HESI PN106 Fundamentals of Nursing 44047 Fall 2025 at Nightingale College
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Free HESI PN106 Fundamentals of Nursing 44047 Fall 2025 at Nightingale College Questions
The unlicensed assistive personnel (UAP) reports to the practical nurse (PN) that a resident of the long-term care facility being treated for a Streptococcus pneumoniae infection has been coughing and has a fever. When entering the room, the PN observes the UAP talking to the client with hands on the bed rail. Which action should the PN take?
- Discuss aseptic technique guidelines for client care
- Direct the UAP to dispose of personal protective equipment (PPE) in a red biohazard bag
- Recommend using a non-alcohol foam for cleaning
- Review droplet precautions with the UAP
Explanation
The PN should review droplet precautions with the UAP. Streptococcus pneumoniae is a respiratory infection that requires droplet precautions to prevent the spread of infection, especially when coughing and fever are present. The UAP may not be following proper infection control procedures, as evidenced by talking to the client while touching the bed rail, which could become contaminated. The PN should ensure that the UAP understands the appropriate precautions, including wearing masks and gloves, and avoiding touching surfaces that may be contaminated.
Which must a licensed practical nurse (PN) do when moving from one state to another? Select all that apply.
- Inactivate the current license before obtaining a new one.
- Retake and pass the NCLEX-PN to work in the new state.
- Seek permission from the new state board to work as a nurse.
- Review the nurse practice act and practice guidelines in the new state.
- Notify the previous state board of the change of address.
Explanation
Correct Answer Is:
C. Seek permission from the new state board to work as a nurse. D. Review the nurse practice act and practice guidelines in the new state. E. Notify the previous state board of the change of address.
C. Seek permission from the new state board to work as a nurse. When moving to a new state, the PN must apply for licensure in the new state before they can legally work as a nurse there. Each state has its own licensing requirements, and the PN must seek permission from the new state’s nursing board to practice.
D. Review the nurse practice act and practice guidelines in the new state. The PN should review the nurse practice act and practice guidelines in the new state. These laws may differ from state to state, and it is essential for the PN to understand the legal scope of practice, duties, and professional responsibilities within the new state to avoid any legal violations.
E. Notify the previous state board of the change of address. The PN must notify the previous state board of nursing about their change of address. This ensures that all correspondence, including licensure renewal notices and legal documents, are sent to the correct location. It also helps keep the PN's records up-to-date with the previous state.
The practical nurse (PN) is assisting an older client to ambulate to a chair. Which statement should the PN enter as computer documentation that describes the best evaluation of the client's response to the nursing intervention?
- Up in the room for 5 minutes. Call bell within reach. Respirations 22 breaths/minute.
- Assisted with ambulation. In chair for 20 minutes. Heart rate 70 beats/minute.
- Up to the chair. Tolerating well. Blood pressure 120/80 mm Hg.
- Ambulated to the chair. No concerns voiced. Temperature 98.2°F (36.7°C).
Explanation
The best evaluation of the client's response to the nursing intervention would include the completion of the task (ambulated to the chair), the client's tolerance (no concerns voiced), and any relevant vital signs, in this case, the temperature (which is within the normal range). This statement provides a comprehensive assessment of the client’s physical condition and response to the intervention.
The practical nurse (PN) observes the unlicensed assistive personnel (UAP) flushing contaminated gauze down the client's toilet. Which instruction should the PN give the UAP?
- Request a black bin in the client's room for contaminated waste disposal.
- Dispose of contaminated waste in the red receptacle in the client's room.
- Place the waste in clear bags and inform housekeeping to dispose.
- Double bag the waste with blue bags and place in the soiled utility.
Explanation
Contaminated waste, such as gauze, should never be flushed down the toilet, as it can cause blockages and is not disposed of safely. The PN should instruct the UAP to dispose of the contaminated gauze in the designated red receptacle for contaminated waste. Red receptacles are typically used for infectious waste, ensuring it is properly contained and disposed of according to healthcare safety standards.
The practical nurse (PN) is assessing a client who received a large volume of IV fluids over a short period of time. Which finding(s) should the PN expect this client to exhibit? Select all that apply.
- Complaints of thirst.
- Dependent edema.
- Moist lung sounds.
- Tachycardia.
- Inelastic skin turgor.
Explanation
Correct Answer Is:
B. Dependent edema. C. Moist lung sounds. D. Tachycardia.
B. Dependent edema: When a large volume of IV fluids is given quickly, the body may not have time to excrete the excess fluid, leading to edema. Dependent edema is commonly seen in the lower extremities and can occur due to fluid retention from the rapid infusion.
C. Moist lung sounds: Excess fluid in the body can lead to pulmonary congestion. The PN may hear moist or crackling lung sounds due to fluid accumulation in the lungs, indicating potential fluid overload or the beginning of pulmonary edema.
D. Tachycardia: In response to fluid overload, the heart may increase its rate to maintain adequate cardiac output. Tachycardia is a compensatory mechanism to try to maintain adequate perfusion despite the excess fluid volume.
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 client with dementia who has fecal incontinence.
- A client with multiple sclerosis who is malnourished.
- A client with heart failure who experiences urinary incontinence.
- 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.
Which is/are the legal implication(s) of federally initiated healthcare acts on practical nursing (PN) practice? Select all that apply.
- Guides and defines legal boundaries of nursing practice.
- Failure to follow guidelines results in automatic loss of nursing license.
- Encourages nurses to keep up with current standards.
- Requires nurses to obtain malpractice insurance.
- 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.
During a fecal impaction removal, an older adult client reports feeling dizzy and cold. Which intervention should the practical nurse (PN) implement?
- Instruct the unlicensed assistive personnel (UAP) to apply a warm blanket and massage the client's back.
- With the inserted, gloved finger, gently massage the rectal sphincter to facilitate relaxation.
- Encourage the client to take slow, deep breaths while continuing the procedure.
- Stop the procedure and observe for a reduction in symptoms before continuing.
Explanation
If the client reports feeling dizzy and cold during a fecal impaction removal, it is essential to stop the procedure immediately. These symptoms could indicate a vagal response, which can occur during rectal stimulation and may cause a drop in heart rate and blood pressure. Stopping the procedure allows the PN to observe the client's response and ensure that the client stabilizes before continuing. Monitoring and ensuring the client's safety are the priority at this time.
Which action should the practical nurse (PN) take while caring for a client who is experiencing spiritual distress?
- Determine the client's belief system.
- Take the client to the chapel.
- Call the agency chaplain for the client.
- Provide a variety of religious literature for the client.
Explanation
The first step in addressing spiritual distress is understanding the client's personal beliefs and needs. By determining the client's belief system, the PN can provide care that is sensitive and appropriate to the client’s spiritual needs. This helps guide further actions, whether it involves involving a chaplain or providing specific religious support.
A client is receiving oxygen per nasal cannula at 2.5 L/minute and reports dry mucous membranes. Which intervention should the practical nurse (PN) implement?
- Provide hard candy.
- Reduce the oxygen flow meter to 1.5 L/minute.
- Add sterile water to the oxygen humidification canister.
- Apply lip balm to lips.
Explanation
When a client is receiving oxygen therapy, particularly at higher flow rates (like 2.5 L/min), it can dry out the mucous membranes, leading to discomfort. The most effective intervention to address this is adding sterile water to the oxygen humidification canister. Humidification helps prevent dryness by adding moisture to the oxygen being delivered, thus alleviating dryness in the mucous membranes and improving comfort.
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