HESI_foundations_exam
HESI Foundations Final Exam
1. The practical nurse (PN) is providing skin care to an older male client who has the tendency to stay on his left side in a lying position. Which bony prominence should the PN identify as the site most likely to develop alterations in sk...
hesi foundations final exam 1 the practical nurse pn is providing skin care to an older male client who has the tendency to stay on his left side in a lying position which
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HESI Foundations Final Exam
1. The practical nurse (PN) is providing skin care to an older male client who has the tendency to stay
on his left side in a lying position. Which bony prominence should the PN identify as the site most
likely to develop alterations in skin integrity?
A. Ilium. Correct
2. 2.ID: 14033298009
The practical nurse (PN) is preparing to give a complete bed bath to an unconscious client. After implementing
standard precautions before the procedure, what action should the PN implement next?
A. Wash each eye with a fresh area of a washcloth before washing the rest of the face. Correct
3. 3.ID: 14033297141
When providing perineal care for an uncircumcised male client, the practical nurse (PN) should implement
which action?
A. Retract the foreskin before cleansing the glans and replace the foreskin after
the procedure. Correct
4. 4.ID: 14033296493
The healthcare provider prescribes a vest restraint for an older male resident in a long-term facility who
frequently falls out of his wheelchair. Which action should the practical nurse (PN) implement?
A. Remove device every 2 hours and change client’s position. Correct
5. 5.ID: 14033298015
The healthcare provider prescribes wrist restraints for a client who is agitated and combative. Which action
should the practical nurse (PN) implement?
A. Check the client's skin color, warmth, and pulses distal to the restraining device. Correct
6. 6.ID: 14033297183
A client who is placed in wrist protective devices begins to complain of pain and swelling in one hand. The
practical nurse (PN) notes that both hands are cool and pale. What action should the PN implement?
A. Remove both devices and notify the healthcare provider. Correct
7. 7.ID: 14033298017
The practical nurse (PN) notifies the healthcare provider that a male client has become combative and needs a
protective device to prevent injury to self and others. Which principle should the PN use when selecting a
protective device?
A. A protective device provides the least amount of immobilization. Correct
8. 8.ID: 14033297199
The practical nurse (PN) hears an auscultatory gap in the Korotkoff sounds of an older client with
hypertension. What action should the practical nurse (PN) implement when obtaining the client's blood
pressure?
A. Continue to listen for the next Korotkoff sound until the cuff is deflated. Correct
9. 9.ID: 14033297197
The practical nurse (PN) obtains an irregular pulse rate of 102 beats/minute for a client with a history of
cardiac disease. Which action is most important for the PN to implement?
A. Listen to the apical rate for one full minute. Correct
10. 10.ID: 14033298031
For several days after her husband's death, a client who is admitted with acute depression repeats over and
over, "I should have made him go to the doctor when he said he didn't feel well." Which descriptor should the
practical nurse use to document the client's feelings?
, A. Guilt. Correct
11. 11.ID: 14033298001
Which client group is most likely to experience a therapeutic response from therapeutic touch?
A. Clients with headaches. Correct
12. 12.ID: 14033297111
An older client is receiving normal saline at 83 ml/hour per gravity. At the end-of-shift assessments, the
practical nurse (PN) calculates the client's intake and output and determines that the infusion delivered 500
ml in the last hour. Which action should the PN take first?
A. Auscultate the lungs for crackles. Correct
13. 13.ID: 14033297169
Which action should the practical nurse (PN) implement to minimize the risk of hypernatremia for an older
client?
A. Offer fluids on a set schedule throughout the day. Correct
14. 14.ID: 14033297119
A client's serum potassium level is 2.9 mEq/L. Which is the most important finding that the practical nurse
(PN) should report to the charge nurse?
A. Pulse rate weak and irregular. Correct
15. 15.ID: 14033298045
An unlicensed assistive personnel (UAP) tells the practical nurse (PN) that another nurse on the unit is acting
disrespectfully. What action should the PN implement?
A. Tell the UAP to share feelings with the nurse. Correct
16. 16.ID: 14033297107
The practical nurse (PN) is collecting data from clients' electronic medical records for the nurse manager's
quality assurance review about documentation of client pain relief. What information should the PN include as
the best measure of pain relief?
A. Client pain intensity documented 1 hour after analgesia. Correct
17. 17.ID: 14033298049
The practical nurse (PN) is preparing to reinforce information with a client who has chronic pain. Which
learning objective should the PN review?
A. Recalls two nonpharmacological interventions used to relieve pain. Correct
18. 18.ID: 14033298011
The practical nurse (PN) is calculating an 8-hour intake for a postoperative client. Based on the client's
bedside record, how many ml of intake should the PN enter in the client's electronic record? (Enter numeric
value only.) One cup of coffee One 8-ounce glass of iced tea One 6-ounce dish of flavored gelatin One-half
cup of chicken broth
Correct
Correct Responses
A. 780
2....19.ID: 14033297155
The family of a male client with terminal cancer decides to not tell the client about his prognosis. The client
has asked the practical nurse (PN) several times if he is dying. What action should the PN implement?
A. Discuss the client's frequent questions with family and healthcare provider. Correct
B....20.ID: 14033298007
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