PN HESI PEDS EXAM SET 2025 QUESTIONS AND ANSWERS
RATED A+
✔✔A health care provider prescribes cefadroxil (Duricef) for a client with a
postoperative infection. It is most important for the practical nurse (PN) to consider that
a cross allergy is possible with what drug allergy? - ✔✔Penicillins
✔✔A client is receiving the antipsychotic medication haloperidol (Haldol). In evaluating
the effectiveness of this medication, which action provides the practical nurse with the
most reliable information? - ✔✔Observe the client for changes in behavior weekly.
✔✔A client is receiving benztropine (Cogentin) and olanzapine (Seroquel) to control
psychotic behavior. When reinforcing teaching to the client and/or significant others
about these medications, what should the practical nurse (PN) explain about the use of
benztropine (Cogentin)? - ✔✔The benztropine (Cogentin) is used to control
extrapyramidal symptoms.
✔✔Which question should the practical nurse (PN) ask an older client before beginning
treatment with gentamicin sulfate (Garamycin)? - ✔✔Are you hard of hearing?"
✔✔Oral metronidazole (Flagyl) is prescribed for a client diagnosed with vaginal
trichomoniasis, a protozoan infection. What precautions should the practical nurse (PN)
instruct the client to follow while taking this medication? - ✔✔Avoid ingesting any
alcoholic (ethanol) beverage.
✔✔Which finding indicates that the desired effect of phenazopyridine (Pyridium), used
in the management of urinary tract infections (UTIs), has been achieved? - ✔✔Client
denies pain when voiding.
✔✔The practical nurse (PN) is evaluating a client in the immediate postoperative period
who is receiving morphine via a patient-controlled analgesia (PCA) pump. What finding
should the PN consider the highest priority in this client? - ✔✔The rate and depth of the
client's respirations
✔✔The nurse prepares to administer ophthalmic drops to a client before cataract
surgery. List the steps in the order they should be implemented from first step to final
step. - ✔✔Wash hands and apply clean gloves.
Place the dominant hand on the client's forehead.
Drop prescribed number of drops into the conjunctival sac.
Ask the client to close the eye gently.
✔✔Which change in data indicates to the practical nurse (PN) that the desired effect of
the angiotensin II receptor antagonist losartan (Cozaar) is achieved? - ✔✔Blood
pressure reduced from 160/90 to 130/80 mmm Hg
, ✔✔A client with angina pectoris is instructed to take sublingual nitroglycerin tablets PRN
for chest pain. Which information should the practical nurse (PN) reinforce with this
client? - ✔✔Take one tablet at the onset of angina and stop activity.
✔✔A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
Which observation by the practical nurse (PN) warrants immediate intervention? -
✔✔Apical heart rate of 60 beats/min
✔✔A 12-year-old boy is admitted from the emergency room with status epilepticus. His
parents report that his seizure disorder has been managed with phenytoin (Dilantin) 50
mg PO bid for the past year. What drug should the practical nurse (PN) expect to be
prescribed for administration in the event of another series of seizures? - ✔✔Diazepam
(Valium)
✔✔A nurse who is working in a men's health clinic is reviewing the medical records of
several clients who have received prescriptions for sildenafil (Viagra). Which client
history data should alert the nurse that close monitoring for adverse effects of Viagra is
necessary - ✔✔Duodenal ulcer prophylaxis with cimetidine (Tagamet)
✔✔A 78-year-old client with congestive heart failure is taking furosemide (Lasix) 40 mg
PO twice daily. The nurse plans to monitor this client for development of which
complication? Select all that apply. - ✔✔Muscle cramps
Hypertension
Lethagy
Oliguria
✔✔A client is prescribed a peak and trough level test for the antibiotic vancomycin
(Vancocin). What time should the specimen be collected to obtain the trough serum
drug concentration? - ✔✔Immediately before the next antibiotic dose is given
✔✔A client diagnosed with essential hypertension asks the practical nurse (PN), "What
type of decongestant should I take for this cold?" Which response is best for the PN to
provide? - ✔✔"Contact your health care provider before taking anything."
✔✔The nurse reviews medications at discharge with a client who suffers from severe
anxiety disorder. Which statement made by the client indicates an understanding of the
medication phenobarbital (Luminal)? - ✔✔"I will take it at 8 PM every evening."
