HESI PN LPN FUNDAMENTALS EXIT EXAM LATEST
2024-2025 ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERWERS WITH
RATIONALES (VERIFIED ANSWERWERS) |ALREADY
GRADED A+
The practical nurse (PN) contacts the healthcare provider about an older client who is agitated and
aggressive with the staff. Which reason should the PN use to request a prescription for wrist restraints?
A. To decrease the client's agitation and acting-out behaviors.
B. To provide an effective way to prevent falls when the client is alone.
C. To protect the client and reduce the likelihood of lawsuits.
D. To ensure the client's safety when the benefits outweigh the risks. - ANSWERWER-D. Restraints
should be used when the benefits outweigh the risks in providing a safe environment for the client,
and ensuring the safety of others. Restraints can increase agitation (A) and are not the most effective
way to prevent falls (B). Restraints may provide protection, but must be diligently monitored to
prevent negligent injury
Which action should the practical nurse (PN) implement when supporting an older client who is afraid of
dying?
A. Ask the client about his belief of a spiritual life after death.
B. Provide basic comfort measures to alleviate pain and breathlessness.
C. Use open-ended questions to encourage the client to share feelings.
D. Talk about common beliefs that others have expressed about death. - ANSWERWER-C. Using open-
ended questions gives a client the opportunity to share feelings, fears, and concerns about the
process of dying. Although (A and D) provide topics of discussion about death, the client is often self-
centered and is best supported by encouragement to express personal feelings about death. (B)
provides palliative physical measures, but the client should be supported and allowed to verbally
express emotional distress and anxiety.
A family member of a dying client asks the practical nurse (PN) if the client knows the family is at the
bedside. The PN explains that which of the five senses persists the longest during the dying process? A.
Smell.
B. Touch.
,C. Vision.
D. Hearing. - ANSWERWER-D. As death approaches, hearing (D) is the sense that persists even when
the client is unable to respond. (A, B, and C) decline before the sense of hearing.
Which action should the practical nurse (PN) implement to help a male client cope with his fear as he
approaches death?
A. Tell the client that he will soon find peace and comfort.
B. Encourage family members to cry at the client's bedside.
C. Hold the client's hand and tell him he is not alone.
D. Explain the signs of impending death to the family. - ANSWERWER-D. Therapeutic touch, such as
holding the hand of a client who is dying, communicates the presence of others (C) and helps reduce
feelings of aloneness, expresses genuine care and concern, and supports a fearful client who is dying
or is unable to respond. Telling a client that he is going to find peace and comfort (A) in death may
increase a sense of anxiety. Because family dynamics vary considerably, encouraging outward
expression of family grief (B) may contribute to the client's anxiety and fears.
An older client is receiving nasogastric tube (NGT) feedings for several days. Which finding should the
practical nurse (PN) report to the healthcare provider? A. Soft, formed stools.
B. Urine output of 2000 ml per day.
C. Abdominal distention and nausea.
D. Dried mucus around the nasal tube. - ANSWERWER-C. Nausea and abdominal distention indicate a
decrease in the rate of stomach emptying or an excessive rate of intake, which requires notification of
the healthcare provider for further prescriptions. Soft, formed stools (A), urine output of 2000 ml per
day (B), and dried mucus around the nasal tube are normal findings.
The practical nurse (PN) is caring for an older client who is NPO after surgery. The client complains that
his mouth and mucous membranes are dry. Which intervention should the PN implement to increase the
client's comfort?
A. Increase oral fluid intake.
B. Perform oral hygiene frequently.
C. Swab the inside of the mouth with petroleum jelly.
D. Report the rate of intravenous fluid administration. - ANSWERWER-B. Frequent oral hygiene
moistens the oral cavity and alleviates discomfort for a client who is NPO. Oral fluid intake is
, contraindicated in a client who is NPO (A). Petroleum jelly is not placed intraorally (C). Although
reporting the rate of IV fluids (D) provides data about the current prescription, oral hygiene is an
immediate comfort intervention that addresses the client's hydration status.
The practical nurse (PN) is giving oral care to an older female client with tender gums that bleed easily
because of a medication she is taking. What intervention should the PN implement? A. Encourage the
client to massage the gums.
B. Tell the client to use mouthwash only.
C. Obtain a soft-bristle brush for the client.
D. Have the client rinse with warm salt water. - ANSWERWER-C. A client with gum tenderness needs
good oral hygiene, so a soft-bristle brush should be used to minimize gingival bleeding. Massaging the
gums (A) may contribute to gingival bleeding. The use of a commercial mouthwash only (B) omits
good oral hygiene practices, such as brushing.
Which time frame should the practical nurse (PN) reposition a client? A.
Every 4 hours while awake.
B. Twice per shift.
C. Every 2 hours.
D. With each client request. - ANSWERWER-C. Skin changes due to circulatory impairment begin
developing when the skin is compressed for 2 hours or more. A client should be reposition every two
hours around the clock. (A and B) provide prolonged pressure that begins tissue necrosis. Although
more frequent positions changes are necessary for some clients (D), the maximum time for a client
should remain in one position is 2 hours.
An older male client tells the practical nurse (PN) that his religion does not permit him to bathe daily.
How should the PN respond?
A. State that the healthcare provider has prescribed a bath today.
B. Offer the client several choices of times to bathe during the day.
C. Review the importance of hygienic measures for improved health.
D. Request that the client clarify his religious beliefs about bathing. - ANSWERWER-D. A client's
religious and cultural preferences should be considered when providing basic hygiene. (A and C)
provide valid rationale for daily hygiene, but the client's religious beliefs should be considered in the
2024-2025 ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERWERS WITH
RATIONALES (VERIFIED ANSWERWERS) |ALREADY
GRADED A+
The practical nurse (PN) contacts the healthcare provider about an older client who is agitated and
aggressive with the staff. Which reason should the PN use to request a prescription for wrist restraints?
