Download PN Exit Hesi Exam Questions | 100% Correct Answers | Verified | Latest 2025/2026 Version and more Exams Nursing in PDF only on Docsity!
PN Exit Hesi Exam Questions | 100%
Correct Answers | Verified | Latest 2025/
Version
Which client information is most important for the PN to consider when providing instructions to the unlicensed assistive personnel about providing morning care to a postoperative client? - CORRECT ANSWERS Urinary output of 50 mL/hour.
The PN is caring for a client with coronary artery disease who is admitted with intermittent chest pain. The admission laboratory results indicate elevations in troponin I and creatine phosphokinase myoglobin isoenzyme (CK-MB) levels. What should the PN consider the most significant risk for this client on the second day of admission? - CORRECT ANSWERS The lab results indicate myocardial damage, and the client is at risk for cardiac dysrhythmias
The practical nurse explains to a client how to obtain a sputum specimen and the client indicates understanding the procedure. After the PN leaves the room the client obtains the specimen and notifies the PN. When the PN arrives to collect the specimen it appears as seen in the picture. Which action should the PN take. - CORRECT ANSWERS The PN should teach the client to a client how to obtain a septum specimen and if the client does not correctly collect the specimen the PN should assist the client in obtaining another specimen coughed directly into a sterile cup
The practical nurse (PN) and unlicened assistive personal (UAP) are providing care for a client who exhibits signs of neglect syndrome following a stroke affecting the right hemisphare. Which action should the PN implement? - CORRECT ANSWERS Demonstrate to the UAP how to approach the client from the client's left side
The practical nurse (PN) ask an unlicensed assistive personnel (UAP) for feedback about an assigned client instead of responding, the UAP walks away from the PN, ignoring the question. What action is best for the PN? - CORRECT ANSWERS Approach the UAP to discuss the behavior and obtain the information needed about the client
While assisting the RN with the admission of a toddler, which intervention should the practical nurse (PN) implement to make the experience least stressful for the child? - CORRECT ANSWERS Do a complete head-to-toe exam in sequence
An older adult female is admitted with syncope and laboratory findings indicate that her hemoglobin is 8.0 grams/dl. She has a recent history of headaches and frequent falls. Admission prescription orders includes continuation of all home medication. Which medication should the practical nurse (PN) withhold until consulting with the charge nurse? - CORRECT ANSWERS Aspirin
The spouse of a hospitalized client asked the practical nurse PN for acetaminophen for tension headache. Which action should the PN take? - CORRECT ANSWERS Explain that medication can only be provided to clients.
Prior to administering pain medication to an adult postoperative client, what information should the practical nurse PN obtain? (Select all that apply) - CORRECT ANSWERS - Time of last administration of pain medication
- Client's pain rating on a scale of 1 to 10
- Effectiveness of last pain medication administered
The practical nurse (PN) notifies the health care provider about client information using the situation, background, assessment, recommendation SBAR technique. Which information should the PM provide first? - CORRECT ANSWERS Cholecystectomy 24 hours ago
The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the clients care? - CORRECT ANSWERS Implement ongoing assessments for signs of shallow or slow breathing.
The practical nurse peeing and ministers an anticonvulsant That causes photosensitivity. Which action should the PN take after administering the medication? - CORRECT ANSWERS Remind the client to protect skin from sunlight
ANSWERS Tell the client that the PN will verify that the dispense medication is the valid prescription
The Glasgow coma scale is being used to monitor a client who experience a traumatic brain injury. What primary assessment should the practical nurse PN evaluate? - CORRECT ANSWERS Level of consciousness
The practical nurse (PN) preparing to assist an elderly client to the bathroom. The PN knows that an elderly adult's center or gravity changes from the hips to another area of the body. And planning to safely assist this client the PN knows that the center of gravity for the elderly client is in which area of the body? - CORRECT ANSWERS Upper torso
The practical nurse pin is assigned to care for a client who had in endoscopic procedure in which a local anesthetic was sprayed on the throat. Which priority actions should the PN include in this client's plan of care? - CORRECT ANSWERS Assess the gag reflux
The practical nurse (PN) assesses a child in 90-90 skeletal traction. It is most important for the PN to assess for signs of information at what location? - CORRECT ANSWERS Toe
At the beginning of the shift, in which order of priority should the practical nurse PN assess these four clients? - CORRECT ANSWERS 1. An older adult with dizziness who's O2 saturation is 86%
- An adult woman with vomiting whose potassium is 2.8 mEq/L
- A young adult with a history of asthma who's arterial pH is 7.
