HESI PN Comprehensive Exam 1 Questions With Complete
Solutions
A 34-year-old male client who is admitted to the mental health
unit for paranoia is responding to antipsychotic medications.
After the healthcare team decides to discharge the client, he tells
the practical nurse (PN) that his wife is unfaithful and he plans
to get her for this. How should the PN respond?
A. Report to the team that the client's wife should be informed.
B. Ask the client if he will comply with the mandatory day
hospital visits.
C. Tell the client to discuss his medication dose with his
healthcare provider.
D. Explain the consequences if he carries out his threats to his
wife. Correct Answer A. Report to the team that the client's
wife should be informed.
Mental healthcare member has the responsibility of Duty to
Warn and report any intended, identified victim of possible
future harm by a client.
A child with acute streptococcal pharyngitis is prescribed
amoxicillin (Amoxil) suspension. The mother asks the practical
nurse (PN) when her child can return to school. Which
information should the PN provide?
A. After the child is evaluated for complications.
B. As soon as the child says the sore throat is better.
C. When the child completes 3 days of antibiotic doses.
,D. After the child has taken antibiotics for 24 hours. Correct
Answer D. After the child has taken antibiotics for 24 hours.
Spread of infection of streptococcal disease is common in
families, classrooms, and day care centers. After 24 hours, the
streptococcal infection should be noninfectious to others.
A client is 24-hours post-endoscopic retrograde
cholangiopancreatography (ERCP) for cholelithiasis. Which
finding should the PN report to healthcare provider?
A. Serum bilirubin elevation four times above normal value
B. Serum amylase elevation three times above normal value
C. Steatorrhea
D. Jaundiced sclera Correct Answer B. Serum amylase
elevation three times above normal value
ERCP can cause a gallstone to move into the common bile duct,
obstructing flow into duodenum and cause pancreatitis, which is
evidences by increase in serum amylase.
A client is wearing a continuous 24-hour Holter monitor for
elevation of heart rhythm disturbances. What info should the PN
reinforce with this client?
A. Remove the electrodes to shower or bathe
B. Keep a diary of activities as long as the monitor is worn.
C. Exercise as much as possible while the monitor is in place.
D. Call the assigned number if an episode of irregular heartbeats
occurs. Correct Answer B. Keep a diary of activities as long as
the monitor is worn.
,Nursing care for a client with a Holter monitor includes
preparation of the skin, placement of the electrodes and leads,
and activities of daily living, so the client should be informed of
the importance of keeping an accurate record of activities and
symptoms
A client who delivered a 7 pound 8 ounce infant 3 hours ago has
a soft, boggy uterus located above the umbilicus. What action
should the practical nurse implement next?
A. Perform fundal massage.
B. Notify the charge nurse.
C. Obtain a blood pressure.
D. Initiate perineal pad count. Correct Answer A. Perform
fundal massage.
A soft, boggy uterus places the client at increased risk for
postpartum hemorrhage, so the PN should perform fundal
massage to contract the uterus.
A client who has been taking furosemide (Lasix) for the past
two months is 2 days postoperative for a suprapubic
prostatectomy. After breakfast, the client is in the bathroom
straining to have a bowel movement when he calls the practical
nurse (PN) complaining of sudden onset of shortness of breath
and acute chest pain. Which condition should the practical nurse
(PN) assess the client?
A. Stable angina pectoris.
B. Pulmonary edema.
, C. Pulmonary embolism.
D. Gastroesophageal reflux. Correct Answer C. Pulmonary
embolism.
The client's postoperative status and possible dehydration related
to recent use of Lasix places the client at risk for pulmonary
embolism, which is a postoperative complication characterized
by acute chest pain and shortness of breath precipitated by
straining on stool.
A client with a common cold is seeking treatment at the health
clinic. What information should the practical nurse (PN)
reinforce to reduce the spread of infection to family members?
A. Wash hands after each use of a tissue for nasal drainage.
B. Use a dishwasher for all personal dishes and utensils.
C. Recommend wearing a mask until all cold symptoms subside.
D. Sleep alone in a room and use a humidifier. Correct Answer
A. Wash hands after each use of a tissue for nasal drainage.
Handwashing after sneezing, coughing, and blowing the nose is
the best defense in reducing the risk of spreading viruses directly
or indirectly to others.
A client with acute pancreatitis has a low serum calcium level.
The practical nurse (PN) observes that the lips, nose, and side of
the face contract after the client's face is cleansed with a cloth.
Which documentation describes these findings?
