Hesi PN Practice Exam and Questions With Complete
Solutions
2 days after an abdominal hysterectomy, an elderly client with
diabetes Mellitus Type II has a syncopal episode. Her vital signs
are within normal limites and her sugar is 325 mg/dL. what
intervention should the nurse implement first?
A. Give the client 4 ounces of orange juice
B. Administer next scheduled dose of metformin (Glucophage)
C. Cancel the clients dinner tray
D. Administer regular insulin per sliding scale Correct Answer
D. Administer regular insulin per sliding scale
36 hours after delivery, the nurse determines a client's fundus is
just above the umbilicus and displaced to the right of midline.
What action should the nurse take first?
A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
D. Assess the amount of lochia Correct Answer A. Palpate the
bladder for distention
4 hours after administration of 20U of regular insulin, the client
becomes shake and diaphoretic. What action should the nurse
take?
A. Encourage the client to excercise
B. Administer a PRN dose of 10U of regular insulin
C. Give the client crackers and milk
,D. Record the client's reaction on the diabetic flow sheet
Correct Answer C. Give the client crackers and milk
A 26 year-old primigravida who delivered a 7-pound male infant
26 hours ago tells the nurse that she is confused about when she
and her husband can return to having sexual intercourse. What
info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and
the lochial flow has stopped
B. They should wait to resume sexual activities until the fatigue
assorted with a new baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual
intercourse Correct Answer A. They can have intercourse when
the episiotomy is healed and the lochial flow has stopped
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9
weeks gestation. At one-house post dilation and curettage
(D&C) the nurse assess the vital signs and vaginal bleeding. The
client begins to cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possiblity of
abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding Correct
Answer C. Express sorrow for the client's grief and offer to sit
with her
,A 3 year-old admitted with fever of unknown origin (FUO) has
begun vomiting in the past half hour. The child's temperature is
101.80 F, and the last dose of antipyretic medication was given
5 hours ago. The child has prescriptions of acetaminophen
(Tylenol) 160 MG per 5 mL elixir or 160 mg suppositories PRN
fever or pain. What action should the nurse take at this time?
A. Make the child NPO and hold all medications untill the
vomiting has stopped
B. Give acetaminophen elixir to ensure the child's cooperation
with swallowing
C. Notify the healthcare provider that the child's fever has
become dangerously high
D. Use an acetaminophen suppository for the fever since the
child is vomiting Correct Answer A. Make the child NPO and
hold all medications untill the vomiting has stopped
A 3-week-old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to
implement to establish hydration in the immediate postoperative
period?
A. Diaper weights and urin specific gravity
B. Gastronomy feedings in supine position
C. Nipple feedings with glucose water
D. Gavage feedings with 15mL of formula Correct Answer C.
Nipple feedings with glucose water
A 6-month old male with Bronchiolitis is admitted to the
hospital. In monitoring the respiratory status of this child, which
, symptom indicates the nurse that he is experiencing Respiratory
Distress?
A. Respiratory of 62 breaths/minute
B. Abdominal breathing
C. A high-pitched cry
D. Dry flushed skin Correct Answer C. A high-pitched cry
A 60 year-old client with cancer of the liver is in Hepatic Coma
and unresponsive. What should the nurse say to family members
who are inquiring about the condition of their loved one?
A. "Your loved one's condition is very critical, and there has
been no response in the last 24 hours"
B. "The nurses have not been able to arouse the client and the
healthcare provider knows the outcome."
C. "You need to discuss the condition with the charge nurse in a
family conference."
D. "The client's condition is extremely critical. Has your family
made funeral arrangements?" Correct Answer A. "Your loved
one's condition is very critical, and there has been no response in
the last 24 hours"
A 67-year-old woman who lives alone tripped on a rug in her
home and fractured her right hip. The nurse knows that which
predisposing factor contributes to the occurrence of hip fractures
among elderly women.
A. Urinary retention resulting in renal calculi formation
B. Failing eyesight resulting in an unsafe environment
C. Osteoporosis resulting from hormonal changes
Solutions
2 days after an abdominal hysterectomy, an elderly client with
diabetes Mellitus Type II has a syncopal episode. Her vital signs
are within normal limites and her sugar is 325 mg/dL. what
intervention should the nurse implement first?
