l
C.l Constipation.l
D.l Tinnitus.
Answer:
A.l Vomiting.
Rationale:l Inl olderl clients,l nauseal andl vomitingl (A)l arel earlyl signsl ofl digoxinl toxicity,l
whichl canl occurl duel tol cumulativel effects,l evenl withl subtoxicl digoxinl levels.l
Bradycardia,l notl tachycardial (B)l isl al signl ofl digoxinl toxicity.l Constipationl (C)l isl notl
relatedl tol digoxinl toxicity.l Tinnitusl (D)l isl al symptoml ofl aspirinl toxicity.
QUESTION
Anl olderl malel clientl withl al historyl ofl hypertensionl presentsl inl thel urgentl carel centerl
withl anl elevatedl bloodl pressurel andl tachycardia.l Whichl findingl shouldl thel practicall
nursel reportl tol thel healthcarel providerl immediately?
A.l Tearingl painl thatl hasl movedl tol hisl lowl back.l
B.l Sharpl sensationl withl deepl breath.l
C.l Painl elicitedl uponl palpation.l
D.l Painl levell atl 10l (0-10l scale).
Answer:
A.l Tearingl painl thatl hasl movedl tol hisl lowl back.l
Rationale:l Thel clientl hasl classicl findings,l suchl asl agel andl historyl ofl hypertension,l forl
al possiblel dissectingl aneurysm.l Severel tearingl painl thatl movesl froml thel client'sl chestl
tol thel backl (A)l isl symptomaticl ofl thisl lifel threateningl andl requiresl immediatel
treatmentl andl mustl bel reportedl immediately.l (Bl andl C)l arel notl consistentl withl al
dissectingl aneurysm.l Sincel otherl benignl conditionsl canl causel severel pain,l thel severityl
ofl thel painl (D),l inl andl ofl itself,l isl notl thel mostl importantl finding.
QUESTION
Thel practicall nursel (PN)l isl usingl bag-maskl devicel tol administerl artificiall ventilationl forl
al three-year-oldl child.l Whichl methodl isl bestl tol usel tol createl al seall whilel holdingl thel
maskl inl place?
A.l Performl al head-tilt,l chin-liftl maneuverl whenl spinall traumal isl suspected.l
B.l Placel thel maskl overl nosel andl mouthl usingl al c-el one-handl technique.l
C.l Measurel thel maskl sizel froml thel supraorbitall riml tol thel mandiblel tip.l
D.l Positionl al rolled-upl towell underl thel headl tol aidl positioningl ofl thel airway.
, Answer:
B.l Placel thel maskl overl nosel andl mouthl usingl al c-el one-handl technique.l
Rationale:l Whenl usingl onel handl tol securel thel maskl snuglyl againstl thel skin,l thel
rescuerl shouldl placel thel thumbl andl firstl fingerl onl topl ofl thel maskl tol createl al "c"l andl
placel thel 3l otherl fingersl (thel "e")l underneathl thel chinl (B).l Thel jawl thrustl maneuver,l
notl (A),l shouldl bel usedl whenl spinall traumal isl suspected.l Thel maskl shouldl bel
measuredl froml thel bridgel ofl thel nosel tol thel chin,l notl (C)l whichl appliesl pressurel onl
thel eyeballs.l (D)l causesl hyperflexionl ofl thel neck,l whichl closesl thel airway
QUESTION
Al malel clientl withl recurrentl anginal isl receivingl oxygenl atl 2l liters/minutel andl beginsl
tol complainl thatl hel feelsl funnyl inl hisl chest.l Thel telemetryl monitorl revealsl al rapidl
narrowl QRSl complexl atl 170l beats/minute.l Whichl actionl isl mostl importantl forl thel
practicall nursel tol implement?
A.l Reportl thel findingsl tol thel chargel nurse.l
B.l Telll thel clientl tol remainl onl bedrest.l
C.l Obtainl thel client'sl pulsel oximetryl reading.l
D.l Calll thel rapidl responsel team.
Answer:
A.l Reportl thel findingsl tol thel chargel nurse.