A. To decrease the client's agitation and acting-out behaviors.
B. To provide an effective way to prevent falls when the client is alone.
C. To protect the client and reduce the likelihood of lawsuits.
D. To ensure the client's safety when the benefits outweigh the risks. - ANSWERWER-D. Restraints
should be used when the benefits outweigh the risks in providing a safe environment for the client,
and ensuring the safety of others. Restraints can increase agitation (A) and are not the most effective
way to prevent falls (B). Restraints may provide protection, but must be diligently monitored to
prevent negligent injury
Which action should the practical nurse (PN) implement when supporting an older client who is afraid of
dying?
A. Ask the client about his belief of a spiritual life after death.
B. Provide basic comfort measures to alleviate pain and breathlessness.
C. Use open-ended questions to encourage the client to share feelings.
D. Talk about common beliefs that others have expressed about death. - ANSWERWER-C. Using open-
ended questions gives a client the opportunity to share feelings, fears, and concerns about the
process of dying. Although (A and D) provide topics of discussion about death, the client is often self-
centered and is best supported by encouragement to express personal feelings about death. (B)
provides palliative physical measures, but the client should be supported and allowed to verbally
express emotional distress and anxiety.
A family member of a dying client asks the practical nurse (PN) if the client knows the family is at the
bedside. The PN explains that which of the five senses persists the longest during the dying process? A.
Smell.
B. Touch.
,C. Vision.
D. Hearing. - ANSWERWER-D. As death approaches, hearing (D) is the sense that persists even when
the client is unable to respond. (A, B, and C) decline before the sense of hearing.
Which action should the practical nurse (PN) implement to help a male client cope with his fear as he
approaches death?
A. Tell the client that he will soon find peace and comfort.
B. Encourage family members to cry at the client's bedside.
C. Hold the client's hand and tell him he is not alone.
D. Explain the signs of impending death to the family. - ANSWERWER-D. Therapeutic touch, such as
holding the hand of a client who is dying, communicates the presence of others (C) and helps reduce
feelings of aloneness, expresses genuine care and concern, and supports a fearful client who is dying
or is unable to respond. Telling a client that he is going to find peace and comfort (A) in death may
increase a sense of anxiety. Because family dynamics vary considerably, encouraging outward
expression of family grief (B) may contribute to the client's anxiety and fears.
An older client is receiving nasogastric tube (NGT) feedings for several days. Which finding should the
practical nurse (PN) report to the healthcare provider? A. Soft, formed stools.
B. Urine output of 2000 ml per day.
C. Abdominal distention and nausea.
D. Dried mucus around the nasal tube. - ANSWERWER-C. Nausea and abdominal distention indicate a
decrease in the rate of stomach emptying or an excessive rate of intake, which requires notification of
the healthcare provider for further prescriptions. Soft, formed stools (A), urine output of 2000 ml per
day (B), and dried mucus around the nasal tube are normal findings.
The practical nurse (PN) is caring for an older client who is NPO after surgery. The client complains that
his mouth and mucous membranes are dry. Which intervention should the PN implement to increase the
client's comfort?
A. Increase oral fluid intake.
B. Perform oral hygiene frequently.
C. Swab the inside of the mouth with petroleum jelly.
D. Report the rate of intravenous fluid administration. - ANSWERWER-B. Frequent oral hygiene
moistens the oral cavity and alleviates discomfort for a client who is NPO. Oral fluid intake is
, contraindicated in a client who is NPO (A). Petroleum jelly is not placed intraorally (C). Although
reporting the rate of IV fluids (D) provides data about the current prescription, oral hygiene is an
immediate comfort intervention that addresses the client's hydration status.
The practical nurse (PN) is giving oral care to an older female client with tender gums that bleed easily
because of a medication she is taking. What intervention should the PN implement? A. Encourage the
client to massage the gums.
B. Tell the client to use mouthwash only.
C. Obtain a soft-bristle brush for the client.
D. Have the client rinse with warm salt water. - ANSWERWER-C. A client with gum tenderness needs
good oral hygiene, so a soft-bristle brush should be used to minimize gingival bleeding. Massaging the
gums (A) may contribute to gingival bleeding. The use of a commercial mouthwash only (B) omits
good oral hygiene practices, such as brushing.
Which time frame should the practical nurse (PN) reposition a client? A.
Every 4 hours while awake.
B. Twice per shift.
C. Every 2 hours.
D. With each client request. - ANSWERWER-C. Skin changes due to circulatory impairment begin
developing when the skin is compressed for 2 hours or more. A client should be reposition every two
hours around the clock. (A and B) provide prolonged pressure that begins tissue necrosis. Although
more frequent positions changes are necessary for some clients (D), the maximum time for a client
should remain in one position is 2 hours.
An older male client tells the practical nurse (PN) that his religion does not permit him to bathe daily.
How should the PN respond?
A. State that the healthcare provider has prescribed a bath today.
B. Offer the client several choices of times to bathe during the day.
C. Review the importance of hygienic measures for improved health.
D. Request that the client clarify his religious beliefs about bathing. - ANSWERWER-D. A client's
religious and cultural preferences should be considered when providing basic hygiene. (A and C)
provide valid rationale for daily hygiene, but the client's religious beliefs should be considered in the
