HESI PN Comprehensive Exam 3 Questions With Complete
Solutions
A 17-year-old male comes to the clinic for his pre-college
physical examination. During the interview, he tells the practical
nurse (PN) that although he has been actively engaged in sports,
music, and academics, he still does not know what he would like
to do after graduation. How should the PN respond?
A. Encourage him to speak with his parents about his confusion
about his future.
B. Recommend that he choose one area on which to focus so
that he begins to develop a firmer sense of identity.
C. Acknowledge the difficulty of this decision-making while
supporting his desire to continue to explore his options.
D. Suggest that he explore different part-time work options
while going to college. Correct Answer C. Acknowledge the
difficulty of this decision-making while supporting his desire to
continue to explore his options.
Erikson's stage of adolescent sense of identity is a development
milestone that often continues into early young adulthood when
career options in college are explored. Acknowledging the teen's
difficulty in deciding about his future offers support that his
search is a normal stage.
,A 9-year-old boy who had an emergency appendectomy during
the night awakens and starts to cry when he does not see his
parents at the bedside. He has an IV and a dressing covering the
operative site. What action should the practical nurse (PN)
implement?
A. Encourage the child to calm down because big boys do not
cry.
B. Locate his mother and ask her to stay at the bedside with her
son.
C. Ask the child to recall the surgical event and assess his pain
level.
D. Call the healthcare provider for a prescription for a different
analgesic. Correct Answer C. Ask the child to recall the
surgical event and assess his pain level.
A 9-year-old can use cognitive abilities to understand the nurse's
explanation which should help him focus and assess his
postoperative pain.
A client admitted with major depression is placed on suicide
precautions. While orienting the client to the unit, what activity
should the practical nurse (PN) implement?
A. Assign the same unlicensed assistive personnel for one on
one observations.
,B. Explain the purpose and implementation of suicide
precautions.
C. Discuss that visitors will be limited during the client's close
observation period.
D. Obtain the client's permission to search his personal items.
Correct Answer B. Explain the purpose and implementation of
suicide precautions.
A client on suicide precautions should be informed about the
purpose and parameters of suicidal precautions, which include
use of selected personal items under direct supervision, removal
of sharp objects, observation at frequent intervals, and restriction
to the unit.
A client has collapsed while getting out of bed, has no pulse, and
is not breathing. After calling for help and an automated external
defibrillator (AED), which action should the practical nurse
(PN) take?
A. Give two quick short breaths.
B. Palpate for a carotid pulse.
C. Defibrillate using the AED.
D. Begin cardiac compressions. Correct Answer D. Begin
cardiac compressions.
Basic Life Support (BLS) for a client who is unconscious and
not breathing should begin with cardiac compressions.
, A client is admitted with a tumor of the hypothalamus. Which
finding should the practical nurse (PN) report to the charge
nurse?
A. A pulse rate of 98 beats/min.
B. Respirations of 20 breaths/min.
C. An oral temperature of 101.8° F.
D. A blood pressure of 130/80 mm Hg. Correct Answer C. An
oral temperature of 101.8° F.
The hypothalamus controls body temperature, so variation in the
temperature should be reported to determine if the elevation is
related to infection or cerebral pathology.
A client is admitted with possible head trauma after a motor
vehicle collision. Which action should the practical nurse (PN)
implement?
A. Auscultate heart sounds.
B. Monitor client's weight.
C. Check for verbal and motor response.
D. Auscultate lung and abdominal sounds. Correct Answer C.
Check for verbal and motor response.
A client experiencing a traumatic closed head injury should be
monitored for signs of increased intracranial pressure (ICP). A
neurologic examination, such as the Glasgow Coma Scale, is
performed the detect early signs of ICP, as manifested by
changes in verbal and motor response.
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