Rationale:l Thel clientl isl likelyl experiencingl supraventricularl tachycardial (SVT),l whichl
shouldl bel reportedl tol thel chargel nursel (A)l andl healthcarel providerl forl immediatel
treatment.l Bedrestl (B)l minimizesl myocardiall demandl forl oxygen,l butl restl doesl notl
changel thel ratel ofl SVT.l (C)l mayl bel indicated,l butl thel firstl actionl isl tol reportl thel
findings.l (D)l isl indicatedl ifl thel client'sl rhythml progressesl tol ventricularl tachycardial
(VT)l orl ventricularl fibrillation
QUESTION
Al femalel clientl reportsl tol thel practicall nursel (PN)l thatl shel hasl hadl 10l wateryl diarrheal
stoolsl inl thel lastl 24l hoursl andl isl feelingl dizzy.l Whichl interventionl shouldl thel PNl
implementl first?
A.l Reviewl thel client'sl whitel bloodl celll count.l
B.l Askl ifl shel hasl recentlyl traveledl tol foreignl country.l
C.l Collectl al stooll samplel forl culturel forl C.l difficile.l
D.l Obtainl herl vitall signsl lyingl andl standing.
Answer:
D.l Obtainl herl vitall signsl lyingl andl standing.
Rationale:l Thel clientl isl experiencingl fluidl volumel deficitl relatedl tol diarrheal andl
dehydrationl evidencedl byl feelingl dizzy,l sol thel client'sl lyingl andl standingl vitall signsl
(D)l shouldl bel implementedl firstl tol identifyl orthostaticl changesl thatl requirel additionall
Examl (2)l (NEWl 2025/l 2026l Update)l |l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)
QUESTION
Whenl reviewingl thel needl tol takel warfarinl sodiuml (Coumadin)l withl al malel clientl whol
isl recentlyl diagnosedl withl chronicl atriall fibrillation,l whatl explanationl shouldl thel
practicall nursel reinforcel withl thel client?
A.l Preventl emboli.l
B.l Stopl plaquel buildup.l
C.l Dissolvel bloodl clots.l
D.l Controll heartl rhythm.
Answer:
A.l Preventl emboli.
Rationale:l Atriall fibrillationl isl al conditionl inl whichl thel upperl twol chambersl ofl thel
heartl beatl irregularlyl withl thel lowerl twol chambers,l whichl isl al chaoticl rhythml thatl
causesl thel bloodl tol pooll andl clot,l whichl leadsl tol stroke.l Coumadinl helpsl tol preventl
thel formationl ofl embolil (A)l byl blockingl thel actionl ofl vitaminl Kl inl thel liverl andl
reducingl thel amountl ofl clottingl factorsl inl thel blood.l Coumadinl doesl notl stopl thel
buildupl ofl plaquel (B),l dissolvel existingl bloodl clotsl (C),l orl controll thel rhythml ofl thel
heartl (D).
QUESTION
Whatl findingl isl mostl importantl forl thel practicall nursel tol considerl beforel ambulatingl anl
olderl client?
A.l Lengthl ofl intravenousl tubing.l
B.l Historyl ofl Alzheimer'sl disease.l
C.l Usel ofl assistivel devices.l
D.l Timel thel clientl lastl voided.
Answer:
C.l Usel ofl assistivel devices.l
Rationale:l Tol ensurel thel client'sl safety,l itl isl mostl importantl tol determinel ifl anyl
assistivel devicesl arel neededl priorl tol ambulationl (C).l Althoughl (A,l B,l andl D)l providel
usefull information,l theyl dol notl havel thel importancel ofl (C).
,QUESTION
Thel practicall nursel (PN)l isl caringl forl al clientl whol isl receivingl chemotherapyl forl
cervicall cancerl whol isl scheduledl tol gol forl al chestl xray.l Currentl laboratoryl resultsl
includel hemoglobinl 10.0l grams/dl,l absolutel neutrophill countl (ANC)l ofl 500,l plateletsl
120,000/mm3,l andl whitel bloodl cellsl 4,000/mm3.l Whatl actionl shouldl thel PNl implementl
first?
