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 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

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.
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.

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?

  • Elevated blood pressure​
  • Change in blood glucose level​
  • Alteration in comfort​
  • Deficit in diversional activity

Explanation

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.
4.

The practical nurse (PN) is implementing a nursing plan of care (POC) that requires daily weights. Which factor is most important for the PN to consider regarding daily weights?

  • The amount of food the client ate today.​
  • When the client was last weighed.
  • The amount of fluid the client drank today.​
  • When the client wants to be weighed.

Explanation

Explanation
When monitoring daily weights, consistency in the timing of the measurement is crucial. The PN should ensure that the client is weighed at the same time each day, ideally in the morning, after voiding, and before eating. This consistency helps to accurately assess any changes in the client's weight that could indicate fluid retention, dehydration, or other health concerns. Variations in the time or conditions of weighing can lead to inaccurate results, making it difficult to track changes effectively.
5.

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.
6.

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

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.
7.

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?

  • Contact the healthcare provider to reschedule the surgery.​
  • Obtain verbal consent from the client's nearest relative or significant other.​
  • Transport the client to the surgery suite since medications were administered.​
  • Cross out the error and initial the form to ensure the correct surgery.

Explanation

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.
8.

Patient Data History and Physical The client is 34-year-old male with a history of hypertension. He takes an angiotensin converting enzymes (ACE) inhibitor to manage. Nurses' Notes 1000 The client is here for his annual visit. He says that he has been eating a strict paleo diet for the past 8 months. His body mass index (BMI) was 32 kg/m2 last year, and it is now 29 kg/m2 (normal 18 to 24.9 kg/m2). He informs that he also is exercising at least 30 minutes 5 times per week. His blood pressure has decreased from 154/91 mm Hg at the last visit to 119/66 mm Hg 1030 Instructed on adjusting intake to include calcium rich, vitamin D foods in diel. Client reports he understands the need for these food as deficits can impact bone health. 1630 Client was called at home with abnormal laboratory results and new prescriptions. Says does not want to take supplements at this time but understands instruction given in the office on foods that have high levels of calcium and vitamin D. Healthcare provider (HCP) aware that client declines oral supplementation. Client will have follow-up laboratory blood tests in one month to evaluate adjusted Laboratory Results 1600 Laboratory Test Result Reference Range Calcium 7.7 mg/dL 9 to 10.5 mg/dL (1.9 mmol/L) (2.25 to 2.62 mmol/L) Vitamin D 16.5 pg/ml (39.6 pmol/L) 18 to 64 pg/mL (43.2 to 153.6 pmol/L) White blood cell (WBC) 8,000 uL (8 x 10/L) 5,000 to 10,000/pL (5 to 10 × 10°/L) Flow Sheet . Blood pressure 119/66 mm Hg Orders 1030 . WBC count · Calcium level · Vitamin D level 1600 . Calcium 500 mg twice a day PO, take with meals or one hour after · Vitamin D over the counter chewable, take per label Review of history and physical, flow sheet, prescriptions, laboratory results, and nurse's notes. Select the 2 findings that require immediate follow-up.

1600

   

Laboratory Test

Result

Reference Range

Calcium

7.7 mg/dL

9 to 10.5 mg/dL

 

(1.9 mmol/L)

(2.25 to 2.62

   

mmol/L)

Vitamin D

16.5 pg/ml

(39.6 pmol/L)

18 to 64 pg/mL

(43.2 to 153.6

   

pmol/L)

White blood

cell (WBC)

8,000 uL (8 x

10/L)

5,000 to 10,000/pL

(5 to 10 × 10°/L)

  • A Calcium level
  • B Exercise regime
  • C White blood cell (WBC) results
  • D Blood pressure
  • E Body mass index (BMI)
  • F Vitamin D level

Explanation

Explanation
Correct Answer Is:
A. Calcium level​ F. Vitamin D level
A. Calcium level​ The client's calcium level is 7.7 mg/dL, which is below the normal reference range (9 to 10.5 mg/dL). This is concerning because calcium plays a crucial role in bone health and muscle function. A low calcium level could lead to complications such as bone fragility or muscle spasms. Immediate follow-up is needed to address this deficiency.
F. Vitamin D level​ The client's vitamin D level is 16.5 pg/mL, which is also below the normal reference range (18 to 64 pg/mL). Vitamin D is essential for calcium absorption and bone health, and a deficiency can lead to bone demineralization and muscle weakness. The client's low vitamin D level should be followed up promptly to prevent further health complications.
9.

An unlicensed assistive personnel (UAP) is preparing to assist with the personal hygiene of a client receiving oxygen per nasal cannula. While reviewing client care with the UAP, which instruction related to the oxygen therapy should the practical nurse (PN) include?

  • Use a soft hairbrush and avoid chemical hair products.​
  • Restrict fluids to reduce risk for aspiration.​
  • Apply a gait belt before ambulation.​
  • Keep the oral cavity and mucous membranes moistened.

Explanation

Explanation
Clients receiving oxygen therapy via a nasal cannula are at risk for dryness of the oral cavity and mucous membranes. The PN should instruct the UAP to keep the oral cavity and mucous membranes moistened by encouraging the client to drink fluids or using a humidifier if indicated. This helps to alleviate discomfort and prevent complications such as dryness, irritation, or infections.
10.

A client is prescribed tobramycin 1.25 mg/kg IM to be administered every 12 hours for an ongoing bacterial infection. The client weighs 183 pounds. The vial is labeled "Tobramycin 0.2 g/mL." How many mL should the practical nurse (PN) administer for each dose? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

  • 4.2 mL​
  • 5.1 mL​
  • 3.0 mL​
  • 0.5 mL

Explanation

Explanation
To calculate the tobramycin dose and volume to administer:
1.​Convert weight to kg:​
183 lb ÷ 2.2 = 83.2 kg
2.​Calculate dose:​
1.25 mg/kg × 83.2 kg = 104 mg
3.​Concentration:​
Tobramycin 0.2 g/mL = 200 mg/mL
4.​Calculate mL to administer:​
Dose (104 mg) ÷ Concentration (200 mg/mL) = 0.52 mL
Rounded to nearest tenth: 0.5 mL
Final answer: 0.5 mL

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