PN HESI FUNDAMENTALS EXAM
QUESTIONS WITH CORRECT
SOLUTIONS||100% GUARANTEED
PASS||ALREADY A+
GRADED||UPDATED 2026/2027
SYLLABUS||<<NEWEST VERSION>>
When irrigating the external ear canals of an older adult client, which action should
the PN use to soften dry cerumen for removal? - ANSWER ✓ Instill mineral oil in
the external auditory canal overnight before irrigation.
An older female state the medication tablet brought in a cup looks different from
the tablet that she takes at home. Which action should the practical nurse take? -
ANSWER ✓ Check the written prescription to verify the medication
Which action should the PN implement when administering a subcutaneous
injection to a client who weighs 325 pounds? - ANSWER ✓ Select a needle with a
longer shaft
Which intervention provides confirmation of NGT placement before NGT
feedings are started? - ANSWER ✓ X-ray of the abdomen
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. - 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
Acetaminophen is prescribed for an unconscious client with a temp of 104' F.
Which route should the PN plan to administer this medication? - ANSWER ✓
Rectal
, 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? - ANSWER ✓ Digitally
assess for impacted stool.
The PN is adding tap water to several medication for administration via feeding
tube. Which preparation should the PN administer without delay? - ANSWER ✓
Time release capsule
Which action should the PN follow when applying an elasticize bandage to a
client's leg? - ANSWER ✓ Overlap turns of the bandage equally
The PN obtains an elevated blood pressure reading for an older male client is is
alert. When the PN offer the client his morning blood pressure medication, he
refuses to take it. What action should the PN take? - ANSWER ✓ Explain the
importance of routine use of antihypertensives.
What position should the PN place client in who is receiving an enteral tube
feeding? - ANSWER ✓ Supine with the head of bed elevated to 30-45 degrees.
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? - ANSWER ✓ 1 inch
The nurse assigns a UAP to obtain vital signs from a very anxious client. What
instructions should the nurse give the UAP?
A. Remain calm with the client and record abnormal results in the chart.
B. Notify the medication nurse immediately if the pulse or blood pressure is low.
C. Report the results of the vital signs to the nurse.
D. Reassure the client that the vital signs are normal. - ANSWER ✓ C. Report the
results of the vital signs to the nurse.
(Interpretation of the vital signs is the responsibility of the nurse, so the UAP
should report vital sign measurements of to the nurse (C). (A, B, and D) require the
UAP to interpret the vital signs, which is beyond the scope of the UAP's authority.)
Twenty minutes after beginning a heat application, the client states that the
heating pad no longer feels warm enough. What is the best response by the nurse?
,A. That means you have derived the maximum benefit, and the heat can be
removed.
B. Your blood vessels are becoming dilated and removing the heat from the site.
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
D. The body's receptors adapt over time as they are exposed to heat. - ANSWER
✓ D. "The body's receptors adapt over time as they are exposed to heat."
( (D) describes thermal adaptation, which occurs 20 to 30 minutes after heat
application. (A and B) provide false information. (C) is not based on knowledge of
physiology and is unsafe action that may harm the client.)
When assessing a client with wrist restraints, the nurse observes that the fingers on
the right hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ANSWER ✓ A. Loosen the right wrist restraint.
(The priority nursing action is to restore circulation by loosening the restraint (A),
because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also
important nursing interventions, but do not have the priority of (A). Pulse oximetry
(B) measures saturation of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical compression-- the restraints.)
An elderly client who requires frequent monitoring fell and fractured a hip. Which
nurse is at greatest risk for a malpractice judgement?
A. A nurse who worked the 7 to 3 shift at the hospital and wrote poor nursing
notes.
B. The nurse assigned to care for the client who was at lunch at the time of the fall.
C. The nurse who transferred the client to the chair when the fall occurred.
D. The charge nurse who completed rounds 30 minutes before the fall occurred. -
ANSWER ✓ C. The nurse who transferred the client to the chair when the fall
occurred.
(The four elements of malpractice are: breach of duty owed, failure to adhere to the
recognized standard of care, direct causation of injury, and evidence of actual
injury. The hip fracture is the actual injury and the standard of care was "frequent
monitoring." (C) implies the duty was owed and the injury occurred while the
nurse was in charge of the client's care. There is no evidence of negligence in (A,
B, and D). )
, The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
within the client's usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure. - ANSWER
✓ B. Reassess the client's blood pressure using a larger cuff.
(The most important action is to ensure that an accurate BP reading is obtained.
The nurse should reassess the BP with the correct size cuff (B). Reassessment
should not be postponed (A). Though (C and D) are likely indicated, these actions
do not have the priority of (B).)
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - ANSWER ✓ D.
Gently life the client when moving into a desired position.
(To avoid shearing forces when repositioning, the client should be lifted gently
across a surface (D). Reddened areas should NOT be massaged (A) since this may
increase the damage to already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client with a fractured left hip.)
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client w/ left-sided weakness from the bed to
the chair. What method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before
sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the
right foot. - ANSWER ✓ D. Move the chair parallel to the right side of the bed,
and stand the client on the right foot.
