HESI PN Comprehensive Exam 2 (Answered)
With Rationale 2023
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.
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
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.
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.
When monitoring a newborn, which observation should the practical nurse report
to the healthcare provider?
,A. Rectal temperature of 37.6° C.
B. Axillary temperature of 37.1° C.
C. Heart rate of 110 beats per minute. Correct
D. Respiration rate of 40 breaths per minute.
C. Heart rate of 110 beats per minute
Rationale: The normal range for a heart beat for an infant is 120-160 so a heart rate of
110 should be reported to the healthcare provider. Newborn temperature ranges from
97.7,99.4,36.5,37.5 and normal respiratory rate is 30-60
After reviewing discharge instructions with a male client who has hepatitis C,
what statement by the client indicates to the practical nurse that the client
understands his disease?
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
B. "I will eliminate alcohol consumption until my infection subsides."
C. "I should eat a diet rich in dark green leafy vegetables."
D. "I understand that my other medications doses need to be increased."
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
Rationale: Tylenol is metabolized in the liver and should be avoided with clients with
liver disease
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.
A. Remove the child's finger rings.
Rationale: The child is a risk for swelling in the distal areas of the affected arm and
hand. Removal of finger rings (A) should be implemented first to remove any potential
constriction that may occur after tissue injury or fracture of the lower arm
The practical nurse (PN) is participating in a group interview of an applicant who
will work in the clinic as a staff PN. Which question is best to ask the applicant?
A. "This position requires working on-call every fourth weekend. Can you do
that?"
B. "Do you have child care arrangements for your children?"
C. "Do you have any religious requirements that need scheduling
accommodation?"
D. "Are you going to be the sole supporter for your family?"
A. "This position requires working on-call every fourth weekend. Can you do that?"
Rationale: Job interview questions must be specifically job related (A)
,A client in a nursing home becomes violent and verbally threatens an unlicensed
assistive personnel (UAP). Which is the best way for the practical nurse (PN) in
charge during the shift to handle the staff's reaction to the incident?
A. Encourage UAP to deal with it privately to prevent compromising client
confidentiality.
B. Offer a group discussion session so staff can share their thoughts and
feelings.
C. Invite staff out after hours to help distract them from the disturbing client
event.
D. Refer the UAP to human resources department for a counseling session with a
therapist.
B.Offer a group discussion session so staff can share their thoughts and feelings
Rationale: A critical incident stress debriefing evolves expression of personal feelings,
discussion, and working on unresolved emotional issues to minimize post traumatic
stress for the staff member. A CISD is the best action for the PN in charge to take (B) in
conjunction with the guidance and assistance of the nursing supervisor in the facility
A group of practical nurses (PNs) who work on a medical-surgical unit believe
they are understaffed. Which data should the PNs consider when preparing the
justification for additional staff?
A. Staffing ratios in other states.
B. Client acuity and census.
C. Overtime payment and unfilled positions.
D. Number and frequency of client complaints.
B. Client acuity and census.
Rationale: When presenting the need for increased staff, the PNs should present the
request using staffing guidelines that consider client acuity, number of clients, and
length of stay(B).
The practical nurse (PN) assigns care of a client who is HIV positive to a newly
employed PN who states, I can't take care of that client. How should the PN
respond?
A. "I don't understand your response. Please explain what you mean."
B. "Staff cannot pick and choose assignments based on a client's diagnosis."
C. "This client will provide a learning opportunity for you, and I'm here to help."
D. "I will give you a different client so you will be more comfortable."
A. "I don't understand your response. Please explain what you mean."
Rationale: The ethical principle of beneficence guides decisions based on the clients
well being or dignity. The PN should first assess the rationale supporting the response
(A) which may include an infection such as a "Cold" that places the immunosuppressed
client at risk
, A client with type 2 diabetes mellitus is admitted to the hospital for an
exacerbation of asthma. The practical nurse (PN) administers hydrocortisone
(Solu-Cortef) 60 mg PO every 6 hours. What information should the PN to review
the next day?
A. Serum potassium.
B. Serum glucose.
C. Respiratory rate.
D. Blood pressure.
B. Serum glucose.
Rationale: High doses of glucocorticoidsteriods can cause an elevation in the serum
glucose level, so the PN should review the clients serum glucose(B)
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.
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.
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 14-year-old female arrives in the school nurse's office seeking information
about healthcare agencies in the community. The practical nurse (PN)
understands the client can make an autonomous healthcare decision if she has
which circumstance?
A. Pregnancy.
B. Funds to pay for her own care.
With Rationale 2023
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.