- An adult client with an ulcer whose hemoglobin is 9.5 grams/dL
Which food provides the best source of vitamin B12? - CORRECT ANSWERS Hamburger
The practical nurse (PN) is planning evening shift rounds for a group of postoperative clients who all had surgery earlier that day. Which client should the PN check first? - CORRECT ANSWERS A preschooler who had an emergency appendectomy for appendicitis
Which finding for a client with an arteriovenous Fistula (AV fistula) should the practical nurse PN report to the healthcare provider? - CORRECT ANSWERS Radio pulse distal to AVF is absent and ulnar pulse is presentB. bruising at the AVF site is purple and green in color
The practical nurse PN is auscultating a client's lung sounds. Which description should the PN use to document this sound? - CORRECT ANSWERS Fine crackles
The practical nurse peer views the midline episiotomy of a client whose reports pain in her stitches. Which action should the PN take first? - CORRECT ANSWERS Observe suture line for separation and hematoma formation
The practical nurse peeing is documenting the insertion of a urinary catheter for a female client with urinary retention. Which information should the PN include during the electronic documentation of the procedure? (Select all that apply) - CORRECT ANSWERS - Size of urinary catheter
- Amount of urine obtained
- Appearance of urine obtained
The practical nurse PN is assisting with the plan of care for a client with costochondritis who is now experiencing increased discomfort in breathing. The client receives a prescription for tramadol. What intervention should the PN include in the client's plan of care? - CORRECT ANSWERS Implement ongoing assessments for signs of shallow or slow breathing
The practical nurse PN determines that a client's pupils constrict as they change focus from a far object to a near object. How should the PN document this finding? - CORRECT ANSWERS Pupils reactive to accommodation
The practical nurse PN is performing stomach care with the client. While cleaning around the stoma, the PN notices blood on the washcloth. Which action should the PN take next? - CORRECT ANSWERS Continue to clean around the skin surrounding the stomal site
The practical nurse is caring for a client receiving a prescription for paroxetine who suddenly exhibits restlessness, tachycardia, fever, and elevated blood pressure. Which action should the PN implement first? - CORRECT ANSWERS Withhold the next dose and contact the health care provider
The health care provider gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her that she needs to increase iron rich foods in her diet because her hemoglobin it's 8. grams/dl. When a list of iron rich foods is given to the client, she tells the practical nurse PN that she is vegetarian and does not eat anything that bleeds. Which instruction should the (PN) provide? (Select all that apply) - CORRECT ANSWERS - Increase green leafy vegetables in the diet
- Add lentils and black beans to soups
- Oatmeal is a good choice for breakfast
An older postoperative client has the nursing diagnosis, impaired mobility related to fear of falling which desired outcome best directs the practical nurses PN actions for the client? - CORRECT ANSWERS The client will ambulate with assistance Q4 hours
An older male resident of a long-term care facility is awake at 3:00 AM and wandering down the hall with his pajamas unbutton. Which intervention should the practical nurse PN implement? - CORRECT ANSWERS Address the client to determine his needs
The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse PN that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents? - CORRECT ANSWERS Ask the parents to explain what they understand about the child's diagnosis
A client consumes 8 ounces of broth, 4 ounces of apple juice, 4 ounces of flavor gelatin and one banana. During the same shift, this client receives one liter of IV fluid and voice 700 ml. How many ml total oral and IV intake should the PN document on the client's medical record? - CORRECT ANSWERS 1480
A client who is being cared for in her home has a low serum sodium level of 125 mEq/L. To determine the cause of this value, which information should the practical nurse (PN) request from the client? - CORRECT ANSWERS The amount of ice chips and water consumed daily
The practical nurse (PN) overhears a female client with Cushing's syndrome tell her family in a very loud an angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome? - CORRECT ANSWERS Mood alterations
A client receives a prescription for cefaclor suspension 325mg that mouth every 8 hours. The bottle is labeled, cefaclor for oral suspension, USP 375 mg per 5 ml. How many ml should the practical nurse (PN) administer? - CORRECT ANSWERS 4.
