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 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?
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Peptic ulcer disease.
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Hypertension.
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Fibromyalgia.
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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.
Which must a licensed practical nurse (PN) do when moving from one state to another? Select all that apply.
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Inactivate the current license before obtaining a new one.
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Retake and pass the NCLEX-PN to work in the new state.
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Seek permission from the new state board to work as a nurse.
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Review the nurse practice act and practice guidelines in the new state.
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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 caring for a client who is postoperative and receiving supplemental oxygen at 2 L/minute via nasal cannula. The oxygen saturation is 89%. Which action should the PN implement?
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Remove nasal cannula
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Increase the oxygen to 3 L/minute.
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Verify placement of pulse oximeter.
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Switch to a nonrebreather mask.
Explanation
An oxygen saturation level of 89% is below the normal range (usually 92-100%), indicating that the client may not be receiving enough oxygen. A nonrebreather mask can deliver higher concentrations of oxygen compared to a nasal cannula, providing immediate and more effective oxygenation for clients with low oxygen saturation. The PN should switch to a nonrebreather mask to help increase the oxygen levels and improve the client’s saturation.
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?
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Use paper plates and disposable utensils for the client's meals and snacks.
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Require family members and visitors to wear a mask and gown when visiting the client.
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Have the client stay in a room separate from the family with the door closed.
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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.
A client is admitted to the medical unit for gastrointestinal (GI) bleeding. A nasogastric tube (NGT) to low intermittent suction (LIS) is inserted, and two hours later a large amount of reddish-yellow, sticky liquid drainage is returned. Which computer documentation of the drainage should the practical nurse (PN) enter? Options:
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Copious amounts of rust-colored bile.
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One half container of purulent bloody pus.
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Large amount of productive orange fluid.
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400 mL serosanguineous tenacious drainage.
Explanation
In this scenario, the client is experiencing gastrointestinal (GI) bleeding, and the drainage returned from the nasogastric tube (NGT) is described as "reddish-yellow, sticky liquid." The term "serosanguineous" refers to drainage that is a mixture of serum (a clear yellowish fluid) and blood (reddish), which is consistent with the description of the fluid being reddish-yellow. The term "tenacious" refers to the sticky nature of the drainage, which further aligns with the description. Therefore, the documentation of "serosanguineous tenacious drainage" accurately reflects the characteristics of the returned drainage.
The practical nurse (PN) is performing an assessment with a client who is reporting a tingling sensation in the right lower extremity. Which assessment would not lend data for sensory nerve function?
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Position
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Reflex
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Vibration
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Touch
Explanation
Reflex testing primarily assesses the integrity of the motor pathways and the spinal cord, not sensory nerve function. Reflexes, such as the patellar or Achilles reflex, are used to evaluate the nervous system's response to stimuli, but they do not directly measure sensory input like vibration, touch, or position sense do.
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?
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Provide hard candy.
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Reduce the oxygen flow meter to 1.5 L/minute.
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Add sterile water to the oxygen humidification canister.
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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.
When making the bed of a client who needs a bed cradle, which action should the practical nurse (PN) include?
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Drape the top sheet and covers loosely over the bed cradle.
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Tell the client to call for help before getting out of bed.
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Keep both the upper and lower side rails in a raised position.
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Keep the bed in the lowest position while changing the sheets.
Explanation
When using a bed cradle, the top sheet and covers should be draped loosely over the cradle to prevent pressure on the client’s body. The bed cradle is used to keep the bedding from touching or putting pressure on areas of the body that may be injured, painful, or prone to skin breakdown. Loosely draping the bedding allows the client comfort while still providing the necessary protection.
The unlicensed assistive personnel (UAP) reports to the practical nurse (PN) that a resident of the long-term care facility being treated for bacterial conjunctivitis is reporting eye pain and photophobia. When passing by the client's room, the PN observes the UAP removing soiled gloves outside of the room. Which action should the PN take?
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Instruct how to clean and decontaminate the area.
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Clarify contact precautions guidelines with the UAP.
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Recommend using a non-alcohol foam for cleaning.
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Direct the UAP to dispose of personal protective equipment (PPE) in a red biohazard bag.
Explanation
The PN should clarify the contact precautions guidelines with the UAP. Bacterial conjunctivitis is a highly contagious condition, and it is essential for the UAP to follow proper infection control practices, including removing gloves and disposing of them inside the room. Ensuring the UAP understands the guidelines for contact precautions will help prevent the spread of infection within the facility and protect both staff and other residents.
The practical nurse (PN) is reviewing instructions about the use of postoperative analgesia with a client before surgery. The PN should remind the client to ask for pain medication at which time?
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As soon as the client begins to feel pain.
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When the client can no longer move comfortably.
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When the pain interferes with activities of daily living.
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Once the pain gets to a moderate level.
Explanation
The PN should remind the client to ask for pain medication once the pain reaches a moderate level. Managing pain early, before it becomes severe, helps to prevent it from becoming harder to control. Waiting until pain is at a moderate level allows for timely intervention and better pain management, preventing the pain from escalating and affecting recovery. It is important to address pain before it interferes with movement or daily activities.
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