HESI PN106 Fundamentals 44047 Fall 2025
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Free HESI PN106 Fundamentals 44047 Fall 2025 Questions
Which is/are the legal implication(s) of federally initiated healthcare acts on practical nursing (PN) practice? Select all that apply.
- A. Guides and defines legal boundaries of nursing practice.
- B. Failure to follow guidelines results in automatic loss of nursing license.
- C. Encourages nurses to keep up with current standards.
- D. Requires nurses to obtain malpractice insurance.
- E. Ignorance of the health acts is not permissible.
Explanation
Correct Answer Is:
A. Guides and defines legal boundaries of nursing practice. C. Encourages nurses to keep up with current standards. E. Ignorance of the health acts is not permissible.
A. Guides and defines legal boundaries of nursing practice. Federally initiated healthcare acts establish the framework and guidelines for nursing practice. They define what is legally within the scope of practice for nurses, ensuring that they operate within the legal boundaries set forth by federal regulations.
C. Encourages nurses to keep up with current standards. Healthcare acts encourage nurses to stay updated with current standards of care and practices. These acts are designed to improve the quality of healthcare and ensure nurses are adhering to the best practices and guidelines set by federal authorities.
E. Ignorance of the health acts is not permissible. Nurses are held accountable for knowing and adhering to federal healthcare regulations. Ignorance of healthcare acts is not a valid defense, and failure to comply can result in legal consequences, including disciplinary actions against the nurse’s license.
An older Muslim woman with left hemiplegia caused by a stroke, is admitted to a long-term care facility. Which staff member should the practical nurse (PN) assign to care for this client?
- A. A middle-aged woman who speaks with an accent.
- B. A female student nurse who has back problems.
- C. An older male who has difficulty hearing female voices.
- D. A young male who avoids direct eye contact.
Explanation
In this scenario, cultural sensitivity is important. Muslim women often prefer care from female staff due to cultural and religious beliefs regarding modesty and gender roles. A middle-aged woman who speaks with an accent may still be the most appropriate choice, as long as she is capable of providing competent care. The accent should not be a barrier to care, and the key consideration here is the woman's gender, which aligns with the client's preferences.
A male client who was treated for a draining, infected wound and placed on contact precautions while hospitalized is being discharged to his home where he lives with his wife and adolescent son. Which information should the practical nurse (PN) reinforce with the family?
- A. Use paper plates and disposable utensils for the client's meals and snacks.
- B. Require family members and visitors to wear a mask and gown when visiting the client.
- C. Have the client stay in a room separate from the family with the door closed.
- D. Place soiled dressings in a plastic bag that can be tightly secured for disposal.
Explanation
When a client is discharged after treatment for an infected wound, proper disposal of soiled dressings is essential to prevent the spread of infection. The PN should instruct the family to place soiled dressings in a plastic bag that can be tightly secured for disposal. This practice ensures that infectious material is contained and reduces the risk of transmission to others in the household. Proper disposal methods are part of standard infection control practices after contact precautions.
Which information should the practical nurse (PN) include in a report of a client being admitted to the rehabilitation unit from the nursing home? Select all that apply.
- A. Admitting diagnosis.
- B. Nursing home care plan.
- C. Residency status.
- D. Current code status.
- E. Insurance coverage.
Explanation
Correct Answer Is:
A. Admitting diagnosis. B. Nursing home care plan. D. Current code status.
A. Admitting diagnosis: The PN should include the admitting diagnosis in the report to ensure that the healthcare team is aware of the reason for the client's admission to the rehabilitation unit. This helps guide the care plan and ensures appropriate treatment.
B. Nursing home care plan: The nursing home care plan is important for providing continuity of care. Including this information helps the rehabilitation team understand the client’s prior care needs, ongoing goals, and any specific interventions that may be necessary.
D. Current code status: Current code status is essential information for the rehabilitation team to know. It indicates the client's wishes regarding resuscitation or life-saving measures in the event of a medical emergency, and ensures that care is aligned with the client’s preferences.
The practical nurse (PN) needs to crush oral medications so that a client can take them. When entering the client's room, the PN scans the client's identification bracelet and the electronic medication administration record (EMAR). Which should the PN do next?
