PN HESI FUNDAMENTALS REAL EXAM 2025

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PN HESI FUNDAMENTALS REAL EXAM 2025

VERSION 3 WITH 300 PRACTICE QUESTIONS

AND CORRECT ANSWERS WITH RATIONALES/

HESI PN FUNDAMENTALS EXAM PREP FORM C

(BRAND NEW!)

A male client is upset with the healthcare provider's recommendation that he should consent to an above-knee amputation. He tells the practical nurse (PN), if they want to cut off my leg, they should just shoot me instead. How should the PN respond?

• Ask the client how the surgery might affect his lifestyle
• Offer to stay with the client while he makes his decision
• Express sympathy that there is no other choice possible
• Explain how many others function well with a prosthesis - ANSWER-A. Ask

the client how the surgery might affect his lifestyle

Limb amputation alters body image and changes the client's ADLs, work, and recreational activities, which triggers a grieving process for the client. Determining the client's perception of the procedure's impact on his lifestyle is therapeutic and allows the client to explore and discuss feelings

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?

• Opioid use with cancer does not cause addiction 1 / 4

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• Addiction is easily reversed if it occurs during pain management
• Prescribed opiates for cancer pain relief improves quality of life
• Opiate dosages can be tapered is a client fears addiction - ANSWER-C.

Prescribed opiates for cancer pain relief improves quality of life

The goal of pain management for clients with cancer using opiates is to minimize pain and improve quality of life, making pain relief rather than addiction, the primary goal

The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that provides the highest in protein quality. Which selection should the PN recommend to the client?

• Soybeans.
• Peanuts.
• Whole wheat.
• Sesame seeds. - ANSWER-A. Soybeans

They are the highest in protein quality and contain the most nutritive value.

A young woman, who is the primary caregiver for her mother who has Alzheimer's disease, tells the practical nurse (PN), "Sometimes I hate my mother for living this long and my Dad for dying and not caring for her." What response should the PN offer?

• What you do to cope with these feelings?
• Have you told your family how you feel?
• It's normal feel these emotions when you are stressed. 2 / 4

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• Don't worry, at least you can talk about your angry. - ANSWER-A. What you

do to cope with these feelings?

A response that invites the client to share feelings and perceptions is the most therapeutic communication.

A male Native American client with tuberculosis is visiting a health care clinic for follow up treatment. During the interview, the practical nurse (PN) notices that the client keeps his eyes on the floor and does not make eye contact. How should the PN interpret this client's behavior?

• He is uncomfortable with violation of his personal space
• The client is depressed and concerned about his diagnosis
• His culture finds sustained eye contact rude and disrespectful
• The client is reluctant to speak without a tribal shaman there - ANSWER-C. His

culture finds sustained eye contact rude and disrespectful

Native Americans usually avoid sustained eye contact as a sign of respect

The practical nurse (PN) is caring for a client who is admitted with influenza and vomiting for 3 days. The client's skin turgor is poor and oral mucous membranes are dry. Which finding is most important for the practical nurse (PN) to report to the charge nurse?

• Weight loss of 4lbs in the last 3 days
• Hypotension and tachycardia
• Nausea and anorexia
• Dark amber urine output at 30mL/hour - ANSWER-B. Hypotension and

tachycardia 3 / 4

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Fluid loss from vomiting causes a shift in intravascular fluids causing dehydration, hypotension, and tachycardia, which should be reported to the charge nurse

The nurse is assessing a client with dark skin who is in Respiratory Distress.Which client response should the nurse evaluate to determine cyanosis in this particular client?

• Cyanosis in a client with dark skin is seen in the sclera
• Abnormal skin color changes in a client with dark skin cannot be determined
• The lips and mucus membranes of a client with dark skin are dusky in color
• Blanching the soles of the feet in a client with dark skin reveals cyanosis -

ANSWER-C. The lips and mucus membranes of a client with dark skin are dusky in color

Causes of cyanosis include hypoxemia and decreased cardiac output, which provides clues to respiratory status with changes in skin color and mucous membranes. Cyanosis, a late sign of hypoxemia, is best observed in tissue that has superficial capillary supply, such as mucous membranes, the conjunctiva, lips, palms, and under the tongue, which is readily visible in dark skin

Which technique should the PN use to most accurately assess a client's baseline BP during a routine health exam?

• Measure the pressure in each arm while the client sits with both arms supported

at heart level

• Calculate avg BP using readings obtained in both arms
• Obtain BP first with client lying supine and then when standing
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