PPL HESI Practice Questions Complete
With 100% Correct Answers
\Q\.Which task should the nurse delegate to the experienced unlicensed assistive personnel
(UAP)?
a. Evaluate the ability of a client to swallow ice one hour after a gastroscopy.
b. Assist a client with initial ambulation after a hip replacement using a walker.
c. Obtain a sterile urine specimen from an indwelling catheter with a closed drainage system.
d. Change the disposable tracheostomy inner cannula when secretions become tenacious. -
ANSWER-✔c
Rationale: Functions of assessment, evaluation, and nursing judgment are performed by the
registered nurse (RN). The collection of sterile urine specimens falls within the role of the UAP.
\Q\.Four clients arrive at the mental health unit for admission at the same time. Which client
should the nurse assess first?
a. An older adult with Alzheimer's disease who is confused.
b. A young adult with phobias that interfere with daily activities.
c. An adult with schizophrenia who stopped taking medications.
d. A middle-aged adult with acute mania who is pacing the hallway. - ANSWER-✔d
Rationale: The nurse should first assess the client with symptoms of mania and hyperactivity
because if the client's judgment is extremely poor, there is a potential for risk of injury to self
and others, and the client may need constant observation. The other clients can be monitored
by another staff member until the nurse can complete the assignments.
,\Q\.According to Gardner's Leadership model, which nursing role is most involved in
representing the nursing unit service and the organization to staff, other departments,
professional disciplines, and the community?
a. Nurse manager.
b. Unit staff nurse.
c. Nurse executive.
d. Nurse researcher. - ANSWER-✔a
Rationale: The nurse manager's role is most involved in representing the nursing unit service
and the organization to staff, other departments, professional disciplines, and the community,
according to Gardner's Leadership model. Unit staff nurses represent the nursing profession and
the organization to clients and their families, and nurse executives represent the organization
more generally to internal and external constituents.
\Q\.Female client signed a living will document two years ago that requested no heroic
measures be taken on her behalf. Today she is admitted 6 hours after the onset of left
hemiplegia, left-sided neglect, and hemianopsia. When the neurologist asks the client if she
wants to be ventilated, she responds, "If it will help." The daughter asks the nurse what the
family should do because the ventilator places her frail mother at risk for other complications
and is contrary to her mother's original request, which was executed when she was healthy.
What information is best for the nurse to provide?
a. Client's original request based on the signed living will for no heroic measures should be
followed.
b. Family should be guided to support the client's current decision.
c. Client's cognitive ability should be evaluated before the use of a ventilator is needed.
d. Family should discuss alternative treatment options with the HCP. - ANSWER-✔b
Rationale: The client's verbalization to accept the ventilator or other treatment should be
honored because it is sufficient validation to revoke the client's living will. If the client is
cognizant and can make their own decisions, then the living will stands. If the client becomes
, unable to make their own decisions, then the family knows what course the client wishes to
take.
\Q\.The nurse is caring for a client with rhabdomyolysis after sustaining multiple crushing
injuries. Which intervention should the nurse include in the plan of care to prevent acute renal
failure?
a. Central venous catheter insertion for hydration.
b. Blood specimen collection for electrolyte analysis.
c. Antiinflammatory and opioid analgesics for pain.
d. Diuretic IV administration for third-spacing fluids. - ANSWER-✔a
Rationale: Crushing injuries release myoglobin (rhabdomyolysis) into the circulation, which can
occlude distal renal tubules and cause acute tubular necrosis (ATN) or renal failure. To prevent
renal complications, the nurse should prepare the client for the administration of copious IV
fluids after CVC insertion to enhance urinary secretion of myoglobin and iron byproducts.
\Q\.On the second postoperative day, a client is pulseless, apneic, and unresponsive. In what
order should the nurse implement these nursing actions? (Arrange from first on top to last on
the bottom.)
Delegate emergency responsibilities.
Call for assistance.
Initiate chest compressions.
Ventilate the client. - ANSWER-✔1. Call for assistance.
