HESI PN Comprehensive Exam Questions With
Correct Answers
Which ||information ||should ||the ||practical ||nurse ||(PN) ||provide ||to ||an ||unlicensed
assistive ||personnel ||(UAP) ||who ||is ||newly ||assigned ||to ||the ||unit?
||
A. Keep ||head-of-bed ||elevated ||45 ||degrees ||for ||clients ||with ||an ||infusing ||enteral ||pump.
B. Determine ||if ||pain ||subsides ||20 ||minutes ||after ||a ||client ||receives ||an ||injection.
C. Report ||signs ||of ||infection ||in ||urine ||that ||collects ||in ||a ||bedside ||drainage || unit.
D. Observe ||how ||clients ||are ||using ||an ||incentive ||spirometer ||after ||surgery. ||- ||correct
|| answer ||A. ||Keep ||head-of-bed ||elevated ||45 ||degrees ||for ||clients ||with ||an ||infusing
enteral ||pump.
||
Rationale: ||Information ||about ||the ||basic ||care ||clients ||such ||as ||positioning ||(A) ||should
|| be ||specific ||to ||a ||common ||intervention ||or ||treatment ||and ||should ||focus ||on ||task
|| within ||the ||scope ||of ||the ||UAP's ||assignment
A ||woman ||who ||is ||32-weeks ||gestation ||arrives ||at ||the ||prenatal ||clinic ||and ||reports
|| painless ||contractions ||and ||mucoid ||vaginal ||discharge. ||The ||fetal ||heart ||rate ||is ||150
|| beats/minutes. ||What ||action ||should ||the ||practical ||nurse ||(PN) ||implement ||first?
,A. Place ||in ||the ||left ||lateral ||recumbent ||position.
B. Ask ||about ||recent ||sexual ||intercourse.
C. Encourage ||an ||increase ||in ||oral ||fluid ||intake.
D. Determine ||when ||the ||contractions ||began. ||- ||correct ||answer ||A. ||Place ||in ||the ||left
|| lateral ||recumbent ||position.
Rationale: ||Preterm ||labors ||symptoms ||include ||contractions ||and ||mucoid
vaginal ||discharge ||so ||the ||PN ||should ||place ||the ||client ||in ||the ||left ||lateral
||
|| position
A ||newborn ||with ||apnea ||is ||being ||discharged ||from ||the ||hospital ||with ||home
|| monitoring. ||What ||information ||concerning ||the ||infant's ||care ||should ||the ||practical
|| nurse ||review ||with ||the ||parents?
A. Cardiopulmonary ||resuscitation ||(CPR).
B. Administration ||of ||intravenous ||antibiotics.
C. Reassurance ||that ||the ||infant ||cannot ||be ||electrocuted ||during ||monitoring.
D. Advise ||that ||the ||infant ||not ||be ||left ||with ||caretakers, ||such ||as ||babysitters. ||-
|| correct ||answer ||A. ||Cardiopulmonary ||resuscitation ||(CPR).
Rationale: ||Apnea ||of ||infancy ||(AOI) ||engenders ||great ||anxiety ||in ||parents, ||and ||the
|| initiation ||of ||home ||monitoring ||presents ||additional ||emotional ||stress. ||When ||home
,monitoring ||is ||required ||the ||parents ||should ||receive ||instructions ||that ||include
|| cardiopulmonary ||resuscitation(A). ||(B) ||does ||not ||indicate ||Apnea
Which ||protocol ||regarding ||standard ||policies ||about ||prescriptions ||should ||the ||practical
|| nurse ||(PN) ||question?
A. All ||drug ||prescriptions ||should ||have ||the ||date, ||time, ||and ||prescriber's ||signature.
B. Verbal ||orders ||are ||accepted ||from ||prescribers ||and ||should ||include ||signatures.
C. Prescribers ||may ||write ||specific ||times ||at ||which ||the ||medications ||are ||to ||be ||given.
D. Preoperative ||prescriptions ||should ||be ||resumed ||after ||a ||client ||returns ||from ||surgery
|| - ||correct ||answer ||D. ||Preoperative ||prescriptions ||should ||be ||resumed ||after ||a ||client
|| returns ||from ||surgery.