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
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.
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.
When monitoring a newborn, which observation should the practical nurse report
to the healthcare provider?
,A. Rectal temperature of 37.6° C.
B. Axillary temperature of 37.1° C.
C. Heart rate of 110 beats per minute. Correct
D. Respiration rate of 40 breaths per minute.
C. Heart rate of 110 beats per minute
Rationale: The normal range for a heart beat for an infant is 120-160 so a heart rate of
110 should be reported to the healthcare provider. Newborn temperature ranges from
97.7,99.4,36.5,37.5 and normal respiratory rate is 30-60
After reviewing discharge instructions with a male client who has hepatitis C,
what statement by the client indicates to the practical nurse that the client
understands his disease?
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
B. "I will eliminate alcohol consumption until my infection subsides."
C. "I should eat a diet rich in dark green leafy vegetables."
D. "I understand that my other medications doses need to be increased."
A. "I will avoid taking any products with acetaminophen, such as Tylenol."
Rationale: Tylenol is metabolized in the liver and should be avoided with clients with
liver disease
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.
A. Remove the child's finger rings.
Rationale: The child is a risk for swelling in the distal areas of the affected arm and
hand. Removal of finger rings (A) should be implemented first to remove any potential
constriction that may occur after tissue injury or fracture of the lower arm
The practical nurse (PN) is participating in a group interview of an applicant who
will work in the clinic as a staff PN. Which question is best to ask the applicant?
A. "This position requires working on-call every fourth weekend. Can you do
that?"
B. "Do you have child care arrangements for your children?"
C. "Do you have any religious requirements that need scheduling
accommodation?"
D. "Are you going to be the sole supporter for your family?"
A. "This position requires working on-call every fourth weekend. Can you do that?"
Rationale: Job interview questions must be specifically job related (A)
,A client in a nursing home becomes violent and verbally threatens an unlicensed
assistive personnel (UAP). Which is the best way for the practical nurse (PN) in
charge during the shift to handle the staff's reaction to the incident?
A. Encourage UAP to deal with it privately to prevent compromising client
confidentiality.
B. Offer a group discussion session so staff can share their thoughts and
feelings.
C. Invite staff out after hours to help distract them from the disturbing client
event.
D. Refer the UAP to human resources department for a counseling session with a
therapist.
B.Offer a group discussion session so staff can share their thoughts and feelings
Rationale: A critical incident stress debriefing evolves expression of personal feelings,
discussion, and working on unresolved emotional issues to minimize post traumatic
stress for the staff member. A CISD is the best action for the PN in charge to take (B) in
conjunction with the guidance and assistance of the nursing supervisor in the facility
A group of practical nurses (PNs) who work on a medical-surgical unit believe
they are understaffed. Which data should the PNs consider when preparing the
justification for additional staff?
A. Staffing ratios in other states.
B. Client acuity and census.
C. Overtime payment and unfilled positions.
D. Number and frequency of client complaints.
B. Client acuity and census.
Rationale: When presenting the need for increased staff, the PNs should present the
request using staffing guidelines that consider client acuity, number of clients, and
length of stay(B).
The practical nurse (PN) assigns care of a client who is HIV positive to a newly
employed PN who states, I can't take care of that client. How should the PN
respond?
A. "I don't understand your response. Please explain what you mean."
B. "Staff cannot pick and choose assignments based on a client's diagnosis."
C. "This client will provide a learning opportunity for you, and I'm here to help."
D. "I will give you a different client so you will be more comfortable."
A. "I don't understand your response. Please explain what you mean."
Rationale: The ethical principle of beneficence guides decisions based on the clients
well being or dignity. The PN should first assess the rationale supporting the response
(A) which may include an infection such as a "Cold" that places the immunosuppressed
client at risk
, A client with type 2 diabetes mellitus is admitted to the hospital for an
exacerbation of asthma. The practical nurse (PN) administers hydrocortisone
(Solu-Cortef) 60 mg PO every 6 hours. What information should the PN to review
the next day?
A. Serum potassium.
B. Serum glucose.
C. Respiratory rate.
D. Blood pressure.
B. Serum glucose.
Rationale: High doses of glucocorticoidsteriods can cause an elevation in the serum
glucose level, so the PN should review the clients serum glucose(B)
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.
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.
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 14-year-old female arrives in the school nurse's office seeking information
about healthcare agencies in the community. The practical nurse (PN)
understands the client can make an autonomous healthcare decision if she has
which circumstance?
A. Pregnancy.
B. Funds to pay for her own care.
