1
HESI PN Comprehensive Exam 3 Questions
with Correct Answers | Updated (100%
Correct Answers)
What intervention should the practical nurse (PN) implement to
meet the physiologic integrity of a client during a manic episode of
bipolar disorder?
A. Provide the client with finger foods.
B. Restrict the client's oral fluid intake.
C. Give the client low-protein, low-calorie snacks.
D. Interrupt the client's performance of rituals. Answer: A. Provide
the client with finger foods.
During the manic phase of bipolar disorder, a client is often unable
to sit still long enough to eat, so the client should be provided
finger foods that can be eaten while hyperactive.
A client with bipolar disorder is being treated with cognitive
therapy. Which actions should the practical nurse (PN) implement to
reenforce this treatment strategy? Select all that apply.
A. Recommend daily physical activity.
B. Use affirmations and limit setting.
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,2
C. Allow the client to talk continuously.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
F. Reenforce relaxation techniques when experiencing negative
thoughts. Answer: B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
Clients diagnosed with bipolar disorder may experience depressive
thoughts and/or attempt suicide. Cognitive therapy sometimes
produces relief from troubling symptoms experienced by clients with
bipolar disorder. Cognitive therapy allows clients to handle "thought
errors" and behaviors to stop negative thoughts.
The practical nurse (PN) is evaluating a client's self management of
type 1 diabetes mellitus (DM). Which findings provide the best
parameter in the client's goals for the prevention of long-term
complications of DM?
A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
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D. Consistent hemoglobin A1c levels no greater than 7%. Answer:
D. Consistent hemoglobin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend
an A1c target level no greater than 7% for a client with DM, which
is the primary goal and indicator of effective treatment and diabetes
management.
Which action should the practical nurse (PN) implement for a young
girl with pulmonary infection who is receiving chest physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion. Answer: D. Percuss
the chest wall in a rhythmic fashion.
Thick secretions that are difficult to cough up can be loosened by
tapping, or percussing, and vibrating the chest. Percussion is carried
out by cupping the hands and lightly striking the chest wall in a
rhythmic fashion over the lung segment to be drained
The practical nurse (PN) is preparing to administer erythromycin
(Ilotycin) 0.5% ophthalmic ointment to a newborn. The father asks
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, 4
the PN the purpose of this medication. What rationale should the
PN provide?
A. To allow the baby's eyes to focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the baby's eyes.
D. Refer the father to the pediatrician. Answer: C. To prevent
infection in the baby's eyes.
Erythromycin is prescribed in the prophylaxis of ophthalmia
neonatorum caused by Neisseria gonorrhea and Chlamydia
trachomatis. The PN should explain the ointment is a prophylactic
treatment to prevent infection in the baby's eyes.
A client's cardiac telemetry reveals sinus bradycardia at 40
beats/minute. An IV dose of atropine is given per protocol. Which
finding should the practical nurse (PN) identify as a therapeutic
response?
A. A decrease in blood pressure.
B. A decrease in premature contractions.
C. An increase in heart rate.
D. An increase in sensorium. Answer: C. An increase in heart rate.
© 2025 All rights reserved
HESI PN Comprehensive Exam 3 Questions
with Correct Answers | Updated (100%
Correct Answers)
What intervention should the practical nurse (PN) implement to
meet the physiologic integrity of a client during a manic episode of
bipolar disorder?
A. Provide the client with finger foods.
B. Restrict the client's oral fluid intake.
C. Give the client low-protein, low-calorie snacks.
D. Interrupt the client's performance of rituals. Answer: A. Provide
the client with finger foods.
During the manic phase of bipolar disorder, a client is often unable
to sit still long enough to eat, so the client should be provided
finger foods that can be eaten while hyperactive.
A client with bipolar disorder is being treated with cognitive
therapy. Which actions should the practical nurse (PN) implement to
reenforce this treatment strategy? Select all that apply.
A. Recommend daily physical activity.
B. Use affirmations and limit setting.
© 2025 All rights reserved
,2
C. Allow the client to talk continuously.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
F. Reenforce relaxation techniques when experiencing negative
thoughts. Answer: B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
Clients diagnosed with bipolar disorder may experience depressive
thoughts and/or attempt suicide. Cognitive therapy sometimes
produces relief from troubling symptoms experienced by clients with
bipolar disorder. Cognitive therapy allows clients to handle "thought
errors" and behaviors to stop negative thoughts.
The practical nurse (PN) is evaluating a client's self management of
type 1 diabetes mellitus (DM). Which findings provide the best
parameter in the client's goals for the prevention of long-term
complications of DM?
A. Strict adherence to a diabetic diet.
B. Participation in a regular exercise program.
C. Scheduled administration of accurate insulin doses.
© 2025 All rights reserved
,3
D. Consistent hemoglobin A1c levels no greater than 7%. Answer:
D. Consistent hemoglobin A1c levels no greater than 7%.
For optimal diabetic control, evidence-based guidelines recommend
an A1c target level no greater than 7% for a client with DM, which
is the primary goal and indicator of effective treatment and diabetes
management.
Which action should the practical nurse (PN) implement for a young
girl with pulmonary infection who is receiving chest physiotherapy?
A. Encourage to hold her breath and then cough.
B. Administer bronchodilators after the procedure.
C. Allow the child to sit in a position of choice.
D. Percuss the chest wall in a rhythmic fashion. Answer: D. Percuss
the chest wall in a rhythmic fashion.
Thick secretions that are difficult to cough up can be loosened by
tapping, or percussing, and vibrating the chest. Percussion is carried
out by cupping the hands and lightly striking the chest wall in a
rhythmic fashion over the lung segment to be drained
The practical nurse (PN) is preparing to administer erythromycin
(Ilotycin) 0.5% ophthalmic ointment to a newborn. The father asks
© 2025 All rights reserved
, 4
the PN the purpose of this medication. What rationale should the
PN provide?
A. To allow the baby's eyes to focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the baby's eyes.
D. Refer the father to the pediatrician. Answer: C. To prevent
infection in the baby's eyes.
Erythromycin is prescribed in the prophylaxis of ophthalmia
neonatorum caused by Neisseria gonorrhea and Chlamydia
trachomatis. The PN should explain the ointment is a prophylactic
treatment to prevent infection in the baby's eyes.
A client's cardiac telemetry reveals sinus bradycardia at 40
beats/minute. An IV dose of atropine is given per protocol. Which
finding should the practical nurse (PN) identify as a therapeutic
response?
A. A decrease in blood pressure.
B. A decrease in premature contractions.
C. An increase in heart rate.
D. An increase in sensorium. Answer: C. An increase in heart rate.
© 2025 All rights reserved
