Real Hesi PN
Study online at https://quizlet.com/_dk2ysl
1. An elderly client who is 12 hours postoperative for C. Administer prescribed
a hernia repair suddenly becomes agitated, staggers narcotic antagonist to re-
out into the corridor and demands to be set free. After verse the effects of any
assisting the client back to bed and administering pain analgesic accumulation.
medication. Which intervention is best for the practical
nurse (PN) to implement?
A. Notify the healthcare provider and request a pre-
scription for restraints to minimize the client's danger
to self.
B. Raise the side and notify the family to come sit with
the client to reorientate and cooperative.
C. Administer prescribed narcotic antagonist to re-
verse the effects of any analgesic accumulation.
D. Instruct a UAP to keep the upper side rails up and
check on the client every 15 minutes until the client is
resting.
2. A male client attends a community support program A. Hepatitis
for mentally impaired and chemical abusing clients.
The client tells the practical nurse (PN) that his drug
of choice are cocaine and heroin. What is the greatest
health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension
3. The practical nurse (PN) is charting vital signs on a A. Draw one line through
hand-written flow sheet and realizes that an error has the entry and insert the
been made. What should the PN do to rectify the er- correct information.
ror?
A. Draw one line through the entry and insert the cor-
, Real Hesi PN
Study online at https://quizlet.com/_dk2ysl
rect information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct informa-
tion.
D. Notify the charge nurse that the entry needs to be
revised.
4. The practical nurse (PN) selects the ventrogluteal site
to administer intramuscular (IM) injection to an adult.
Identify the site (Click the chosen location)
5. The Charge nurse brings a #18 catheter with a 30 mL C. Consult with the charge
balloon to the practical nurse (PN) who is preparing to nurse about the catheter.
insert a catheter in a female client who weighs 50kg.
Which action should the PN take first?
A. Ask the client if she has previously been catheter-
ized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus.
6. The practical nurse (PN) is caring for a client newly B. Tremors
diagnosed with diabetes mellitus (DM). Which finding
is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing
7. While caring for a client with Gillian Barres syndrome. A. Lower leg weak-
Which finding should the practical nurse (PN) report to ness/cramping
the charge nurse?
, Real Hesi PN
Study online at https://quizlet.com/_dk2ysl
While caring for a client with Gillian Barres syndrome.
Which finding should the practical nurse (PN) report to
the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing
8. A client at 39 weeks gestation is admitted in early la- A. Term 3, Premature 0,
bor. During the focused assessment the practical nurse Abortion 3, Living 2
(PN) reviews the obstetrical history with the client who
states that she has been pregnant five times but only
has two living children, both of whom were full-term.
The other three pregnancies were miscarriages during
the first trimester. Which parity should the PN docu-
ment for term, premature, abortion, and living (TPAL)
for the client?
A. Term 3, Premature 0, Abortion 3, Living 2
B. Term 6, Premature 3, Abortion 3, Living 2
C. Term 2, Premature 3, Abortion 3, Living 2
D. Term 2, Premature 1, Abortion 0, Living 3
9. A client who is at full term gestation active labor C. Extend the leg and flex
complains of a cramp in her legs. Which intervention the foot.
should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Check the pedal pulse in the affected leg.
C. Extend the leg and flex the foot.
D. Elevate the leg above the heart.
10. The practical nurse (PN) is caring for a client with psy- B. Engage in regular con-
chosis who demonstrates an inability to communicate tact.
Study online at https://quizlet.com/_dk2ysl
1. An elderly client who is 12 hours postoperative for C. Administer prescribed
a hernia repair suddenly becomes agitated, staggers narcotic antagonist to re-
out into the corridor and demands to be set free. After verse the effects of any
assisting the client back to bed and administering pain analgesic accumulation.
medication. Which intervention is best for the practical
nurse (PN) to implement?
A. Notify the healthcare provider and request a pre-
scription for restraints to minimize the client's danger
to self.
B. Raise the side and notify the family to come sit with
the client to reorientate and cooperative.
C. Administer prescribed narcotic antagonist to re-
verse the effects of any analgesic accumulation.
D. Instruct a UAP to keep the upper side rails up and
check on the client every 15 minutes until the client is
resting.
2. A male client attends a community support program A. Hepatitis
for mentally impaired and chemical abusing clients.
The client tells the practical nurse (PN) that his drug
of choice are cocaine and heroin. What is the greatest
health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension
3. The practical nurse (PN) is charting vital signs on a A. Draw one line through
hand-written flow sheet and realizes that an error has the entry and insert the
been made. What should the PN do to rectify the er- correct information.
ror?
A. Draw one line through the entry and insert the cor-
, Real Hesi PN
Study online at https://quizlet.com/_dk2ysl
rect information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct informa-
tion.
D. Notify the charge nurse that the entry needs to be
revised.
4. The practical nurse (PN) selects the ventrogluteal site
to administer intramuscular (IM) injection to an adult.
Identify the site (Click the chosen location)
5. The Charge nurse brings a #18 catheter with a 30 mL C. Consult with the charge
balloon to the practical nurse (PN) who is preparing to nurse about the catheter.
insert a catheter in a female client who weighs 50kg.
Which action should the PN take first?
A. Ask the client if she has previously been catheter-
ized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus.
6. The practical nurse (PN) is caring for a client newly B. Tremors
diagnosed with diabetes mellitus (DM). Which finding
is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing
7. While caring for a client with Gillian Barres syndrome. A. Lower leg weak-
Which finding should the practical nurse (PN) report to ness/cramping
the charge nurse?
, Real Hesi PN
Study online at https://quizlet.com/_dk2ysl
While caring for a client with Gillian Barres syndrome.
Which finding should the practical nurse (PN) report to
the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse Diaphoresis
D. Full facial flushing
8. A client at 39 weeks gestation is admitted in early la- A. Term 3, Premature 0,
bor. During the focused assessment the practical nurse Abortion 3, Living 2
(PN) reviews the obstetrical history with the client who
states that she has been pregnant five times but only
has two living children, both of whom were full-term.
The other three pregnancies were miscarriages during
the first trimester. Which parity should the PN docu-
ment for term, premature, abortion, and living (TPAL)
for the client?
A. Term 3, Premature 0, Abortion 3, Living 2
B. Term 6, Premature 3, Abortion 3, Living 2
C. Term 2, Premature 3, Abortion 3, Living 2
D. Term 2, Premature 1, Abortion 0, Living 3
9. A client who is at full term gestation active labor C. Extend the leg and flex
complains of a cramp in her legs. Which intervention the foot.
should the practical nurse (PN) implement?
A. Massage the calf and foot.
B. Check the pedal pulse in the affected leg.
C. Extend the leg and flex the foot.
D. Elevate the leg above the heart.
10. The practical nurse (PN) is caring for a client with psy- B. Engage in regular con-
chosis who demonstrates an inability to communicate tact.
