2024 HESI PN PRACTICE EXAM NEW LATEST VERSION
WITH ALL QUESTIONS AND 100% CORRECT ANSWERS
UPDATED.
The nurse is planning care for a client who has fourth degree midline laceration that occurred
during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest
priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
A. Administer Prescribed stool softener
The nurse is palpating the right upper hypochondriac region of the abdomen of a client. What
organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
A client comes to the antepartum clinic and tells the nurse that she is 6 weeks pregnant. Which
sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
B Amenorrhea
A client's daughter phones the charge nurse to report that the night nurse did not provide good
care for her mother. What response should the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
A. Ask for a description of what happened during the night
A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "mine".
According to Erikson's theory of psychosocial development, this child's behavior is a
demonstration of which developmental stage?
,A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. initiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt.
Which action should the nurse implement in caring for a client following an
electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The nurse is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at
the coccyx. Which intervention will be most helpful in preventing further development of the
decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
• Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
C. Osmosis
The nurse is taking blood pressure of a client admitted with a possible myocardial infarction.
When taking the client's BP at the brachial artery, the nurse should place the client's arm in
which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
• At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
,• Heart rate
• Stroke volume
• Peripheral resistance
• Neuroendocrine hormones
• Muscle tone
• Heart rate
• Stroke volume
• Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the nurse to include in this client's plan of care while the
client is taking the antidepressant?
• Appetite
• Mood
• Withdrawal
• Energy level
B. Mood
Based on the documentation in the medical record, which action should the nurse implement
next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain
• Give the rubella vaccine subcutaneously
A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should
the nurse implement to prevent complications associated with Pneumonia?
• Encourage mobilization and ambulation
• Encourage energy conservation with complete bed rest
• Provide humidified oxygen per nasal cannula
• Restrict PO and intravenous fluids
• Encourage mobilization and ambulation
The practical nurse is preparing to administer a prescription for cefazolin (kefzol) 600 mg IM
every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram and the instructions
for reconstitution, "For IM use add 2ml sterile water for injection. Total volume after
reconstruction
= 2.5 ml. "when reconstituted, how many milligrams are in each mil of solutions (Enter
numeric value only)
, 15 (WRONG??) ..1000mg /2.5ml =400
mg/ml
Which nursing activity is within the scope of practice for the practical nurse?
A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continuous narcotic epidural for a postoperative client
C. Observe a client rotate the subcutaneous site for an insulin pump
After morning dressing changes are completed, a male client who has paraplegia contaminates
his ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign
to the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove dressings
• Provide perianal care and collect clean linens for the dressing change
The nurse is planning to evaluate the effectiveness of several drugs administered by different
routes. Arrange the routes of administration in the order from fastest to slowest rate of
absorption.
Subcutaneous Intravenous Intramuscular Sublingual Oral
Intravenous, sublingual, intramuscular, subcutaneous, oral.
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-house
post dilation and curettage (D&C) the nurse assess the vital signs and vaginal bleeding. The
client begins to cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
• Express sorrow for the client's grief and offer to sit with her
A terminally ill male client and his family are requesting hospice care after discharge from the
hospital and ask the nurse to explain what kind of care they should expect. The nurse should
indicate that hospice philosophy focuses on what aspect of health care?
• Enhance symptom management to improve end of life quality
• facilitates assisted suicide with the client's consent
• Offers ways to postpone the death experience at home
• Provide training for family members to care for the client
WITH ALL QUESTIONS AND 100% CORRECT ANSWERS
UPDATED.
The nurse is planning care for a client who has fourth degree midline laceration that occurred
during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest
priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
A. Administer Prescribed stool softener
The nurse is palpating the right upper hypochondriac region of the abdomen of a client. What
organ lies underneath this area.
A. Duodenum
B. Gastric Pylorus
C. Liver
D. Spleen
C. Liver
A client comes to the antepartum clinic and tells the nurse that she is 6 weeks pregnant. Which
sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
B Amenorrhea
A client's daughter phones the charge nurse to report that the night nurse did not provide good
care for her mother. What response should the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
A. Ask for a description of what happened during the night
A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's "mine".
According to Erikson's theory of psychosocial development, this child's behavior is a
demonstration of which developmental stage?
,A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. initiative vs. Guilt
D. Trust vs. Mistrust
A. Autonomy vs. Shame and doubt.
Which action should the nurse implement in caring for a client following an
electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The nurse is caring for a 75- year-old male client who is beginning to form a decubitus ulcer at
the coccyx. Which intervention will be most helpful in preventing further development of the
decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
• Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that moves water from a hypotonic to a
hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
C. Osmosis
The nurse is taking blood pressure of a client admitted with a possible myocardial infarction.
When taking the client's BP at the brachial artery, the nurse should place the client's arm in
which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
• At the level of the heart
What are the final parameters that produce blood pressure? (select all that apply)
,• Heart rate
• Stroke volume
• Peripheral resistance
• Neuroendocrine hormones
• Muscle tone
• Heart rate
• Stroke volume
• Peripheral resistance
A client begins an antidepressant drug during the second day of hospitalization. Which
assessment is most important for the nurse to include in this client's plan of care while the
client is taking the antidepressant?
• Appetite
• Mood
• Withdrawal
• Energy level
B. Mood
Based on the documentation in the medical record, which action should the nurse implement
next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain
• Give the rubella vaccine subcutaneously
A client is admitted to the hospital with a diagnosis of Pneumonia. Which intervention should
the nurse implement to prevent complications associated with Pneumonia?
• Encourage mobilization and ambulation
• Encourage energy conservation with complete bed rest
• Provide humidified oxygen per nasal cannula
• Restrict PO and intravenous fluids
• Encourage mobilization and ambulation
The practical nurse is preparing to administer a prescription for cefazolin (kefzol) 600 mg IM
every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram and the instructions
for reconstitution, "For IM use add 2ml sterile water for injection. Total volume after
reconstruction
= 2.5 ml. "when reconstituted, how many milligrams are in each mil of solutions (Enter
numeric value only)
, 15 (WRONG??) ..1000mg /2.5ml =400
mg/ml
Which nursing activity is within the scope of practice for the practical nurse?
A. Complete an admission assessment in the normal newborn nursery.
B. Discontinue a central venous catheter that has become dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continuous narcotic epidural for a postoperative client
C. Observe a client rotate the subcutaneous site for an insulin pump
After morning dressing changes are completed, a male client who has paraplegia contaminates
his ischial decubiti dressing with a diarrheal stool. What activity is best for the nurse to assign
to the unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra dressing change
B. Provide perianal care and collect clean linens for the dressing change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove dressings
• Provide perianal care and collect clean linens for the dressing change
The nurse is planning to evaluate the effectiveness of several drugs administered by different
routes. Arrange the routes of administration in the order from fastest to slowest rate of
absorption.
Subcutaneous Intravenous Intramuscular Sublingual Oral
Intravenous, sublingual, intramuscular, subcutaneous, oral.
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation. At one-house
post dilation and curettage (D&C) the nurse assess the vital signs and vaginal bleeding. The
client begins to cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
• Express sorrow for the client's grief and offer to sit with her
A terminally ill male client and his family are requesting hospice care after discharge from the
hospital and ask the nurse to explain what kind of care they should expect. The nurse should
indicate that hospice philosophy focuses on what aspect of health care?
• Enhance symptom management to improve end of life quality
• facilitates assisted suicide with the client's consent
• Offers ways to postpone the death experience at home
• Provide training for family members to care for the client