- A. Record time of medication administration.
- B. Crush each medication in a plastic cup.
- C. Close the EMAR computer screen.
- D. Review the purpose of each medication.
Explanation
Before administering medications, it is important for the PN to review the purpose of each medication. This ensures that the PN understands why the medication is being given and that the correct drug is being administered for the right reason. This step also helps the nurse be aware of any potential contraindications or interactions with other medications, which is essential for patient safety.
The practical nurse (PN) observes an unlicensed assistive personnel (UAP) who is preparing to measure a client's blood pressure as seen in the picture. Which action should the PN take?
- A Assign the UAP to another task and measure the client's BP.
- B Confirm that the UAP is ready to position the stethoscope.
- C Advise the UAP to reposition the BP cuff correctly.
- D Demonstrate correct palpation of the brachial pulse.
Explanation
To obtain an accurate blood pressure reading, the cuff must be placed at the correct location on the arm, typically around the upper arm, at the level of the heart. If the cuff is not positioned properly, it can lead to incorrect readings. It’s important for the PN to guide the UAP in repositioning the cuff correctly for accurate measurement.
The practical nurse (PN) is providing care for a client with a history of a stroke and who has aphasia. The client is exhibiting restlessness, shallow respirations, and clenching teeth. Which problem should the PN assess further?
- A. Elevated blood pressure
- B. Change in blood glucose level
- C. Alteration in comfort
- D. Deficit in diversional activity
Explanation
Restlessness, shallow respirations, and clenching teeth in a client with a history of stroke and aphasia are strong indicators of pain or discomfort, which may not be easily communicated due to the client's aphasia. Stroke patients with aphasia often show nonverbal signs of distress, such as clenching teeth or restlessness, which may be mistaken for other issues. The PN should assess further to identify and manage any potential sources of discomfort or pain, as this is the most likely issue based on the symptoms presented.
The practical nurse (PN) is caring for a client with obstructive sleep apnea (OSA). The PN should recognize the client is at greater risk for the development of which complication?
- A. Peptic ulcer disease.
- B. Hypertension.
- C. Fibromyalgia.
- D. Hypothyroidism.
Explanation
Obstructive sleep apnea (OSA) increases the risk of developing hypertension due to the repeated episodes of airway obstruction, which lead to intermittent hypoxia and increased sympathetic nervous system activity. This causes a rise in blood pressure, particularly during sleep, and over time can contribute to the development of chronic hypertension. The risk is compounded by factors such as obesity and a lack of proper sleep, which are common in individuals with OSA.
The practical nurse (PN) is working in a surgical preoperative area and reviewing a signed consent form. The form reads "Amputation of the right lower leg," but the client's left leg is labeled for amputation. The client has already received the preoperative medication from the anesthesiologist. Which should be the PN's next action?
- A. Contact the healthcare provider to reschedule the surgery.
- B. Obtain verbal consent from the client's nearest relative or significant other.
- C. Transport the client to the surgery suite since medications were administered.
- D. Cross out the error and initial the form to ensure the correct surgery.
Explanation
The PN should immediately contact the healthcare provider to address the error on the consent form and ensure that the correct surgery is performed. Since the form incorrectly states "amputation of the right lower leg" while the left leg is labeled for amputation, this is a critical issue that must be resolved before proceeding. The healthcare provider should be informed, and the surgery should be rescheduled if necessary to ensure proper documentation and patient safety.
The practical nurse (PN) is performing integument-focused assessments for a group of clients. Which client should the PN recognize as being at greatest risk for delayed wound healing from a pressure-related ulcer?
- A. A client with dementia who has fecal incontinence.
- B. A client with multiple sclerosis who is malnourished.
- C. A client with heart failure who experiences urinary incontinence.
- D. A client who has hypertension and a cellulitis of the left leg.
Explanation
A client who is malnourished is at greater risk for delayed wound healing due to the lack of necessary nutrients required for tissue repair and immune function. Malnutrition impairs the body's ability to produce collagen and other key components essential for wound healing. In this case, the client with multiple sclerosis and malnutrition is more likely to experience delayed wound healing from a pressure-related ulcer due to insufficient nutritional support for cellular repair.
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