HESI Fundamentals Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• | P a g e

HESI Fundamentals Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• The practical nurse (PN) is checking the surgical dressing for a client who arrived on

the postoperative unit an hour ago. The dressing has an increase in the accumulation of serosanguinous drainage. What nursing action should the PN take?Correct Answer: Mark the outlined area of drainage with date, time, and initials.

• Which action should the practical nurse (PN) take when drawing medication from an

ampule?

Correct Answer: Aspirate with a filter needle and syringe.

• The healthcare provider prescribes a cleansing enema for an adult prior to bowel

surgery. Which intervention(s) should the practical nurse implement to ensure adequate bowel cleansing? (Select all that apply)

Correct Answer:

• Place the client on the left side in Sim's position.• Use enema fluid that is near 105 F (40.4 C).• Instill 500 mL to 1,000 mL fluids slowly.• Raise the enema container 20 inches above anus.• Encourage the client to retain fluid 10 to 15 minutes.

• Which position is best for the practical nurse to place the client during

administration of a rectal suppository for constipation?

Correct Answer: Left Sim's position with upper leg flexed.

• A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN)

assesses the client every two hours for the desire to void. Which documented assessment requires further intervention by the PN?

• | P a g e

Correct Answer: 5:30 pm: unable to void.

• The practical nurse (PN) is preparing to reconstitute a drug from powder for IM

administration. Which step should the PN implement first?Correct Answer: Verify the drug with the medication administration record (MAR).

• Which action should the practical nurse (PN) implement when administering a

subcutaneous injection to a client who weighs 325 pounds?

Correct Answer: Select a needle with a longer shaft.

• The practical nurse (PN) is adding tap water to several medications for

administration via feeding tube. Which preparation should the PN administer without delay?

Correct Answer: Timed release capsule.

• A client with cancer who has been taking opioid analgesics for two years now

requires increased doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What information should the practical nurse (PN) provide?Correct Answer: Prescribed opiates for cancer pain relief improve quality of life.

• Which finding indicates to the practical nurse (PN) that an older client who is

receiving intravenous therapy is experiencing fluid overload?

Correct Answer: Crackles in the lung fields.

• The male client who is 2 days postoperative for exploratory abdominal surgery is

ambulating in the hall with the practical nurse (PN). The client tells the PN, "I think something in my incision just let go." Which action should the PN implement first?

Correct Answer: Assist the client to a supine position.

• The practical nurse (PN) is applying a dry, sterile dressing to a client's abdominal

wound. Which allergy should the PN verify with the client?

Correct Answer: Tape.

• The practical nurse (PN) is changing a postoperative dressing for a client with a

horizontal lower abdominal incision. What method should the PN use to remove the tape from the dressing?

Correct Answer: Remove all four sides by moving to the center of the incision.

• | P a g e

• Which action should the practical nurse (PN) follow when applying an elasticized

bandage to a client's leg?

Correct Answer: Overlap turns of the bandage equally.

• An older client who has been on bed rest is not eating well and is exhibiting

abdominal distension, cramping, and is passing small amounts of liquid stool. Which prescribed action is most important for the practical nurse (PN) to implement?

Correct Answer: Digitally remove a fecal impaction.

• Acetaminophen is prescribed for an unconscious client with a temperature of 104
• Which route should the practical nurse (PN) plan to administer this medication?

Correct Answer: Rectal.

• Which intervention should the practical nurse (PN) implement to help a client cope

effectively with chronic pain?

Correct Answer: Encourage using relaxation techniques.

• 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?

Correct Answer: What do you do to cope with these feelings?

• During insertion of a nasogastric tube (NGT) into the right nares, the client starts to

cough. Which action should the practical nurse (PN) implement?Correct Answer: Withdraw the NGT to the oral pharynx, reposition client's head and reinsert.

• The client is receiving a continuous tube feeding. While checking the gastric

residual volume, the practical nurse (PN) aspirates 150 mL of gastric contents. What action should the PN take?Correct Answer: Return all the aspirated contents to the stomach followed with water and consult the agency policy.

• 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?

Correct Answer: Soybeans.

• | P a g e

• 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?

Correct Answer: Hypotension and tachycardia.

• The practical nurse (PN) contacts the healthcare provider about an older client

who is agitated and aggressive with the staff. Which reason should the PN use to request a prescription for wrist restraints?Correct Answer: To ensure the client's safety when the benefits outweigh the risk.

• Which action should the practical nurse (PN) implement when supporting an older

client who is afraid of dying?Correct Answer: Use open-ended questions to encourage the client to share feelings.

• A family member of a dying client asks the practical nurse (PN) if the client knows

the family is at the bedside. The PN explains that which of the five senses persists the longest during the dying process?

Correct Answer: Hearing.

• Which action should the practical nurse (PN) implement to help a male client cope

with his fear as he approaches death?

Correct Answer: Hold the client's hand and tell him he is not alone.

• An older client is receiving nasogastric tube (NGT) feedings for several days and

develops abdominal distention and nausea.Correct Answer: Abdominal distention and nausea (Note: Question implies this is the finding to monitor/report).

• The practical nurse (PN) is caring for an older client who is NPO after surgery. The

client complains that his mouth and mucous membranes are dry. Which intervention should the PN implement to increase the client's comfort?

Correct Answer: Perform oral hygiene frequently.

• The practical nurse (PN) is giving oral care to an older female client with tender

gums that bleed easily because of a medication she is taking. What intervention should the PN implement?

Correct Answer: Obtain a soft-bristle brush for the client.