The practical nurse (PN) it's changing the abdominal dressing for a male client who was discharged home following a colon resection. Which information should the PN report to the healthcare provider? - CORRECT ANSWERS The client reports the wound care is painful and would like a prescription for an analgesic
In caring for a client with bucks traction, the practical nurse (PN) observes that the prescribed amount of weights are hanging freely and the traction rope is on the pulley. Which action should the PN implement next? - CORRECT ANSWERS Document that the Buck's traction is being maintained
While turning and positioning a bit fast client, the practical nurse (PN) observes that the client is dyspneic. Which action should the PN take first? - CORRECT ANSWERS Notify the charge nurse
At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the P end to the client's silence is best? - CORRECT ANSWERS It's OK if you don't want to look or talk about the mastectomy I will be available when you're ready
A client who is primigravida at term comes to the prenatal clinic and tells the practical nurse (PN) That she is having contractions every 5 minutes. The PN monitors the client for one hour using an external fetal monitor, and determines that the client's contractions are 7 to 15 minutes apart, lasting 20 to 30 seconds, with mild intensity by palpation. Which action should the PN take? - CORRECT ANSWERS Send the client home and instruct her to call the clinic where her contractions occur 5 minutes apart for one hour
The practical nurse (PN) observes a newly hired PN who is preparing to open an ampule as seen in the picture. Which action should the PN take? - CORRECT ANSWERS Advised the newly hired PN to reposition the alcohol pad around the neck of ampule
A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. What manifestations warrant immediate intervention by the PN? - CORRECT ANSWERS Pulse oximetry of 88% O2 saturation.
The practical nurse is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position? - CORRECT ANSWERS Left lateral recumbent position with the right leg supported in proper alignment
A mother ask the practical nurse (PN) about the immunazation schedule for whooping cough. Which is the recommended schedule that the PN should convey? - CORRECT ANSWERS 2.4.6 months, and boosters at 15 to 18 months and 4 to 6 years of age.
Client who is in active labor is admitted with her cervix dilated to 3 cm with 50% effacement and presenting part a 0 station. An hour later she tells the practical nurse (PN) that she wants to go to the b bathroom to empty her bladder. The nurse examines the client again and determines her vaginal exam is unchanged. Which action should the PN implement? - CORRECT ANSWERS Assist the client up to the bathroom.
The practical nurse (PN) is assisting the recreational director of a long term care facility plan outdoor activities for the wheelchair-bound older residents who're mentally alert. Which activity meets the physical and social needs of these residents? - CORRECT ANSWERS A team ring-toss competiton
Which finding should the practical nurse (PN) report to the registered nurse (RN) immediately? - CORRECT ANSWERS Coffee-ground secretions draining via nasogastric tube suction.
The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of loch and the uterus is firm, dextroverted and three finger breadths above the umbilicus. What should be the PN's initial action? - CORRECT ANSWERS Assess the bladder for distension.
The practical nurse (PN) is checking residual volume prior to administration of a bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG) tube when the unlicensed assistive personal (UAP) reports that another client has requested pain medication for postoperative pain. Which action should the LPN take? - CORRECT ANSWERS Have the UAP notify the client in pain that the PN will be in to check on the client after completing the procedure in process
The practical nurse (PN) is administering a saline enema to a client who was admitted because of a fever of unknown origin and is now constipated. Which techniques should the PN use? - CORRECT ANSWERS
- Position client in left lateral recumbent position to expose buttocks.
- Encourage client to retain solution for at least 5 minutes.
- Insert lubricated tip of tubing 3 to 4 inches into the rectum.