✔✔A 75-year-old male client taking hydrochlorothiazide (HCTZ) is admitted to the
hospital having "palpitations" and "skipped heart beats." What is the most likely cause of
these symptoms given the client's medication history? - ✔✔Hypokalemia
RATED A+
✔✔A health care provider prescribes cefadroxil (Duricef) for a client with a
postoperative infection. It is most important for the practical nurse (PN) to consider that
a cross allergy is possible with what drug allergy? - ✔✔Penicillins
✔✔A client is receiving the antipsychotic medication haloperidol (Haldol). In evaluating
the effectiveness of this medication, which action provides the practical nurse with the
most reliable information? - ✔✔Observe the client for changes in behavior weekly.
✔✔A client is receiving benztropine (Cogentin) and olanzapine (Seroquel) to control
psychotic behavior. When reinforcing teaching to the client and/or significant others
about these medications, what should the practical nurse (PN) explain about the use of
benztropine (Cogentin)? - ✔✔The benztropine (Cogentin) is used to control
extrapyramidal symptoms.
✔✔Which question should the practical nurse (PN) ask an older client before beginning
treatment with gentamicin sulfate (Garamycin)? - ✔✔Are you hard of hearing?"
✔✔Oral metronidazole (Flagyl) is prescribed for a client diagnosed with vaginal
trichomoniasis, a protozoan infection. What precautions should the practical nurse (PN)
instruct the client to follow while taking this medication? - ✔✔Avoid ingesting any
alcoholic (ethanol) beverage.
✔✔Which finding indicates that the desired effect of phenazopyridine (Pyridium), used
in the management of urinary tract infections (UTIs), has been achieved? - ✔✔Client
denies pain when voiding.
✔✔The practical nurse (PN) is evaluating a client in the immediate postoperative period
who is receiving morphine via a patient-controlled analgesia (PCA) pump. What finding
should the PN consider the highest priority in this client? - ✔✔The rate and depth of the
client's respirations
✔✔The nurse prepares to administer ophthalmic drops to a client before cataract
surgery. List the steps in the order they should be implemented from first step to final
step. - ✔✔Wash hands and apply clean gloves.
Place the dominant hand on the client's forehead.
Drop prescribed number of drops into the conjunctival sac.
Ask the client to close the eye gently.
✔✔Which change in data indicates to the practical nurse (PN) that the desired effect of
the angiotensin II receptor antagonist losartan (Cozaar) is achieved? - ✔✔Blood
pressure reduced from 160/90 to 130/80 mmm Hg
, ✔✔A client with angina pectoris is instructed to take sublingual nitroglycerin tablets PRN
for chest pain. Which information should the practical nurse (PN) reinforce with this
client? - ✔✔Take one tablet at the onset of angina and stop activity.
✔✔A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
Which observation by the practical nurse (PN) warrants immediate intervention? -
✔✔Apical heart rate of 60 beats/min
✔✔A 12-year-old boy is admitted from the emergency room with status epilepticus. His
parents report that his seizure disorder has been managed with phenytoin (Dilantin) 50
mg PO bid for the past year. What drug should the practical nurse (PN) expect to be
prescribed for administration in the event of another series of seizures? - ✔✔Diazepam
(Valium)
✔✔A nurse who is working in a men's health clinic is reviewing the medical records of
several clients who have received prescriptions for sildenafil (Viagra). Which client
history data should alert the nurse that close monitoring for adverse effects of Viagra is
necessary - ✔✔Duodenal ulcer prophylaxis with cimetidine (Tagamet)
✔✔A 78-year-old client with congestive heart failure is taking furosemide (Lasix) 40 mg
PO twice daily. The nurse plans to monitor this client for development of which
complication? Select all that apply. - ✔✔Muscle cramps
Hypertension
Lethagy
Oliguria
✔✔A client is prescribed a peak and trough level test for the antibiotic vancomycin
(Vancocin). What time should the specimen be collected to obtain the trough serum
drug concentration? - ✔✔Immediately before the next antibiotic dose is given
✔✔A client diagnosed with essential hypertension asks the practical nurse (PN), "What
type of decongestant should I take for this cold?" Which response is best for the PN to
provide? - ✔✔"Contact your health care provider before taking anything."
✔✔The nurse reviews medications at discharge with a client who suffers from severe
anxiety disorder. Which statement made by the client indicates an understanding of the
medication phenobarbital (Luminal)? - ✔✔"I will take it at 8 PM every evening."
✔✔A 75-year-old male client taking hydrochlorothiazide (HCTZ) is admitted to the
hospital having "palpitations" and "skipped heart beats." What is the most likely cause of
these symptoms given the client's medication history? - ✔✔Hypokalemia