2. Initiate chest compressions.
3. Ventilate the client.
4. Delegate emergency responsibilities.
Rationale: Call for assistance, then based on the recommendations of the American Heart
Association (AHA), high-quality chest compressions should be the first action in CPR. The
With 100% Correct Answers
\Q\.Which task should the nurse delegate to the experienced unlicensed assistive personnel
(UAP)?
a. Evaluate the ability of a client to swallow ice one hour after a gastroscopy.
b. Assist a client with initial ambulation after a hip replacement using a walker.
c. Obtain a sterile urine specimen from an indwelling catheter with a closed drainage system.
d. Change the disposable tracheostomy inner cannula when secretions become tenacious. -
ANSWER-✔c
Rationale: Functions of assessment, evaluation, and nursing judgment are performed by the
registered nurse (RN). The collection of sterile urine specimens falls within the role of the UAP.
\Q\.Four clients arrive at the mental health unit for admission at the same time. Which client
should the nurse assess first?
a. An older adult with Alzheimer's disease who is confused.
b. A young adult with phobias that interfere with daily activities.
c. An adult with schizophrenia who stopped taking medications.
d. A middle-aged adult with acute mania who is pacing the hallway. - ANSWER-✔d
Rationale: The nurse should first assess the client with symptoms of mania and hyperactivity
because if the client's judgment is extremely poor, there is a potential for risk of injury to self
and others, and the client may need constant observation. The other clients can be monitored
by another staff member until the nurse can complete the assignments.
,\Q\.According to Gardner's Leadership model, which nursing role is most involved in
representing the nursing unit service and the organization to staff, other departments,
professional disciplines, and the community?
a. Nurse manager.
b. Unit staff nurse.
c. Nurse executive.
d. Nurse researcher. - ANSWER-✔a
Rationale: The nurse manager's role is most involved in representing the nursing unit service
and the organization to staff, other departments, professional disciplines, and the community,
according to Gardner's Leadership model. Unit staff nurses represent the nursing profession and
the organization to clients and their families, and nurse executives represent the organization
more generally to internal and external constituents.
\Q\.Female client signed a living will document two years ago that requested no heroic
measures be taken on her behalf. Today she is admitted 6 hours after the onset of left
hemiplegia, left-sided neglect, and hemianopsia. When the neurologist asks the client if she
wants to be ventilated, she responds, "If it will help." The daughter asks the nurse what the
family should do because the ventilator places her frail mother at risk for other complications
and is contrary to her mother's original request, which was executed when she was healthy.
What information is best for the nurse to provide?
a. Client's original request based on the signed living will for no heroic measures should be
followed.
b. Family should be guided to support the client's current decision.
c. Client's cognitive ability should be evaluated before the use of a ventilator is needed.
d. Family should discuss alternative treatment options with the HCP. - ANSWER-✔b
Rationale: The client's verbalization to accept the ventilator or other treatment should be
honored because it is sufficient validation to revoke the client's living will. If the client is
cognizant and can make their own decisions, then the living will stands. If the client becomes
, unable to make their own decisions, then the family knows what course the client wishes to
take.
\Q\.The nurse is caring for a client with rhabdomyolysis after sustaining multiple crushing
injuries. Which intervention should the nurse include in the plan of care to prevent acute renal
failure?
a. Central venous catheter insertion for hydration.
b. Blood specimen collection for electrolyte analysis.
c. Antiinflammatory and opioid analgesics for pain.
d. Diuretic IV administration for third-spacing fluids. - ANSWER-✔a
Rationale: Crushing injuries release myoglobin (rhabdomyolysis) into the circulation, which can
occlude distal renal tubules and cause acute tubular necrosis (ATN) or renal failure. To prevent
renal complications, the nurse should prepare the client for the administration of copious IV
fluids after CVC insertion to enhance urinary secretion of myoglobin and iron byproducts.
\Q\.On the second postoperative day, a client is pulseless, apneic, and unresponsive. In what
order should the nurse implement these nursing actions? (Arrange from first on top to last on
the bottom.)
Delegate emergency responsibilities.
Call for assistance.
Initiate chest compressions.
Ventilate the client. - ANSWER-✔1. Call for assistance.
2. Initiate chest compressions.
3. Ventilate the client.
4. Delegate emergency responsibilities.
Rationale: Call for assistance, then based on the recommendations of the American Heart
Association (AHA), high-quality chest compressions should be the first action in CPR. The