The practical nurse (PN) is assigning care for a group of clients on the urology medicalunit. Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.) - CORRECT ANSWERS - Empty beside drainage unit for a client with indwelling urinary catheter
- Transport a urine culture sample to the laboratory
The practical nurse (PN) is observing a client self-administering a dose if subcutaneousinsulin. What step of the injection technique should the practical nurse (PN) reteach? - CORRECT ANSWERS Selects the same site that was used for the previous injection
The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PNtake? - CORRECT ANSWERS Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse,follow the pinky for the brachial)
The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4, grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first? - CORRECT ANSWERS Begin frequent feedings of breast milk or formula
The practical nurse (PN) is caring for a client who has been taking nonsteroidal anti- inflammatory drug ibuprofen for arthritic pain. Which action will the PN include in thisclient plan of care? - CORRECT ANSWERS Observe for signs of gastrointestinal bleeding
The practical nurse (PN) reviews instructions for use of polyethylene glycol, a laxative,with a client scheduled for a colonoscopy. Which instruction should the PN include? - CORRECT ANSWERS Drink each glass of solution rapidly at regular specified time intervals
The practical nurse (PN) notifies the healthcare provider about client information usingSituation, Background, Assessment, Recommendation (SBAR) technique. Which information should the PN provide first? - CORRECT ANSWERS Blood pressure is 80/48 mmHg
When obtaining a capillary blood sample for glucose measurement, which interventionshould the practical nurse (PN) implement? - CORRECT ANSWERS Determine which finger was used previously
The practical nurse (PN) is assisting a client to cough and deep breathe following surgery.To facilitate effective coughing, the PN should assist the client to assume which position? - CORRECT ANSWERS Sitting on the side of bed with feet flat on the floor
An older female adult who was admitted to a long-term care facility yesterday is confused about what day of the week it is. Her history does not indicate that she wasconfused prior to admission. What action should the practical nurse (PN) take? - CORRECT ANSWERS Remind the client what day of the week it is
The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which the local anesthetic was sprayed on the throat. Which priority actionshould the PN include in the clients plan of care? - CORRECT ANSWERS Assess the gag reflex
When gathering data about a client with dark skin tones, which site should the practicalnurse (PN) observe? - CORRECT ANSWERS Sclera and mucous membranes
A new protocol for fall prevention is being implemented on the medical unit. During safety rounds, the practical nurse (PN) identifies that unlicensed assistive personnel (UAP) has omitted a vital component of the protocol. After implementing the missingcomponent, which action should the PN take? - CORRECT ANSWERS Supervise the UAP after reviewing the protocol
Which intervention is within the scope of practice for a practical nurse (PN)? - CORRECT ANSWERS Demonstrating deep breathing and coughing to a postoperative client
An older postoperative client has the nursing diagnosis, "Impaired mobility related to fear of falling." Which desired outcome best directs the practical nurse (PN) actions forthis client? - CORRECT ANSWERS The PN will place a gait belt on the client prior to ambulation.
A male preoperative client who has already signed the informed consent for a surgicalprocedure confides to the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take? - CORRECT ANSWERS Notify the charge nurse of the client's concerns about surgery
The practical nurse (PN) plans to use distraction techniques while a client undergoes abrief painful procedure. Which action should the PN implement during the procedure? - CORRECT ANSWERS Encourage the client to reminisce about a favorite past family event
A practical nurse (PN) is at the nurses' station describing her social life, sexual activities,and alcohol drinking in a boisterous voice that might be heard by clients and visitors. What is the best action that a peer nurse should do? - CORRECT ANSWERS Suggest going to the nurses' lounge if she needs to discuss these topics
Which statement by a mature adult client with advanced prostate cancer best indicatesthat he has reached a level of acceptance of his prognosis? - CORRECT ANSWERS I've found the support I need from my faith and family
A client who had orthopedic surgery 3 days ago complains of difficulty sleeping. Which initial intervention is best for the practical nurse (PN) to implement? - CORRECT ANSWERS Reposition the client and provide a back rub
states she is cold. Which intervention should the PN perform? - CORRECT ANSWERS Apply light, warmed blankets and assure her that this is normal
following delivery
The practical nurse (PN) is assigned to care for four children. Which child should beassessed first? - CORRECT ANSWERS 18-month-old who has cystic fibrosis and is wheezing
A client with hypertension complains of a persistent dry cough. The practical nurse (PN)should tell the client that this is a common side effect of which daily medication? - CORRECT ANSWERS Quinapril
The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's roomand find the client lying on the bed. The PN determines that the client is unresponsive. Which instruction should the PN give the UAP first? - CORRECT ANSWERS Feel for a carotid pulse
When providing oral care to an unconscious client who is a mouth- breather and does not swallow, which action is most important for the practical nurse (PN) to implement? - CORRECT ANSWERS Use an oral suction catheter in the buccal cavity
A client is scheduled to receive a sublingual tablet and has difficulty swallowing tablets.Which is the best nursing action? - CORRECT ANSWERS Place the tablet under the client's tongue
In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Whichintervention is best for the PN to implement? - CORRECT ANSWERS Instruct the mother to play with the child for stimulation and distraction
Which foot care instruction is most important for the practical nurse (PN) to reinforce that minimizes a long-term complication for a client who is newly diagnosed with type 2diabetes mellitus (DM)? - CORRECT ANSWERS Report any foot injury or sore that does not readily heal
A client is voiding frequent small amounts 24-hours following the removal of an indwelling catheter, and a post-voided residual volume assessment is prescribed. Whatexplanation should the practical nurse (PN) provide to the client about why the procedure is necessary? - CORRECT ANSWERS The catheterized volume determines the need to re-insert the indwelling catheter
An adolescent with a history of recurring atopic dermatitis (eczema) tells the practicalnurse (PN) of a desire to play high school football. Which action should the PN take? - CORRECT ANSWERS Emphasize showering with non-perfumed soaps immediately after practice
The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN) what originally motivated them to seek medical care. Which sign is the childmost likely to have exhibited? - CORRECT ANSWERS Hematuria
Which statement by an older female client who lost her spouse 2 years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling? - CORRECT ANSWERS "I realize that life must go on, but sometimes I wonder why."