A.l Notifyl healthcarel providerl aboutl laboratoryl results.l
B.l Comparel client'sl resultsl withl pastl laboratoryl values.l
C.l Examinel thel clientl forl thel presencel ofl ecchymosis.l
D.l Placel al protectivel maskl onl thel clientl forl transport.
Answer:
D.l Placel al protectivel maskl onl thel clientl forl transport.l
Rationale:l Thel clientl isl immunosuppressedl duel tol al sidel effectl ofl chemotherapy,l asl
evidencedl byl thel client'sl ANCl (whichl isl calculatedl dailyl usingl #l WBCl xl %l
neutrophils).l Ifl thel ANCl isl lessl thanl 1,000,l protectivel precautionsl (reversel isolation)l isl
indicated,l sol thel PNl shouldl placel al protectivel maskl onl thel clientl forl transportl tol xrayl
(D).l (A,l B,l andl C)l arel implementedl afterl (D).
QUESTION
Thel practicall nursel (PN)l entersl al client'sl rooml atl 0900l tol administerl al heparinl
injectionl thatl isl prescribedl BID.l Thel physicall therapistl isl inl thel middlel ofl providingl
bedsidel therapy.l Whatl actionl shouldl thel PNl take?
A.l Askl thel therapistl tol stopl andl stepl outl forl thel medicationl administration.l
B.l Administerl medicationl whilel thel therapistl continuesl thel therapy.l
C.l Leavel withl thel medicationl andl comel backl afterl thel therapistl isl finished.l
D.l Takel thel injectionl andl administerl itl atl thel nextl administrationl time.
Answer:
C.l Leavel withl thel medicationl andl comel backl afterl thel therapistl isl finished.
Rationale:l Sincel thel heparinl injectionl doesl notl requirel immediatel administration,l thel
bestl actionl isl tol allowl thel professionall colleaguel tol finishl thel therapyl sessionl andl thenl
returnl tol givel thel medicationl withinl thel allowedl hourl afterl thel scheduledl timel (C).l
Interruptingl thel therapyl sessionl (A)l doesl notl respectl thel importancel ofl thel therapist'sl
rolel inl thel client'sl care.l Itl isl notl necessaryl tol administerl twol non-emergentl therapiesl atl
thel samel timel (B).l (D)l omitsl onel ofl thel prescribedl dosages
QUESTION
,Anl olderl clientl whol takesl digoxinl (Lanoxin)l dailyl callsl thel clinicl aboutl notl feelingl
well.l Thel newl onsetl ofl whichl findingl shouldl thel practicall nursel advisel thel clientl tol
comel forl al visitl withl thel healthcarel provider?
A.l Vomiting.l
B.l Tachycardia.l
C.l Constipation.l
D.l Tinnitus.
Answer:
A.l Vomiting.
Rationale:l Inl olderl clients,l nauseal andl vomitingl (A)l arel earlyl signsl ofl digoxinl toxicity,l
whichl canl occurl duel tol cumulativel effects,l evenl withl subtoxicl digoxinl levels.l
Bradycardia,l notl tachycardial (B)l isl al signl ofl digoxinl toxicity.l Constipationl (C)l isl notl
relatedl tol digoxinl toxicity.l Tinnitusl (D)l isl al symptoml ofl aspirinl toxicity.
QUESTION
Anl olderl malel clientl withl al historyl ofl hypertensionl presentsl inl thel urgentl carel centerl
withl anl elevatedl bloodl pressurel andl tachycardia.l Whichl findingl shouldl thel practicall
nursel reportl tol thel healthcarel providerl immediately?
A.l Tearingl painl thatl hasl movedl tol hisl lowl back.l
B.l Sharpl sensationl withl deepl breath.l
C.l Painl elicitedl uponl palpation.l
D.l Painl levell atl 10l (0-10l scale).
Answer:
A.l Tearingl painl thatl hasl movedl tol hisl lowl back.l
Rationale:l Thel clientl hasl classicl findings,l suchl asl agel andl historyl ofl hypertension,l forl
al possiblel dissectingl aneurysm.l Severel tearingl painl thatl movesl froml thel client'sl chestl
tol thel backl (A)l isl symptomaticl ofl thisl lifel threateningl andl requiresl immediatel
treatmentl andl mustl bel reportedl immediately.l (Bl andl C)l arel notl consistentl withl al
dissectingl aneurysm.l Sincel otherl benignl conditionsl canl causel severel pain,l thel severityl
ofl thel painl (D),l inl andl ofl itself,l isl notl thel mostl importantl finding.