A. Bell's palsy noted.
B. Tic douloureux noted.
Solutions
A 34-year-old male client who is admitted to the mental health
unit for paranoia is responding to antipsychotic medications.
After the healthcare team decides to discharge the client, he tells
the practical nurse (PN) that his wife is unfaithful and he plans
to get her for this. How should the PN respond?
A. Report to the team that the client's wife should be informed.
B. Ask the client if he will comply with the mandatory day
hospital visits.
C. Tell the client to discuss his medication dose with his
healthcare provider.
D. Explain the consequences if he carries out his threats to his
wife. Correct Answer A. Report to the team that the client's
wife should be informed.
Mental healthcare member has the responsibility of Duty to
Warn and report any intended, identified victim of possible
future harm by a client.
A child with acute streptococcal pharyngitis is prescribed
amoxicillin (Amoxil) suspension. The mother asks the practical
nurse (PN) when her child can return to school. Which
information should the PN provide?
A. After the child is evaluated for complications.
B. As soon as the child says the sore throat is better.
C. When the child completes 3 days of antibiotic doses.
,D. After the child has taken antibiotics for 24 hours. Correct
Answer D. After the child has taken antibiotics for 24 hours.
Spread of infection of streptococcal disease is common in
families, classrooms, and day care centers. After 24 hours, the
streptococcal infection should be noninfectious to others.
A client is 24-hours post-endoscopic retrograde
cholangiopancreatography (ERCP) for cholelithiasis. Which
finding should the PN report to healthcare provider?
A. Serum bilirubin elevation four times above normal value
B. Serum amylase elevation three times above normal value
C. Steatorrhea
D. Jaundiced sclera Correct Answer B. Serum amylase
elevation three times above normal value
ERCP can cause a gallstone to move into the common bile duct,
obstructing flow into duodenum and cause pancreatitis, which is
evidences by increase in serum amylase.
A client is wearing a continuous 24-hour Holter monitor for
elevation of heart rhythm disturbances. What info should the PN
reinforce with this client?
A. Remove the electrodes to shower or bathe
B. Keep a diary of activities as long as the monitor is worn.
C. Exercise as much as possible while the monitor is in place.
D. Call the assigned number if an episode of irregular heartbeats
occurs. Correct Answer B. Keep a diary of activities as long as
the monitor is worn.
,Nursing care for a client with a Holter monitor includes
preparation of the skin, placement of the electrodes and leads,
and activities of daily living, so the client should be informed of
the importance of keeping an accurate record of activities and
symptoms
A client who delivered a 7 pound 8 ounce infant 3 hours ago has
a soft, boggy uterus located above the umbilicus. What action
should the practical nurse implement next?
A. Perform fundal massage.
B. Notify the charge nurse.
C. Obtain a blood pressure.
D. Initiate perineal pad count. Correct Answer A. Perform
fundal massage.
A soft, boggy uterus places the client at increased risk for
postpartum hemorrhage, so the PN should perform fundal
massage to contract the uterus.
A client who has been taking furosemide (Lasix) for the past
two months is 2 days postoperative for a suprapubic
prostatectomy. After breakfast, the client is in the bathroom
straining to have a bowel movement when he calls the practical
nurse (PN) complaining of sudden onset of shortness of breath
and acute chest pain. Which condition should the practical nurse
(PN) assess the client?
A. Stable angina pectoris.
B. Pulmonary edema.
, C. Pulmonary embolism.
D. Gastroesophageal reflux. Correct Answer C. Pulmonary
embolism.
The client's postoperative status and possible dehydration related
to recent use of Lasix places the client at risk for pulmonary
embolism, which is a postoperative complication characterized
by acute chest pain and shortness of breath precipitated by
straining on stool.
A client with a common cold is seeking treatment at the health
clinic. What information should the practical nurse (PN)
reinforce to reduce the spread of infection to family members?
A. Wash hands after each use of a tissue for nasal drainage.
B. Use a dishwasher for all personal dishes and utensils.
C. Recommend wearing a mask until all cold symptoms subside.
D. Sleep alone in a room and use a humidifier. Correct Answer
A. Wash hands after each use of a tissue for nasal drainage.
Handwashing after sneezing, coughing, and blowing the nose is
the best defense in reducing the risk of spreading viruses directly
or indirectly to others.
A client with acute pancreatitis has a low serum calcium level.
The practical nurse (PN) observes that the lips, nose, and side of
the face contract after the client's face is cleansed with a cloth.
Which documentation describes these findings?
A. Bell's palsy noted.
B. Tic douloureux noted.
