ANSWERS| EVERY QUESTION WELL TITLED
This Exam contains:
• HESI PN FUNDAMENTALS EXAM
• ALL QUESTIONS AND CORRECT ANSWERS
• EVERY QUESTION WELL TITLED
• WELL EXPALINED EXAM
,1. Postoperative Agitation
An elderly client who is 12 hours postoperative for a hernia repair suddenly becomes agitated,
staggers out into the corridor, and demands to be set free. After assisting the client back to bed
and administering pain medication, which intervention is best for the practical nurse (PN) to
implement?
A. Notify the healthcare provider and request a prescription for restraints to minimize the
client's danger to self.
B. Raise the side rails and notify the family to come sit with the client to reorient and cooperate.
C. Administer prescribed narcotic antagonist to reverse the effects of any analgesic
accumulation.
D. Instruct a UAP to keep the upper side rails up and check on the client every 15 minutes until
the client is resting.
Answer: C
2. Greatest Health Risk
A male client attends a community support program for mentally impaired and chemically
abusing clients. The client tells the practical nurse (PN) that his drugs of choice are cocaine and
heroin. What is the greatest health risk for the client?
A. Hepatitis
B. Glaucoma
C. Diabetes
D. Hypotension
Answer: A
3. Correcting a Documentation Error
The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an
error has been made. What should the PN do to rectify the error?
A. Draw one line through the entry and insert the correct information.
B. Chart the correct information in the column.
C. Obliterate the entry and insert the correct information.
D. Notify the charge nurse that the entry needs to be revised.
Answer: A
4. IM Injection Site
, The practical nurse (PN) selects the ventrogluteal site to administer an intramuscular (IM)
injection to an adult. (Image-based question - answer not provided in text.)
5. Urinary Catheter Insertion
The charge nurse brings an #18 catheter with a 30 mL balloon to the practical nurse (PN) who is
preparing to insert a catheter in a female client who weighs 50 kg. Which action should the PN
take first?
A. Ask the client if she has previously been catheterized.
B. Obtain a 30 mL syringe and a vial of sterile water.
C. Consult with the charge nurse about the catheter.
D. Position the client and observe the urinary meatus.
Answer: C
6. Early Sign of Hypoglycemia
The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus (DM).
Which finding is an early sign of hypoglycemia?
A. Bradycardia
B. Tremors
C. Polyuria
D. Difficulty swallowing
Answer: B
7. Guillain-Barré Syndrome
While caring for a client with Guillain-Barré syndrome, which finding should the practical nurse
(PN) report to the charge nurse?
A. Lower leg weakness/cramping
B. Irregular heart rate
C. Profuse diaphoresis
D. Full facial flushing
Answer: A
8. TPAL Calculation