HESI fundamental updated exam 2025/2026
A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. he client expresses fear about
becoming addicted to these drugs. What information should the practical nurse
(PN) provide? - ANSWER-Prescribed opiates for cancer pain relief improve 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? - ANSWER-5:30 pm: unable
to void.
The healthcare provider prescribes a cleansing enema for an adult prior to bowel
surgery. Which intervention(s) should the practical nurse implement to ensure
adequate bowel cleansing? (Select all that apply) - ANSWER-Place the client on
the left side in Sim's position.
Use enema fluid that is near 105 F (40.4 C).
Instill 500 mL to 1,000 mL fluids slowly.
Raise the enema container 20 inches above anus.
Encourage the client to retain fluid 10 to 15 minutes.
, Which position is best for the practical nurse to place the client during
administration of a rectal suppository for constipation? - ANSWER-Left Sim's
position with upper leg flexed.
The practical nurse (PN) is adding tap water to several medications for
administration via feeding tube. Which preparation should the PN administer
without delay? - ANSWER-Timed release capsule.
Which action should the practical nurse (PN) take when drawing medication from
an ampule? - ANSWER-Aspirate with a filter needle and syringe.
The practical nurse (PN) is preparing to reconstitute a drug from powder for for IM
administration. Which step should the PN implement first? - ANSWER-Verify the
drug with the medication administration record (MAR).
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds? - ANSWER-select a
needle with a longer shaft.
Which finding indicates to the practical nurse (PN) that an older client who is
receiving intravenous therapy is experiencing fluid overload? - ANSWER-Crackles
in the lung fields.
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? - ANSWER-Mark the outlined area of drainage with date, time and initials.
A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. he client expresses fear about
becoming addicted to these drugs. What information should the practical nurse
(PN) provide? - ANSWER-Prescribed opiates for cancer pain relief improve 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? - ANSWER-5:30 pm: unable
to void.
The healthcare provider prescribes a cleansing enema for an adult prior to bowel
surgery. Which intervention(s) should the practical nurse implement to ensure
adequate bowel cleansing? (Select all that apply) - ANSWER-Place the client on
the left side in Sim's position.
Use enema fluid that is near 105 F (40.4 C).
Instill 500 mL to 1,000 mL fluids slowly.
Raise the enema container 20 inches above anus.
Encourage the client to retain fluid 10 to 15 minutes.
, Which position is best for the practical nurse to place the client during
administration of a rectal suppository for constipation? - ANSWER-Left Sim's
position with upper leg flexed.
The practical nurse (PN) is adding tap water to several medications for
administration via feeding tube. Which preparation should the PN administer
without delay? - ANSWER-Timed release capsule.
Which action should the practical nurse (PN) take when drawing medication from
an ampule? - ANSWER-Aspirate with a filter needle and syringe.
The practical nurse (PN) is preparing to reconstitute a drug from powder for for IM
administration. Which step should the PN implement first? - ANSWER-Verify the
drug with the medication administration record (MAR).
Which action should the practical nurse (PN) implement when administering a
subcutaneous injection to a client who weighs 325 pounds? - ANSWER-select a
needle with a longer shaft.
Which finding indicates to the practical nurse (PN) that an older client who is
receiving intravenous therapy is experiencing fluid overload? - ANSWER-Crackles
in the lung fields.
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? - ANSWER-Mark the outlined area of drainage with date, time and initials.
