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HESI LPN/PN FUNDAMENTALS ACTUAL
EXAM NEWEST 2024 ACTUAL EXAM 160
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
FUNDAMENTALS HESI LPN/PN
Which intervention should the practical nurse (PN) implement to
help a client cope effectively with chronic pain?
A. Administer around-the-clock opiate drugs.
B. Give scheduled doses of benzodiazepines.
C. Recommend avoiding painful activities.
D. Encourage using relaxation techniques. - ANSWER- D.
Rationale; Relaxation techniques can be an effective long-term
strategy to help a client control tension, anxiety, and cope with
chronic pain. (A and B) are not useful for long term
management of chronic pain. (C) may not be feasible if
activities of daily living are painful.
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A young woman, who is the primary caregiver for her mother
who has Alzheimer's disease, tells the practical nurse (PN),
"Sometimes I hate my mother for living this long and my Dad
for dying and not caring for her." What response should the PN
offer?
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
D. Don't worry, at least you can talk about your angry. -
ANSWER- A.
Rationale; a response that invites the client to share feelings and
perceptions is the most therapeutic communication (B and C) do
not provide the client the options to freely share her distress
During insertion of a nasogastric tube (NGT) into the right
nares, the client starts to cough. Which action should the
practical nurse (PN) implement?
A. Notify the healthcare provider and report the inability to
insert the NGT.
B. Flush the nasogastric tube with 30 ml of tap water to check
for patency.
C. Withdraw the NGT to the oral pharynx, reposition client's
head and reinsert.
D. Continue inserting the NGT because coughing is an expected
response. - ANSWER- C.
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Rationale; Difficulty entering the esophagus during insertion of
a NGT may cause the client to cough if the tube enters the
larynx, which requires stopping the insertion of the NGT. To
reintroduce the NGT, it should be withdrawn until its tip is
visualized in the oral pharynx, and the client's head repositioned
with the chin closer to the chest to prevent the NGT from
entering the trachea
A client is receiving a continuous tube feeding. While checking
the gastric residual volume, the practical nurse (PN) aspirates
150 ml of gastric contents. What action should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric
contents away and restart the feeding.
B. Replace half of the aspirated gastric contents and slow the
rate of the feeding.
C. Throw the aspirated gastric contents away and stop the
continuous feeding.
D. Return all the aspirated contents to the stomach followed
with water and consult the agency policy. - ANSWER- D.
Rationale; The residual volume should be replaced in order to
prevent loss of electrolytes, and the agency policy should be
followed to determine the routine actions regarding the volume
of the next feeding, the rate of the feeding, or the duration to
withhold the continuous feeding. Throwing the aspirate away or
only replacing a portion places the client at risk for electrolyte
imbalance
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The practical nurse (PN) is assisting a client plan a balanced
vegetarian diet that provides the highest in protein quality.
Which selection should the PN recommend to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds. - ANSWER- A.
Rationale; Soybeans are the highest in protein quality and
contain the most nutritive value. (B and D) are sources of
protein but provide less nutritive value. Although whole wheat
(C), a complex carbohydrate, it is not as a protein source
The practical nurse (PN) is caring for a client who is admitted
with influenza and vomiting for 3 days. The client's skin turgor
is poor and oral mucous membranes are dry. Which finding is
most important for the practical nurse (PN) to report to the
charge nurse?
A. Weight loss of 4 pounds in last 3 days.
B. Hypotension and tachycardia.
C. Nausea and anorexia.
D. Dark amber urine output at 30 ml/hour. - ANSWER- B.
Rationale; The client's fluid loss from protracted vomiting
causes a shift in intravascular fluids causing dehydration,
HESI LPN/PN FUNDAMENTALS ACTUAL
EXAM NEWEST 2024 ACTUAL EXAM 160
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
FUNDAMENTALS HESI LPN/PN
Which intervention should the practical nurse (PN) implement to
help a client cope effectively with chronic pain?
A. Administer around-the-clock opiate drugs.
B. Give scheduled doses of benzodiazepines.
C. Recommend avoiding painful activities.
D. Encourage using relaxation techniques. - ANSWER- D.
Rationale; Relaxation techniques can be an effective long-term
strategy to help a client control tension, anxiety, and cope with
chronic pain. (A and B) are not useful for long term
management of chronic pain. (C) may not be feasible if
activities of daily living are painful.
,2|Page
A young woman, who is the primary caregiver for her mother
who has Alzheimer's disease, tells the practical nurse (PN),
"Sometimes I hate my mother for living this long and my Dad
for dying and not caring for her." What response should the PN
offer?
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
D. Don't worry, at least you can talk about your angry. -
ANSWER- A.
Rationale; a response that invites the client to share feelings and
perceptions is the most therapeutic communication (B and C) do
not provide the client the options to freely share her distress
During insertion of a nasogastric tube (NGT) into the right
nares, the client starts to cough. Which action should the
practical nurse (PN) implement?
A. Notify the healthcare provider and report the inability to
insert the NGT.
B. Flush the nasogastric tube with 30 ml of tap water to check
for patency.
C. Withdraw the NGT to the oral pharynx, reposition client's
head and reinsert.
D. Continue inserting the NGT because coughing is an expected
response. - ANSWER- C.
,3|Page
Rationale; Difficulty entering the esophagus during insertion of
a NGT may cause the client to cough if the tube enters the
larynx, which requires stopping the insertion of the NGT. To
reintroduce the NGT, it should be withdrawn until its tip is
visualized in the oral pharynx, and the client's head repositioned
with the chin closer to the chest to prevent the NGT from
entering the trachea
A client is receiving a continuous tube feeding. While checking
the gastric residual volume, the practical nurse (PN) aspirates
150 ml of gastric contents. What action should the PN take?
A. Rinse the feeding tube after throwing the aspirated gastric
contents away and restart the feeding.
B. Replace half of the aspirated gastric contents and slow the
rate of the feeding.
C. Throw the aspirated gastric contents away and stop the
continuous feeding.
D. Return all the aspirated contents to the stomach followed
with water and consult the agency policy. - ANSWER- D.
Rationale; The residual volume should be replaced in order to
prevent loss of electrolytes, and the agency policy should be
followed to determine the routine actions regarding the volume
of the next feeding, the rate of the feeding, or the duration to
withhold the continuous feeding. Throwing the aspirate away or
only replacing a portion places the client at risk for electrolyte
imbalance
, 4|Page
The practical nurse (PN) is assisting a client plan a balanced
vegetarian diet that provides the highest in protein quality.
Which selection should the PN recommend to the client?
A. Soybeans.
B. Peanuts.
C. Whole wheat.
D. Sesame seeds. - ANSWER- A.
Rationale; Soybeans are the highest in protein quality and
contain the most nutritive value. (B and D) are sources of
protein but provide less nutritive value. Although whole wheat
(C), a complex carbohydrate, it is not as a protein source
The practical nurse (PN) is caring for a client who is admitted
with influenza and vomiting for 3 days. The client's skin turgor
is poor and oral mucous membranes are dry. Which finding is
most important for the practical nurse (PN) to report to the
charge nurse?
A. Weight loss of 4 pounds in last 3 days.
B. Hypotension and tachycardia.
C. Nausea and anorexia.
D. Dark amber urine output at 30 ml/hour. - ANSWER- B.
Rationale; The client's fluid loss from protracted vomiting
causes a shift in intravascular fluids causing dehydration,
