- | P a g e
PN Hesi Fundamentals Practice Questions And Correct Detailed Answers {ALREADY
GRADED A+ } NEWEST VERSION
Nursing Assessment & Intervention Study Guide
- Question: An older female states the medication tablet brought in a cup looks different
from the tablet that she takes at home. Which action should the practical nurse (PN) take?
Correct Answer: Check the written prescription to verify the medication.
- Question: When irrigating the external ear canals of an older adult client, which action
- Question: Which food should the practical nurse recommend for a client to increase the
should the PN use to soften dry cerumen for removal?Correct Answer: Instill mineral oil in the external auditory canal overnight before irrigation.
dietary intake of potassium?
Correct Answer: Baked potatoes.
- Question: The practical nurse 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 PN to report to the charge nurse?
Correct Answer: Hypotension and tachycardia.
- Question: The practical nurse 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.
- Question: Which action should the practical nurse 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.
- | P a g e
- Question: An older client who is unable to swallow is receiving continuous NGT feeding.
Before administering medications through the NGT, what action should the practical nurse implement?
Correct Answer: Flush the feeding tube with water.
- Question: A 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.
- Question: 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.
- Question: Which assessment should the practical nurse (PN) make to best evaluate a
client's fluid status?
Correct Answer: Daily body weight.
- Question: Which action should the PN implement when administering a subcutaneous
injection to a client who weighs 325 pounds?
Correct Answer: Select a needle with a longer shaft.
- Question: Which intervention provides confirmation of NGT placement before NGT
feedings are started?
Correct Answer: X-ray of the abdomen.
- Question: An older male client who is incontinent receives a prescription for a condom
catheter. Which steps should the PN implement when applying the external catheter?
Correct Answer: * Wrap the adhesive strip in a spiral around the penis.
• Apply skin prep to the penile shaft and allow to dry.• Leave 1-2 inches between the tip of the penis and condom catheter.
- Question: Acetaminophen is prescribed for an unconscious client with a temp of
104°F. Which route should the PN plan to administer this medication?
- | P a g e
Correct Answer: Rectal.
- Question: An older male client who is sedentary complains of not having a formed
bowel movement in four days and tells the PN that he feels rectal pressure and has a constant headache. The PN determines the client is having frequent small, liquid stools.Which nursing action should the PN take first?
Correct Answer: Digitally assess for impacted stool.
- Question: The PN is adding tap water to several medications for administration via
feeding tube. Which preparation should the PN administer without delay?
Correct Answer: Time release capsule.
- Question: Which action should the PN follow when applying an elasticized bandage to
a client's leg?
Correct Answer: Overlap turns of the bandage equally.
- Question: The PN obtains an elevated blood pressure reading for an older male client
who is alert. When the PN offers the client his morning blood pressure medication, he refuses to take it. What action should the PN take?
Correct Answer: Explain the importance of routine use of antihypertensives.
- Question: What position should the PN place a client in who is receiving an enteral
tube feeding?
Correct Answer: Supine with the head of bed elevated to 30-45 degrees.
- Question: The PN is preparing an intramuscular injection for a client who is 5 feet tall
and weighs 90 pounds. Which needle size should the PN select for a 3 mL syringe when using the IM ventrogluteal injection site?
Correct Answer: 1 inch.
- Question: An older male client tells the PN that his religion does not permit him to
- Question: The PN identifies several findings in an older female who is on prolonged bed
bathe daily. How should the PN respond?Correct Answer: Request that the client clarify his religious beliefs about bathing.
rest. Which finding requires prompt action by the PN?
Correct Answer: Bowel movements decrease to one every third day.
- | P a g e
- Question: A client is prescribed a medication that is labeled as a sustained released
(SR). What action should the PN implement when administering this drug form?
Correct Answer: Do not crush or dissolve the tablet or capsule contents.
- Question: The practical nurse is checking the surgical dressing for a client who arrived
- Question: A client with gastroenteritis, nausea, and vomiting is currently on NPO
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.
status. The healthcare provider prescribed oral intake to be advanced as tolerated. Which fluid should the PN offer first?
Correct Answer: Water.
26. Question: Which time frame should the PN reposition a client?
Correct Answer: Every 2 hours.
- Question: While taking an adult's vital signs, the PN notes an irregular radial pulse.
What action should the PN implement to obtain the most accurate assessment?
Correct Answer: Perform an apical-radial pulse assessment with another nurse.
- Question: The practical nurse is providing wound care for a client with a stage III
pressure ulcer on the left heel. To achieve the goal, "An increase in granulation tissue will develop within 2 weeks," which intervention should the PN implement?
Correct Answer: Irrigation of the wound with sterile normal saline.
- Question: A client receiving supplemental oxygen needs to be suctioned to remove
excess secretions from the airway. Which intervention should the PN implement to maximize the client's oxygenation?
Correct Answer: Provide oxygen during rest periods between suctioning.
- Question: An older client who complains of dry mouth is having trouble swallowing
pills. What action should the PN take when administering an enteric-coated tablet?
Correct Answer: Place the whole tablet in a spoonful of pudding.
- Question: The 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?
