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

1.

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.

  • Admitting diagnosis.​
  • Nursing home care plan.​
  • Residency status.​
  • Current code status.​
  • Insurance coverage.

Explanation

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.
2.

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

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.
3.

During lunch in the cafeteria, an unlicensed assistive personnel (UAP) says to a practical nurse (PN), "A client told me that she was abused as a child and now her husband hits her." How should the PN respond to the UAP?

  • "Stop talking right now. This is not the proper place to discuss this client's situation."​
  • "Tell me how you responded to these comments, but don't use the client's name."​
  • "She needs to report her husband's abuse and let the authorities handle the situation."​
  • "Confidentiality is an important factor in client care; we need to discuss this privately."

Explanation

Explanation
The PN should emphasize the importance of confidentiality and ensure that discussions regarding sensitive client information occur in private settings. Discussing such matters in public areas like the cafeteria breaches the client's confidentiality and professional ethics. The PN should redirect the conversation and make it clear that these discussions should be held in a confidential and appropriate setting to maintain trust and respect for the client’s privacy.
4.

To reduce a client's risk for footdrop, which action should the practical nurse (PN) implement?

  • Apply compression stockings.​
  • Begin range of motion exercises.
  • Use a gait belt during ambulation.​
  • Elevate the feet while in bed.

Explanation

Explanation
Footdrop, a condition where the foot cannot be lifted properly due to weakness or paralysis, is often caused by prolonged immobility. Range of motion exercises help to maintain flexibility and strength in the lower limbs, which can reduce the risk of footdrop. These exercises help prevent contractures and improve circulation, which is essential for maintaining proper muscle function.
5.

When caring for a client with a colostomy, which topical skin preparation should the practical nurse (PN) apply around the stoma?

  • Cornstarch​
  • Antiseptic cream​
  • Stoma adhesive product​
  • Petroleum jelly

Explanation

Explanation
A stoma adhesive product is specifically designed to protect the skin around the stoma and help the ostomy appliance adhere properly. It forms a barrier between the skin and the output from the colostomy, preventing irritation and leakage. These products are often used to create a secure seal around the stoma, ensuring proper function and comfort for the client.
6.

A hospitalized client had difficulty falling asleep the last two nights and is becoming irritable and restless. Which action by the practical nurse (PN) is best?

  • Encourage the client to avoid pain medication during the day, which may increase daytime napping.​
  • Instruct the unlicensed assistive personnel (UAP) not to wake the client under any circumstances during the night.​
  • Determine the client's usual bedtime routine and include rituals in the plan of care as safety allows.​
  • Place a "Do Not Disturb" sign on the door and change assessments from every 4 hours to every 8 hours.

Explanation

Explanation
Determining the client's usual bedtime routine and incorporating familiar rituals into the plan of care is the best approach to improving sleep quality. Sleep is often influenced by familiarity and routine, and maintaining or reintroducing these rituals can help promote a sense of security and comfort. This action is focused on addressing the root cause of the client's difficulty sleeping and supports their psychological and emotional well-being, which is vital for recovery.
7.

The practical nurse (PN) is administering an analgesic to a client with low back pain. To promote the effectiveness of the medication, which is the best intervention for the PN to implement?

  • Reposition the client with proper alignment and massage the lower back.​
  • Encourage the client to take deep breaths and to ambulate frequently.​
  • Assist the client to perform active range of motion and back exercises.​
  • Force fluids and progress diet to include milk products.

Explanation

Explanation
To promote the effectiveness of the analgesic, proper positioning and alignment are key. Repositioning the client with proper alignment can help relieve pressure on the back, reduce discomfort, and support the healing process. Additionally, gentle massage of the lower back can improve circulation, reduce muscle tension, and enhance the pain relief provided by the medication.
8.

The practical nurse (PN) plans to complete a focused assessment of a client's pain. Which action by the PN obtains data from a primary source?

  • Ask the spouse to describe the client's behaviors associated with pain.​
  • Use a numeric pain scale for the client to rate the pain.​
  • Check the medication record for the frequency of analgesic administration.​
  • Read the nurse's notes for documentation of the pain.

Explanation

Explanation
A primary source of data refers to information directly obtained from the client, the person experiencing the pain. Using a numeric pain scale allows the client to rate their own pain, providing the most accurate and direct data regarding their pain level. This approach gives the PN firsthand information about the client’s pain experience.
9.

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

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.
10.

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:​

  • Copious amounts of rust-colored bile.​
  • One half container of purulent bloody pus.​
  • Large amount of productive orange fluid.​
  • 400 mL serosanguineous tenacious drainage.

Explanation

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.

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