Rationale: ||A ||standard ||policy ||about ||preoperative ||medications ||that ||preoperative
|| prescriptions ||are ||automatically ||canceled ||for ||surgery ||and ||should ||be ||rewritten, ||if
|| indicated ||, ||in ||the ||postoperatively ||so ||the ||(PN) ||should ||question ||(D). ||(A,B,C) ||are
correct ||statements.
||
When ||reviewing ||the ||safety ||precautions ||regarding ||newborns, ||what ||information
should ||the ||practical ||nurse ||communicate ||to ||the ||parents?
||
, A. Position ||the ||infant ||to ||sleep ||on ||the ||baby's ||back.
B. Use ||a ||crib ||with ||slats ||no ||more ||than ||4 ||inches ||apart.
C. Propping ||a ||bottle ||can ||be ||done ||when ||the ||infant ||gets ||older.
D. Place ||the ||infant ||a ||front-facing ||car ||seat ||in ||the ||automobile. ||- ||correct ||answer
A. ||Position ||the ||infant ||to ||sleep ||on ||the ||baby's ||back.
||
Rationale: ||The ||incident ||of ||sudden ||infant ||death ||syndrome ||(SIDS) ||decline ||when ||infants
|| are ||positioned ||on ||their ||backs ||(A), ||instead ||of ||prone ||for ||sleeping. ||Crib ||slats ||(B) ||2.375
|| inches ||apart ||to ||prevent ||the ||baby ||from ||slipping. ||(C) ||Never ||prop ||a ||babies ||bottle.
|| (D)Infant ||who ||weighs ||less ||than ||30lbs ||should ||be ||placed ||in ||a ||rear ||facing ||car ||seat.
Which ||action ||should ||the ||practical ||nurse ||perform ||first ||for ||a ||child ||who ||is ||injured ||on
the ||school ||grounds ||and ||has ||an ||obvious ||mis-alignment ||of ||the ||lower ||forearm?
||
A. Remove ||the ||child's ||finger ||rings.
B. Assess ||and ||document ||the ||child's ||level ||of ||pain.
C. Evaluate ||the ||child's ||range ||of ||motion.
D. Place ||arm ||in ||a ||sling ||at ||level ||of ||the ||child's ||heart. ||- ||correct ||answer ||A. ||Remove
the ||child's ||finger ||rings.
||
Correct Answers
Which ||information ||should ||the ||practical ||nurse ||(PN) ||provide ||to ||an ||unlicensed
assistive ||personnel ||(UAP) ||who ||is ||newly ||assigned ||to ||the ||unit?
||
A. Keep ||head-of-bed ||elevated ||45 ||degrees ||for ||clients ||with ||an ||infusing ||enteral ||pump.
B. Determine ||if ||pain ||subsides ||20 ||minutes ||after ||a ||client ||receives ||an ||injection.
C. Report ||signs ||of ||infection ||in ||urine ||that ||collects ||in ||a ||bedside ||drainage || unit.
D. Observe ||how ||clients ||are ||using ||an ||incentive ||spirometer ||after ||surgery. ||- ||correct
|| answer ||A. ||Keep ||head-of-bed ||elevated ||45 ||degrees ||for ||clients ||with ||an ||infusing
enteral ||pump.
||
Rationale: ||Information ||about ||the ||basic ||care ||clients ||such ||as ||positioning ||(A) ||should
|| be ||specific ||to ||a ||common ||intervention ||or ||treatment ||and ||should ||focus ||on ||task
|| within ||the ||scope ||of ||the ||UAP's ||assignment
A ||woman ||who ||is ||32-weeks ||gestation ||arrives ||at ||the ||prenatal ||clinic ||and ||reports
|| painless ||contractions ||and ||mucoid ||vaginal ||discharge. ||The ||fetal ||heart ||rate ||is ||150
|| beats/minutes. ||What ||action ||should ||the ||practical ||nurse ||(PN) ||implement ||first?
,A. Place ||in ||the ||left ||lateral ||recumbent ||position.
B. Ask ||about ||recent ||sexual ||intercourse.
C. Encourage ||an ||increase ||in ||oral ||fluid ||intake.
D. Determine ||when ||the ||contractions ||began. ||- ||correct ||answer ||A. ||Place ||in ||the ||left
|| lateral ||recumbent ||position.
