Question 14
PN HESI FINAL EXAM Which state entity defines the legal scope and limits of practical nurses (PN) caring for clients?
- A National Council Licensure Exam.
- B Health department policies for each state.
- C Rules for state license verification.
- D Nurse practice acts.
Question 15
The practical nurse (PN) is performing a transcutaneous electrical nerve stimulation (TENS) procedure with a client? Which action(s) is/are required in the process? Select all that apply.
- A To avoid trauma, do not place the electrodes over or near injury site.
- B Encourage the client to use only when laying down to avoid injuries.
- C Remove any hair or lotions from the skin where the electrodes are to be placed.
- D Instruct the client to adjust the intensity of TENS stimulation for pain relief.
- E Ensure and review there is a healthcare provider’s prescription for the TENS. PN HESI FINAL EXAM
Question 16
The practical nurse (PN) is caring for a client who has left-sided hemiparesis after experiencing a stroke. Which action should the PN take to assist the client with ambulation?
- A Use a gait belt standing on affected side.
- B Follow behind with a wheelchair.
- C Support the unaffected side.
- D Hook an arm under the client’s left arm.
Question 17
The practical nurse (PN) is conducting a focused assessment on a client with a different cultural background. Which guideline should the PN consider?
- A Ask the client if there are any cultural or religious practices that should be respected during the assessment.
- B Treat all clients as though they are comfortable with touch during assessment, as it is a professional environment.
- C Begin the exam without explaining the purpose or what the client should expect during the procedure.
- D Defer the assessment of certain body systems to prevent discomfort and avoid embarrassment for the client.
Question 18
The practical nurse (PN) notifies the healthcare provider about the client’s condition using the situation, background, assessment, recommendation (SBAR) format. Which information should the PN provide first?
- A Emergent cholecystectomy 24 hours ago.
- B 0.9% normal saline infusing at 75 mL/hour.
- C Current blood pressure is 80/48 mm Hg.
- D Last dose of antihypertensive medication.
Question 19
The unlicensed assistive personnel (UAP) reports to the practical nurse (PN) that a resident of the long-term care facility being treated for Clostridium difficile infection is incontinent of stool. When passing by the client’s room, the PN observes the UAP removing soiled gloves outside of the room. Which action should the PN take?
- A Recommend using a non-alcohol foam for cleaning.
- B Demonstrate protective transmission precautions.
- C Clarify contact precaution guidelines.
- D Discuss aseptic technique guidelines for client care.
Question 20
The practical nurse (PN) is assisting to lift a client from a wheelchair after surgery. Which action should the PN take?
- A Discourage the client from helping to avoid injury.
- B Position body six inches away to respect personal space.
- C Bend at the knees to maintain a low center of gravity.
- D Stand with feet close together to establish balance.
Question 21
The practical nurse (PN) is wearing personal protective equipment (PPE) while caring for a client. When exiting the client’s room, which PPE should be removed first?
- A Mask.
- B Eyewear.
- C Gown.
- D Gloves.
Question 22
The practical nurse (PN) is preparing to administer 0.25 mg digoxin PO to a client with heart failure and an irregular heart rate. The medication is supplied as a 0.125 mg tablet. How many tablets of digoxin should the PN administer? (Enter numeric value only.)
- 2
Question 23
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
- Potential Condition: Intestinal blockage
- Actions to Take: Keep client NPO, Insert an NG tube
- Parameters to Monitor: Bowel sounds, Pain control
Question 24
The practical nurse (PN) is changing a client’s surgical dressing. Which finding should the PN report to the healthcare provider immediately?
- A The client reports the wound care is painful and would like a prescription for an analgesic.
- B There is a small amount of serosanguineous drainage on the old dressing.
- C The edges of the wound are approximated and pink.
- D The skin around the wound is warm and slightly red. PN HESI FINAL EXAM
Question 25
The practical nurse (PN) begins to suction a client’s oropharynx as seen in the picture. Which action should the PN take next?
- A Remove the nasal cannula.
- B Insert the catheter in the trachea.
- C Clean the equipment.
- D Observe the secretions.
Question 26
The healthcare provider (HCP) prescribes a 24 hour urine specimen to be collected for creatinine clearance. After explaining the procedure, the client tells the practical nurse (PN) that the first sample is in the urinal. Which action should the PN implement?
- A Observe the sample for sediment.