A. Give the client 4 ounces of orange juice
B. Administer next scheduled dose of metformin (Glucophage)
C. Cancel the clients dinner tray
D. Administer regular insulin per sliding scale Correct Answer
D. Administer regular insulin per sliding scale
36 hours after delivery, the nurse determines a client's fundus is
just above the umbilicus and displaced to the right of midline.
What action should the nurse take first?
A. Palpate the bladder for distention
B. Ask the client when her last bowel movement occurred
C. Catheterize the client and record the amount
D. Assess the amount of lochia Correct Answer A. Palpate the
bladder for distention
4 hours after administration of 20U of regular insulin, the client
becomes shake and diaphoretic. What action should the nurse
take?
A. Encourage the client to excercise
B. Administer a PRN dose of 10U of regular insulin
C. Give the client crackers and milk
,D. Record the client's reaction on the diabetic flow sheet
Correct Answer C. Give the client crackers and milk
A 26 year-old primigravida who delivered a 7-pound male infant
26 hours ago tells the nurse that she is confused about when she
and her husband can return to having sexual intercourse. What
info should the nurse reinforce with this client?
A. They can have intercourse when the episiotomy is healed and
the lochial flow has stopped
B. They should wait to resume sexual activities until the fatigue
assorted with a new baby has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is best to wait until both parties feel up to having sexual
intercourse Correct Answer A. They can have intercourse when
the episiotomy is healed and the lochial flow has stopped
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9
weeks gestation. At one-house post dilation and curettage
(D&C) the nurse assess the vital signs and vaginal bleeding. The
client begins to cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possiblity of
abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding Correct
Answer C. Express sorrow for the client's grief and offer to sit
with her
,A 3 year-old admitted with fever of unknown origin (FUO) has
begun vomiting in the past half hour. The child's temperature is
101.80 F, and the last dose of antipyretic medication was given
5 hours ago. The child has prescriptions of acetaminophen
(Tylenol) 160 MG per 5 mL elixir or 160 mg suppositories PRN
fever or pain. What action should the nurse take at this time?
A. Make the child NPO and hold all medications untill the
vomiting has stopped
B. Give acetaminophen elixir to ensure the child's cooperation
with swallowing
C. Notify the healthcare provider that the child's fever has
become dangerously high
D. Use an acetaminophen suppository for the fever since the
child is vomiting Correct Answer A. Make the child NPO and
hold all medications untill the vomiting has stopped
A 3-week-old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to
implement to establish hydration in the immediate postoperative
period?
A. Diaper weights and urin specific gravity
B. Gastronomy feedings in supine position
C. Nipple feedings with glucose water
D. Gavage feedings with 15mL of formula Correct Answer C.
Nipple feedings with glucose water
A 6-month old male with Bronchiolitis is admitted to the
hospital. In monitoring the respiratory status of this child, which
, symptom indicates the nurse that he is experiencing Respiratory
Distress?
A. Respiratory of 62 breaths/minute
B. Abdominal breathing
C. A high-pitched cry
D. Dry flushed skin Correct Answer C. A high-pitched cry
A 60 year-old client with cancer of the liver is in Hepatic Coma
and unresponsive. What should the nurse say to family members
who are inquiring about the condition of their loved one?
A. "Your loved one's condition is very critical, and there has
been no response in the last 24 hours"
B. "The nurses have not been able to arouse the client and the
healthcare provider knows the outcome."
C. "You need to discuss the condition with the charge nurse in a
family conference."
D. "The client's condition is extremely critical. Has your family
made funeral arrangements?" Correct Answer A. "Your loved
one's condition is very critical, and there has been no response in
the last 24 hours"
A 67-year-old woman who lives alone tripped on a rug in her
home and fractured her right hip. The nurse knows that which
predisposing factor contributes to the occurrence of hip fractures
among elderly women.
A. Urinary retention resulting in renal calculi formation
B. Failing eyesight resulting in an unsafe environment
C. Osteoporosis resulting from hormonal changes