Rationale: ||Preterm ||labors ||symptoms ||include ||contractions ||and ||mucoid
vaginal ||discharge ||so ||the ||PN ||should ||place ||the ||client ||in ||the ||left ||lateral
||
|| position
A ||newborn ||with ||apnea ||is ||being ||discharged ||from ||the ||hospital ||with ||home
|| monitoring. ||What ||information ||concerning ||the ||infant's ||care ||should ||the ||practical
|| nurse ||review ||with ||the ||parents?
A. Cardiopulmonary ||resuscitation ||(CPR).
B. Administration ||of ||intravenous ||antibiotics.
C. Reassurance ||that ||the ||infant ||cannot ||be ||electrocuted ||during ||monitoring.
D. Advise ||that ||the ||infant ||not ||be ||left ||with ||caretakers, ||such ||as ||babysitters. ||-
|| correct ||answer ||A. ||Cardiopulmonary ||resuscitation ||(CPR).
Rationale: ||Apnea ||of ||infancy ||(AOI) ||engenders ||great ||anxiety ||in ||parents, ||and ||the
|| initiation ||of ||home ||monitoring ||presents ||additional ||emotional ||stress. ||When ||home
,monitoring ||is ||required ||the ||parents ||should ||receive ||instructions ||that ||include
|| cardiopulmonary ||resuscitation(A). ||(B) ||does ||not ||indicate ||Apnea
Which ||protocol ||regarding ||standard ||policies ||about ||prescriptions ||should ||the ||practical
|| nurse ||(PN) ||question?
A. All ||drug ||prescriptions ||should ||have ||the ||date, ||time, ||and ||prescriber's ||signature.
B. Verbal ||orders ||are ||accepted ||from ||prescribers ||and ||should ||include ||signatures.
C. Prescribers ||may ||write ||specific ||times ||at ||which ||the ||medications ||are ||to ||be ||given.
D. Preoperative ||prescriptions ||should ||be ||resumed ||after ||a ||client ||returns ||from ||surgery
|| - ||correct ||answer ||D. ||Preoperative ||prescriptions ||should ||be ||resumed ||after ||a ||client
|| returns ||from ||surgery.
Rationale: ||A ||standard ||policy ||about ||preoperative ||medications ||that ||preoperative
|| prescriptions ||are ||automatically ||canceled ||for ||surgery ||and ||should ||be ||rewritten, ||if
|| indicated ||, ||in ||the ||postoperatively ||so ||the ||(PN) ||should ||question ||(D). ||(A,B,C) ||are
correct ||statements.
||
When ||reviewing ||the ||safety ||precautions ||regarding ||newborns, ||what ||information
should ||the ||practical ||nurse ||communicate ||to ||the ||parents?
||
, A. Position ||the ||infant ||to ||sleep ||on ||the ||baby's ||back.
B. Use ||a ||crib ||with ||slats ||no ||more ||than ||4 ||inches ||apart.
C. Propping ||a ||bottle ||can ||be ||done ||when ||the ||infant ||gets ||older.
D. Place ||the ||infant ||a ||front-facing ||car ||seat ||in ||the ||automobile. ||- ||correct ||answer
A. ||Position ||the ||infant ||to ||sleep ||on ||the ||baby's ||back.
||
Rationale: ||The ||incident ||of ||sudden ||infant ||death ||syndrome ||(SIDS) ||decline ||when ||infants
|| are ||positioned ||on ||their ||backs ||(A), ||instead ||of ||prone ||for ||sleeping. ||Crib ||slats ||(B) ||2.375
|| inches ||apart ||to ||prevent ||the ||baby ||from ||slipping. ||(C) ||Never ||prop ||a ||babies ||bottle.
|| (D)Infant ||who ||weighs ||less ||than ||30lbs ||should ||be ||placed ||in ||a ||rear ||facing ||car ||seat.
Which ||action ||should ||the ||practical ||nurse ||perform ||first ||for ||a ||child ||who ||is ||injured ||on
the ||school ||grounds ||and ||has ||an ||obvious ||mis-alignment ||of ||the ||lower ||forearm?
||
A. Remove ||the ||child's ||finger ||rings.
B. Assess ||and ||document ||the ||child's ||level ||of ||pain.
C. Evaluate ||the ||child's ||range ||of ||motion.
D. Place ||arm ||in ||a ||sling ||at ||level ||of ||the ||child's ||heart. ||- ||correct ||answer ||A. ||Remove
the ||child's ||finger ||rings.
||
