HESI PN PRACTICE EXAM TEST ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A
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?
• Administer Prescribed stool softener
• Administer prescribed PRN sleep medications.
• Encourage breastfeeding to promote uterine involution
• 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.
• Duodenum
• Gastric Pylorus
• Liver
• 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?
• Decreased sexual libido
• Amenorrhea
• Quickening
• 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?
• Ask for a description of what happened during the night
• Tell the daughter to talk to the unit's nurse manager
• Reassure the daughter that the mother will get better care.
• Explain that all the staff are doing the best they can. - A. Ask
fora 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 demonstrationof
which developmental stage?
• Autonomy vs. Shame and doubt.
• Industry vs. Inferiority
• initiative vs. Guilt
• Trust vs. Mistrust - A. Autonomy vs. Shame and doubt.
Which action should the nurse implement in caring for a
patientfollowing an electroencephalogram (EEG)?
• Monitor the client's vital signs q4h
• Assess for sensation in the client's lower extremities
• Instruct the patientto maintain bed rest for eight hours
• 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 patientwho is beginning
toform a decubitus ulcer at the coccyx. Which intervention will be
most helpful in preventing further development of the decubitus?
• Encourage the patientto eat foods high in protein
• Assess the patientwith daily range of motion exercises
• Teach the family how to perform sterile wound care
• Ensure the IV fluids are administered as prescribed - A.
Encourage the patientto eat foods high in protein
What is the homeostatic cellular transport mechanism that moves
water from a hypotonic to a hypertonic fluid space?
• Filtration
• Diffusion
• Osmosis
• Active transport - C. Osmosis
The nurse is taking blood pressure of a patientadmitted 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?
• Slightly above the level of the heart
• At the level of the heart
• At the level of comfort for the client
• Below the level of the heart - B. 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 - A. Heart rate
B. Stroke volume
C. Peripheral resistance
A patientbegins 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 patientis 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?
• Give the rubella vaccine subcutaneously
• Observe the mother breastfeeding her infant
• Call the nursery for the infant's blood type result
QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A
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?
• Administer Prescribed stool softener
• Administer prescribed PRN sleep medications.
• Encourage breastfeeding to promote uterine involution
• 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.
• Duodenum
• Gastric Pylorus
• Liver
• 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?
• Decreased sexual libido
• Amenorrhea
• Quickening
• 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?
• Ask for a description of what happened during the night
• Tell the daughter to talk to the unit's nurse manager
• Reassure the daughter that the mother will get better care.
• Explain that all the staff are doing the best they can. - A. Ask
fora 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 demonstrationof
which developmental stage?
• Autonomy vs. Shame and doubt.
• Industry vs. Inferiority
• initiative vs. Guilt
• Trust vs. Mistrust - A. Autonomy vs. Shame and doubt.
Which action should the nurse implement in caring for a
patientfollowing an electroencephalogram (EEG)?
• Monitor the client's vital signs q4h
• Assess for sensation in the client's lower extremities
• Instruct the patientto maintain bed rest for eight hours
• 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 patientwho is beginning
toform a decubitus ulcer at the coccyx. Which intervention will be
most helpful in preventing further development of the decubitus?
• Encourage the patientto eat foods high in protein
• Assess the patientwith daily range of motion exercises
• Teach the family how to perform sterile wound care
• Ensure the IV fluids are administered as prescribed - A.
Encourage the patientto eat foods high in protein
What is the homeostatic cellular transport mechanism that moves
water from a hypotonic to a hypertonic fluid space?
• Filtration
• Diffusion
• Osmosis
• Active transport - C. Osmosis
The nurse is taking blood pressure of a patientadmitted 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?
• Slightly above the level of the heart
• At the level of the heart
• At the level of comfort for the client
• Below the level of the heart - B. 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 - A. Heart rate
B. Stroke volume
C. Peripheral resistance
A patientbegins 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 patientis 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?
• Give the rubella vaccine subcutaneously
• Observe the mother breastfeeding her infant
• Call the nursery for the infant's blood type result
