PN HESI EXIT 1 Prediction Exam Revision Questions and
Verified Answers
The practical nurse and unlicensed assistive personnel UAP are caring for four clients. Which
tasks can the PN assign to the UAP without providing direct supervision?
A. Assist a client to the car for discharge home.
B. Provide sips of water to a client who is 4 hours postoperative.
C. Insert a foley catheter in an frail elderly client.
D. Collect a voided specimen before client is catheterized
E. Administer oral medications to a client with paraplegia.
A. Assist a client to the car for discharge home.
D. Collect a voided specimen before client is catheterized
What standard of care is applicable in a nursing malpractice case?
A. What would a healthcare provider have done to provide high-quality care?
B. What would a newly licensed registered nurse do differently under the circumstances?
C. What would a reasonably prudent nurse have done under similar circumstances?
D. What does current nursing literature identify as best practice in nursing?
C. What would a reasonably prudent nurse have done under similar circumstances?
The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in
the picture. Which follow-up actions should the PN implement? (Select all that apply.)
A. Clamp the drainage tubing for the next four hours.
B. Compress the drainage device before closing the tab.
,C. Document the appearance of the wound as inflamed.
D. Report the appearance of the dressing to the charge nurse.
E. Remove the drainage device and apply a pressure dressing.
B. Compress the drainage device before closing the tab.
C. Document the appearance of the wound as inflamed.
D. Report the appearance of the dressing to the charge nurse.
During a clinic visit, the practical nurse (PN) observes an infant sucking on a pacifier that is
made from a bottle nipple and stuffed with cotton. What should the PN do?
A. Encourage the mother to use a one-piece pacifier.
B. Tell the mother that pacifiers can cause dental problems.
C. Compliment the mother for meeting her infant's needs.
D. Observe infant for difficulty in sucking.
A. Encourage the mother to use a one-piece pacifier
A client who is receiving a statin medication reports the onset of muscle soreness and fatigue,
and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by
the PN takes priority?
A. Monitor the client's serum lipid levels.
B. Encourage the client to drink fluids.
C. Report the findings to the charge nurse.
D. Administer a PRN dose of acetaminophen.
C. Report the findings to the charge nurse.
,To determine a hospitalized client's orientation, the practical nurse should ask the client
questions related to which information? (Select all that apply.)
A. When spouse died.
B. Season of the year.
C. Past surgeries.
D. Client's name.
E. Reason for hospitalization
F. Present location.
B. Season of the year.
D. Client's name.
F. Present location.
During a daily assessment in the nursery, the practical nurse (PN) notices three large bluish-
black areas on the back and buttocks of an African-American infant. Which action should the
PN take?
A. Record the size and location of the areas in the infant's chart.
B. Review the labor and delivery record for birth trauma.
C. Notify the pediatrician of a possible bleeding problem with the infant.
D. Write an incident report about the bruises on the infant.
A. Record the size and location of the areas in the infant's chart.
What is most important for the practical nurse (PN) to include when performing pain
assessment after giving an analgesic?
, A. Question the client about precipitating factors.
B. Locate where in the body the pain occurs.
C. Ask about elements of the pain experience.
D. Apply a pain scale to describe intensity.
D. Apply a pain scale to describe intensity.
During the first trimester of pregnancy, a client who was treated for genital herpes with
acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an
episode of genital herpes. Which nursing intervention has the highest priority?
A. Identify current sexual partners so that they can be evaluated and treated for genital
herpes if necessary.
B. Determine if the client has taken acyclovir for this outbreak of genital herpes
C. Instruct her to avoid sexual intercourse while active, visible lesions are present.
D. Assess her feelings about therapeutic abortions in the event the infant has been affected.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present
A client with obstructive sleep apnea is preparing for sleep. Which action should the practical
nurse (PN) implement?
A Assist in turning the client to one side.
B Offer to bring the client a sleeping pill.
C Keep oral suction equipment nearby.
D Place a cool air humidifier in the room.