QUESTIONS WITH CORRECT
SOLUTIONS||100% GUARANTEED
PASS||ALREADY A+
GRADED||UPDATED 2026/2027
SYLLABUS||<<NEWEST VERSION>>
When irrigating the external ear canals of an older adult client, which action should
the PN use to soften dry cerumen for removal? - ANSWER ✓ Instill mineral oil in
the external auditory canal overnight before irrigation.
An older female state the medication tablet brought in a cup looks different from
the tablet that she takes at home. Which action should the practical nurse take? -
ANSWER ✓ Check the written prescription to verify the medication
Which action should the PN implement when administering a subcutaneous
injection to a client who weighs 325 pounds? - ANSWER ✓ Select a needle with a
longer shaft
Which intervention provides confirmation of NGT placement before NGT
feedings are started? - ANSWER ✓ X-ray of the abdomen
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. - 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
Acetaminophen is prescribed for an unconscious client with a temp of 104' F.
Which route should the PN plan to administer this medication? - ANSWER ✓
Rectal
, 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? - ANSWER ✓ Digitally
assess for impacted stool.
The PN is adding tap water to several medication for administration via feeding
tube. Which preparation should the PN administer without delay? - ANSWER ✓
Time release capsule
Which action should the PN follow when applying an elasticize bandage to a
client's leg? - ANSWER ✓ Overlap turns of the bandage equally
The PN obtains an elevated blood pressure reading for an older male client is is
alert. When the PN offer the client his morning blood pressure medication, he
refuses to take it. What action should the PN take? - ANSWER ✓ Explain the
importance of routine use of antihypertensives.
What position should the PN place client in who is receiving an enteral tube
feeding? - ANSWER ✓ Supine with the head of bed elevated to 30-45 degrees.
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? - ANSWER ✓ 1 inch
The nurse assigns a UAP to obtain vital signs from a very anxious client. What
instructions should the nurse give the UAP?
A. Remain calm with the client and record abnormal results in the chart.
B. Notify the medication nurse immediately if the pulse or blood pressure is low.
C. Report the results of the vital signs to the nurse.
D. Reassure the client that the vital signs are normal. - ANSWER ✓ C. Report the
results of the vital signs to the nurse.
(Interpretation of the vital signs is the responsibility of the nurse, so the UAP
should report vital sign measurements of to the nurse (C). (A, B, and D) require the
UAP to interpret the vital signs, which is beyond the scope of the UAP's authority.)
Twenty minutes after beginning a heat application, the client states that the
heating pad no longer feels warm enough. What is the best response by the nurse?
,A. That means you have derived the maximum benefit, and the heat can be
removed.
B. Your blood vessels are becoming dilated and removing the heat from the site.
C. We will increase the temperature 5 degrees when the pad no longer feels warm.
D. The body's receptors adapt over time as they are exposed to heat. - ANSWER
✓ D. "The body's receptors adapt over time as they are exposed to heat."
( (D) describes thermal adaptation, which occurs 20 to 30 minutes after heat
application. (A and B) provide false information. (C) is not based on knowledge of
physiology and is unsafe action that may harm the client.)
When assessing a client with wrist restraints, the nurse observes that the fingers on
the right hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ANSWER ✓ A. Loosen the right wrist restraint.
(The priority nursing action is to restore circulation by loosening the restraint (A),
because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also
important nursing interventions, but do not have the priority of (A). Pulse oximetry
(B) measures saturation of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical compression-- the restraints.)
An elderly client who requires frequent monitoring fell and fractured a hip. Which
nurse is at greatest risk for a malpractice judgement?
A. A nurse who worked the 7 to 3 shift at the hospital and wrote poor nursing
notes.
B. The nurse assigned to care for the client who was at lunch at the time of the fall.
C. The nurse who transferred the client to the chair when the fall occurred.
D. The charge nurse who completed rounds 30 minutes before the fall occurred. -
ANSWER ✓ C. The nurse who transferred the client to the chair when the fall
occurred.
(The four elements of malpractice are: breach of duty owed, failure to adhere to the
recognized standard of care, direct causation of injury, and evidence of actual
injury. The hip fracture is the actual injury and the standard of care was "frequent
monitoring." (C) implies the duty was owed and the injury occurred while the
nurse was in charge of the client's care. There is no evidence of negligence in (A,
B, and D). )
, The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
within the client's usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure. - ANSWER
✓ B. Reassess the client's blood pressure using a larger cuff.
(The most important action is to ensure that an accurate BP reading is obtained.
The nurse should reassess the BP with the correct size cuff (B). Reassessment
should not be postponed (A). Though (C and D) are likely indicated, these actions
do not have the priority of (B).)
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - ANSWER ✓ D.
Gently life the client when moving into a desired position.
(To avoid shearing forces when repositioning, the client should be lifted gently
across a surface (D). Reddened areas should NOT be massaged (A) since this may
increase the damage to already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the affected leg. The
position described in (C) is contraindicated for a client with a fractured left hip.)
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client w/ left-sided weakness from the bed to
the chair. What method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before
sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the
right foot. - ANSWER ✓ D. Move the chair parallel to the right side of the bed,
and stand the client on the right foot.