- B Start collecting the specimen with the next void.
- C Begin the collection the next day.
- D Empty the sample into the 24 hour container.
Question 27
A male client who was treated for a draining, infected wound and placed on contact precautions while hospitalized is being discharged to his home where he lives with his wife and adolescent son. Which information should the practical nurse (PN) reinforce with the family?
- A Have the client stay in a room separate from the family with the door closed.
- B Place soiled dressings in a plastic bag that can be tightly secured for disposal.
- C Require family members and visitors to wear a mask and gown when visiting the client.
- D Use paper plates and disposable utensils for the client’s meals and snacks.
Question 28
The unlicensed assistive personnel (UAP) reports to the practical nurse (PN) that a resident of the long term care facility being treated for bacterial conjunctivitis is reporting eye pain and photophobia. When passing by the client’s room, the PN observes the UAP removing soiled gloves outside of the room. Which action should the PN take?
- A Clarify contact precautions guidelines with the UAP.
- B Recommend using a non-alcohol foam for cleaning.
- C Direct the UAP to dispose of personal protective equipment (PPE) in a red biohazard bag.
- D Instruct how to clean and decontaminate the area.
Question 29
The practical nurse (PN) plans to administer a crushed tablet to a 2-year-old child. Which method should the PN use when administering the medication?
- A Dissolve the medication in a glass of orange juice.
- B Mix the crushed tablet with a dish of applesauce.
- C Administer in their favorite food.
- D Add to a tablespoon of pudding.
Question 30
Which nursing intervention has the highest priority for preventing infection in a client with partial-thickness and full-thickness burns?
- A Administering of plasma expanders.
- B Using careful handwashing technique.
- C Limiting visitors to the burned client.
- D Applying a topical antibacterial cream.
Question 31
The client has a computed tomography (CT) scan with contrast scheduled in the afternoon. The practical nurse (PN) takes a brief history of the client to complete the Situation, Background, Assessment, Recommendation (SBAR) form. Which finding should cause the PN to call the healthcare provider (HCP) about changing the prescription?
- A Insulin pump.
- B Claustrophobia.
- C Shellfish allergy.
- D Implanted pacemaker.
Question 31
The client has a computed tomography (CT) scan with contrast scheduled in the afternoon. The practical nurse (PN) takes a brief history of the client to complete the Situation, Background, Assessment, Recommendation (SBAR) form. Which finding should cause the PN to call the healthcare provider (HCP) about changing the prescription?
- A Insulin pump.
- B Claustrophobia.
- C Shellfish allergy.
- D Implanted pacemaker.
Question 32
The practical nurse (PN) is caring for an older adult client who is confused and dehydrated. Which intervention should the PN implement?
- A Remind client to drink more water.
- B Reduce dairy product intake.
- C Maintain a hydration schedule.
- D Increase daily sodium intake.
Question 33
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the PN should take to address that condition, and two parameters the PN should monitor to assess the client’s progress.
Potential Condition:
- Fecal impaction
Actions to Take:
- Perform a digital rectal exam
- Administer docusate sodium
Parameters to Monitor:
- Fiber intake
- Weight
Question 34
An adult male tells the practical nurse (PN) that he is constipated. When completing a focused assessment, which action by the PN is most likely to provide objective data that supports the client’s statement?
- A Ask the client about feeling bloated.
- B Review the client’s fluid intake and output.
- C Assess the client for rectal hemorrhoids.
- D Listen to the client’s bowel sounds.
Question 36
Which element(s) influence periodic revisions to the Code of Ethics for practical nurses (PN)? Select all that apply.
- [x] A Response to societal changes.
- [ ] B Reflection of state medical board standards.
- [ ] C Governmental mandates and binding laws.
- [x] D Evolution of the professional role of nurses.
- [ ] E Insurance and pharmaceutical industry guidelines.
Question 38 of 60
A client diagnosed with stomach cancer describes a localized pain in the upper abdominal quadrants as squeezing with a pressure sensation. Which type of pain is the client describing?
- A Paresthesia.
- B Somatic.
- C Visceral.
- D Referred.
Question 39 of 60
The practical nurse (PN) is reviewing the medication administration record (MAR) of an assigned client and finds an unfamiliar drug on the list. Which action should the PN take prior to administering the medication?
- A Call the healthcare provider.
- B Ask the charge nurse for clarification.