A Assist in turning the client to one side.
Verified Answers
The practical nurse and unlicensed assistive personnel UAP are caring for four clients. Which
tasks can the PN assign to the UAP without providing direct supervision?
A. Assist a client to the car for discharge home.
B. Provide sips of water to a client who is 4 hours postoperative.
C. Insert a foley catheter in an frail elderly client.
D. Collect a voided specimen before client is catheterized
E. Administer oral medications to a client with paraplegia.
A. Assist a client to the car for discharge home.
D. Collect a voided specimen before client is catheterized
What standard of care is applicable in a nursing malpractice case?
A. What would a healthcare provider have done to provide high-quality care?
B. What would a newly licensed registered nurse do differently under the circumstances?
C. What would a reasonably prudent nurse have done under similar circumstances?
D. What does current nursing literature identify as best practice in nursing?
C. What would a reasonably prudent nurse have done under similar circumstances?
The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in
the picture. Which follow-up actions should the PN implement? (Select all that apply.)
A. Clamp the drainage tubing for the next four hours.
B. Compress the drainage device before closing the tab.
,C. Document the appearance of the wound as inflamed.
D. Report the appearance of the dressing to the charge nurse.
E. Remove the drainage device and apply a pressure dressing.
B. Compress the drainage device before closing the tab.
C. Document the appearance of the wound as inflamed.
D. Report the appearance of the dressing to the charge nurse.
During a clinic visit, the practical nurse (PN) observes an infant sucking on a pacifier that is
made from a bottle nipple and stuffed with cotton. What should the PN do?
A. Encourage the mother to use a one-piece pacifier.
B. Tell the mother that pacifiers can cause dental problems.
C. Compliment the mother for meeting her infant's needs.
D. Observe infant for difficulty in sucking.
A. Encourage the mother to use a one-piece pacifier
A client who is receiving a statin medication reports the onset of muscle soreness and fatigue,
and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by
the PN takes priority?
A. Monitor the client's serum lipid levels.
B. Encourage the client to drink fluids.
C. Report the findings to the charge nurse.
D. Administer a PRN dose of acetaminophen.
C. Report the findings to the charge nurse.
,To determine a hospitalized client's orientation, the practical nurse should ask the client
questions related to which information? (Select all that apply.)
A. When spouse died.
B. Season of the year.
C. Past surgeries.
D. Client's name.
E. Reason for hospitalization
F. Present location.
B. Season of the year.
D. Client's name.
F. Present location.
During a daily assessment in the nursery, the practical nurse (PN) notices three large bluish-
black areas on the back and buttocks of an African-American infant. Which action should the
PN take?
A. Record the size and location of the areas in the infant's chart.
B. Review the labor and delivery record for birth trauma.
C. Notify the pediatrician of a possible bleeding problem with the infant.
D. Write an incident report about the bruises on the infant.
A. Record the size and location of the areas in the infant's chart.
What is most important for the practical nurse (PN) to include when performing pain
assessment after giving an analgesic?
, A. Question the client about precipitating factors.
B. Locate where in the body the pain occurs.
C. Ask about elements of the pain experience.
D. Apply a pain scale to describe intensity.
D. Apply a pain scale to describe intensity.
During the first trimester of pregnancy, a client who was treated for genital herpes with
acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an
episode of genital herpes. Which nursing intervention has the highest priority?
A. Identify current sexual partners so that they can be evaluated and treated for genital
herpes if necessary.
B. Determine if the client has taken acyclovir for this outbreak of genital herpes
C. Instruct her to avoid sexual intercourse while active, visible lesions are present.
D. Assess her feelings about therapeutic abortions in the event the infant has been affected.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present
A client with obstructive sleep apnea is preparing for sleep. Which action should the practical
nurse (PN) implement?
A Assist in turning the client to one side.
B Offer to bring the client a sleeping pill.
C Keep oral suction equipment nearby.
D Place a cool air humidifier in the room.
A Assist in turning the client to one side.