QUESTION
Thel practicall nursel (PN)l isl usingl bag-maskl devicel tol administerl artificiall ventilationl forl
al three-year-oldl child.l Whichl methodl isl bestl tol usel tol createl al seall whilel holdingl thel
maskl inl place?
A.l Performl al head-tilt,l chin-liftl maneuverl whenl spinall traumal isl suspected.l
B.l Placel thel maskl overl nosel andl mouthl usingl al c-el one-handl technique.l
C.l Measurel thel maskl sizel froml thel supraorbitall riml tol thel mandiblel tip.l
D.l Positionl al rolled-upl towell underl thel headl tol aidl positioningl ofl thel airway.
, Answer:
B.l Placel thel maskl overl nosel andl mouthl usingl al c-el one-handl technique.l
Rationale:l Whenl usingl onel handl tol securel thel maskl snuglyl againstl thel skin,l thel
rescuerl shouldl placel thel thumbl andl firstl fingerl onl topl ofl thel maskl tol createl al "c"l andl
placel thel 3l otherl fingersl (thel "e")l underneathl thel chinl (B).l Thel jawl thrustl maneuver,l
notl (A),l shouldl bel usedl whenl spinall traumal isl suspected.l Thel maskl shouldl bel
measuredl froml thel bridgel ofl thel nosel tol thel chin,l notl (C)l whichl appliesl pressurel onl
thel eyeballs.l (D)l causesl hyperflexionl ofl thel neck,l whichl closesl thel airway
QUESTION
Al malel clientl withl recurrentl anginal isl receivingl oxygenl atl 2l liters/minutel andl beginsl
tol complainl thatl hel feelsl funnyl inl hisl chest.l Thel telemetryl monitorl revealsl al rapidl
narrowl QRSl complexl atl 170l beats/minute.l Whichl actionl isl mostl importantl forl thel
practicall nursel tol implement?
A.l Reportl thel findingsl tol thel chargel nurse.l
B.l Telll thel clientl tol remainl onl bedrest.l
C.l Obtainl thel client'sl pulsel oximetryl reading.l
D.l Calll thel rapidl responsel team.
Answer:
A.l Reportl thel findingsl tol thel chargel nurse.
Rationale:l Thel clientl isl likelyl experiencingl supraventricularl tachycardial (SVT),l whichl
shouldl bel reportedl tol thel chargel nursel (A)l andl healthcarel providerl forl immediatel
treatment.l Bedrestl (B)l minimizesl myocardiall demandl forl oxygen,l butl restl doesl notl
changel thel ratel ofl SVT.l (C)l mayl bel indicated,l butl thel firstl actionl isl tol reportl thel
findings.l (D)l isl indicatedl ifl thel client'sl rhythml progressesl tol ventricularl tachycardial
(VT)l orl ventricularl fibrillation
QUESTION
Al femalel clientl reportsl tol thel practicall nursel (PN)l thatl shel hasl hadl 10l wateryl diarrheal
stoolsl inl thel lastl 24l hoursl andl isl feelingl dizzy.l Whichl interventionl shouldl thel PNl
implementl first?
A.l Reviewl thel client'sl whitel bloodl celll count.l
B.l Askl ifl shel hasl recentlyl traveledl tol foreignl country.l
C.l Collectl al stooll samplel forl culturel forl C.l difficile.l
D.l Obtainl herl vitall signsl lyingl andl standing.
Answer:
D.l Obtainl herl vitall signsl lyingl andl standing.
Rationale:l Thel clientl isl experiencingl fluidl volumel deficitl relatedl tol diarrheal andl
dehydrationl evidencedl byl feelingl dizzy,l sol thel client'sl lyingl andl standingl vitall signsl
(D)l shouldl bel implementedl firstl tol identifyl orthostaticl changesl thatl requirel additionall