- C Do an internet search for the drug.
- D Review the available medication references.
Question 40 of 60
The practical nurse (PN) is performing a focused assessment for a client with insomnia. The PN should gather information in which area(s)? Select all that apply.
- A Reflexes.
- B Attention span.
- C Memory.
- D Decision making.
- E Energy level.
Question 41 of 60
When providing hygienic care for the first time to a frail older adult woman, the practical nurse (PN) moves the client’s right knee through range of motion exercises. Which action should the PN take when the client cries out in pain? PN HESI FINAL EXAM
- A Offer a PRN analgesic medication.
- B Apply a cold compress to the knee.
- C Inspect the appearance of the joint.
- D Continue to gently exercise the knee.
Question 42 of 60
The practical nurse (PN) is speaking to a client with the diagnosis of anxiety calmly and gently to promote relaxation and help reduce pain. Which relaxation technique would encourage the client to focus on pleasant external memories, such as imagining a favorite place?
- A Mindfulness.
- B Guided imagery.
- C Meditation.
- D Bikram yoga.
Question 43 of 60
The practical nurse (PN) reinforces with the client about the importance of protein and energy intake as the client transitions to eating food. Click to mark whether the statements by the client indicate understanding or no understanding of provided education.
- “If I see swelling in my hands and feet, it is an indication that I am eating too much protein.” (No understanding)
- “Eating a variety of plant-based proteins helps to assure that I am getting the complete benefits of protein.” (Understanding)
- “I cannot get enough protein to heal properly with a vegetarian diet.” (No understanding)
- “My caloric intake will need to be higher than usual because my body is recovering.” (Understanding)
- “Some plant-based proteins are missing one or more of the essential amino acids.” (Understanding)
Question 44 of 60
The practical nurse (PN) who is working on a hospice unit, is caring for an older adult client with terminal lung cancer. The client’s son expresses concern because his father’s respiratory pattern has recently changed to deep and irregular breaths. Which action should the PN take first?
- A Explain that the breathing pattern indicates approaching death.
- B Go to the client’s room and assess his current breathing pattern.
- C Review client’s record for the designation of a healthcare proxy.
- D Notify healthcare provider about the client’s respiratory status.
Question 45 of 60
The practical nurse (PN) is caring for a client with limited movement. Which action should the PN implement?
- A Review the posted mobility algorithm for client transfers.
- B Avoid lifting more than 40 pounds (18 kg) independently.
- C Keep the feet together and bend at the waist when lifting.
- D Pull instead of push when transferring and moving a client. PN HESI FINAL EXAM
Question 46 of 60
When a client with diarrhea becomes diaphoretic, the practical nurse (PN) measures the client’s vital signs and finds that the client is febrile with a rapid pulse and respiratory rate and a slightly decreased blood pressure. Which additional assessment finding is this client likely to exhibit?
- A Poor skin turgor.
- B Bounding pulse.
- C Polyuria.
- D Peripheral edema. PN HESI FINAL EXAM
Question 47 of 60
The practical nurse (PN) is implementing a nursing plan of care (POC) that requires daily weights. Which factor is most important for the PN to consider regarding daily weights?
- A The amount of fluid the client drank today.
- B When the client was last weighed.
- C When the client wants to be weighed.
- D The amount of food the client ate today.
Question 48 of 60
The practical nurse (PN) is caring for a client who is receiving chemotherapy. Which assessment finding is most important for the PN to report to the healthcare provider?
- A Nausea and vomiting.
- B Hair loss (alopecia).
- C Fatigue and malaise.
- D Temperature of 100.4°F (38°C).
Question 48 of 60
The practical nurse (PN) is measuring the vital signs of an older adult. When attempting to measure the client’s radial pulse rate, the PN palpates the pulse but is unable to feel the pulse long enough to count the rate. Which action should the PN take?
- A Attempt to palpate the ulnar pulse on the same arm.
- B Notify the charge nurse of the absence of the pulse.
- C Elevate the hand to increase the pulse strength.
- D Reduce pressure at the site to prevent occlusion.
Question 49 of 60
Which practical nurse’s (PN) behavior is a breach of client confidentiality according to the Health Insurance Portability Accountability Act (HIPAA) regulations?
- A A client is called by both the first and last name in a public waiting room.
- B A daily report sheet with the information of the team’s clients is taken home.
- C The ambulance healthcare provider is given information about the client’s history.
- D Privileged Health Information (PHI) is mailed through the United States postal service.
Question 50
The practical nurse (PN) is administering an injection using a prefilled pen. Which action should the PN take to ensure the correct dose is delivered? PN HESI FINAL EXAM
- A Check the expiration date on the pen.
- B Place the index finger on the side of the pen that will be against the skin.
- C Prime the pen by dialing two units and pressing the button.
- D Use a 45-degree angle for the injection.
Question 51 of 60
The practical nurse (PN) is assessing a client who has a fractured ankle. Which is the most reliable indicator of the client’s level of pain?
- A The client’s non-verbal expressions.
- B Review of the client’s pain medication requests. PN HESI FINAL EXAM
- C The client’s self-report of the pain.
- D Interpreted results of pain assessment tools.
Question 52 of 60
The practical nurse (PN) is assisting a client with anemia who becomes fatigued and short of breath when performing self care activities. Which action should the PN implement?
- A Assign an unlicensed assistive personnel to give care.
- B Schedule tub baths for the client at night.
- C Allow the client frequent rest periods during daily care.
- D Place the client on complete bed rest.
Question 53 of 60
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the practical nurse (PN) should take to address that condition, and two parameters the PN should monitor to assess the client’s progress.
- Potential Condition: Stage 2 pressure injury
- Actions to Take: * Place a hydrocolloid dressing over the area
- Remove the blood pressure cuff and do not leave on for extended periods, use alternate arm for readings
- Parameters to Monitor: * Skin integrity
- Nutritional status
Question 54 of 60
Twenty minutes after applying a heating pad, the client complains that it no longer feels warm enough. Which action should the practical nurse (PN) take first?
- A Increase the heat intensity until the client can feel the warmth.
- B Remove the heat source because the maximum benefit has already been achieved.
- C Return the malfunctioning equipment to maintenance for repair.
- D Explain that body receptors have adapted to the heat after the first minutes.
Question 55 of 60
The practical nurse (PN) is inserting an indwelling catheter for an older male client who has urinary retention. An immediate output of 400 mL of clear pale urine is obtained, and the PN inflates the catheter balloon. Which action should the PN implement next?
- A Secure the catheter.
- B Remove the catheter.
- C Irrigate the catheter.
- D Clamp the catheter.
Question 56 of 60
The practical nurse (PN) is using guided imagery with a client who is experiencing chronic pain. The PN should direct the client’s attention to which focus?
- A Emotional reflection.
- B Motivational phrases.
- C Positive external places.
- D Tranquil sounds.
Question 57 of 60
The spouse of a client who has just been diagnosed with stage 4 metastatic cancer shouted, “This is absurd! I want to talk to the doctor right now!” The practical nurse (PN) should consider which stage of the grieving process in order to respond best to the spouse’s comment?
- A Conversion reaction.
- B Anger.
- C Bargaining.
- D Intellectualization.
Question 58 of 60
The practical nurse (PN) observes an unlicensed assistive personnel (UAP) performing oral hygiene on an unconscious client who is lying in a flat side-lying position with an emesis basin on a towel under the chin. Which action should the PN take?
- A Enroll the UAP in a hospital education class on conducting safe client care.
- B Tell the UAP to continue because the unconscious client is positioned safely.
- C Praise the UAP for doing the oral hygiene but encourage family participation.
- D Stop the procedure and tell the UAP to place the client in a Fowler’s position.
Question 59 of 60
A client reports feeling numbness and tingling in the extremities. Which action should the practical nurse (PN) implement?
- A Encourage increased oral fluid intake.
- B Ask the client to move all the extremities frequently.
- C Evaluate the serum electrolyte levels.
- D Review the client’s temperature in the last 24 hours.
Question 60 of 60
The practical nurse (PN) plans to provide a relaxing backrub to a client who has a nursing problem of, “Fatigue related to difficulty falling asleep at night.” At 2100, when entering the client’s room to give the backrub, the PN finds the client asleep. Which action should the PN take?
- A Administer the back massage in accordance with the client’s plan of care.
- B Awaken the client and explain that napping in the early evening interferes with night-long sleep.
- C Update the client’s plan of care because fatigue related to sleep is no longer a priority problem.
- D Quietly leave the client’s room and re-check later to see if care is required.