Two weeks after cast application, a client with a fractured right arm returns to the clinicfor evaluation. The client seems upset and tells the practical nurse (PN) that the healthcare provider said a callus has formed on the bone. Which action should the PN take? - CORRECT ANSWERS Explain that this is an expected part of the bone healing process
The practical nurse (PN) is caring for a client with influenza who requires droplet precautions. Which action should the PN take after entering the client's room to providecare? - CORRECT ANSWERS Close the door to the client's room
The unlicensed assistive personnel (UAP) reports to the practical nurse (PN) that a bedfast client was not turned during the night. After turning the client, the UAP noted areddened area on the client's hip. The reddened area lightened when light fingertip pressure was applied by the PN. Which action should the PN take? - CORRECT ANSWERS Remind the UAP of the need to turn the client every 2 hours to prevent skinbreakdown
An older male resident of a long-term care facility is awake at 3:30 AM and wanderingdown the hall with his pajamas unbuttoned. Which intervention should the practical nurse (PN) implement? - CORRECT ANSWERS Bring the client to sit in the nursing station
The practical nurse (PN) and unlicensed assistive personnel (UP) are providing care for aclient who exhibits signs of neglect syndrome following a stroke affecting the right hemisphere. Which action should the PN implement? - CORRECT ANSWERS Instruct the UAP to protect the client's left side when transferring to a chair
The practical nurse (PN) is caring for a client receiving a prescription for paroxetine whosuddenly exhibits restlessness, tachycardia, fever, and elevated blood pressure. Which action should the PN implement first? - CORRECT ANSWERS Withhold the next dose and contact the health care provider
Which foods should the practical nurse (PN) recommend to a client as good sources ofvitamin K? (Select all that apply.) - CORRECT ANSWERS Spinach
Broccoli
A client receiving chemotherapy develops a cough that is productive of yellow-tingedsputum. After determining that the client is febrile, which is the priority action for thepractical nurse (PN) to take? - CORRECT ANSWERS Notify the charge nurse of the assessment findings
Which location should the practical nurse palpate to determine if a client's nodes are enlarged? - CORRECT ANSWERS Beneath the lower jaw
Which client information is most important for the practical nurse (PN) to consider when providing instructions to the unlicensed assistive personnel (UAP) about providing morning care to a postoperative client? - CORRECT ANSWERS Oriented to person only
A married woman comes to the clinic for her annual well-woman physical examination. During the interview with the practical nurse (PN), the client makes minimal eye contact.The PN observes yellow bruising to the lower eye and purple bruising on the client's upper arm, which look like fingerprints. Which question is best for the PN to ask the client? - CORRECT ANSWERS Is anyone hurting you?
The nurse is taking blood pressure of a client admitted with a possible myocardial infarction. When taking the client's BP at the brachial artery, the nurse should place theclient's arm in which position? - CORRECT ANSWERS At the level of the heart
What are the final parameters that produce blood pressure? (Select all thatapply) - CORRECT ANSWERS Heart rate
Stroke
Volume
Peripheral resistance
The PN is preparing to administer a prescription for Cefazolin (Kefzol)600 mg IMevery six hours. The available vial is labeled, "Cefazolin(Kefzol) 1gram," and the instructions for reconstitution state, "For IM use, add 2 mL sterile water for injection. Total volume after reconstitution = 2.5 mL." When reconstituted, how many milligramsare in each mil of solution? (Enter numeric value only) - CORRECT ANSWERS 1 g 1000 mg = 1000 mg/mL / 2.5 mL = 400 mL
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeks gestation.At one hour post dilation and D&C, the nurse assesses vital signs and vaginal bleeding. The client begins to cry softly. How should the nurse intervene? - CORRECT ANSWERS Express sorrow for the client's grief and offer to sit with her
The nurse is assessing an older resident of a long-term care facility who has a history of Benign Prostatic Hypertrophy and identifies that the client's bladder is distended. The healthcare provider prescribes post- voided residual catheterization overthe next 24 hours and placement of an indwelling catheter if the residual volume exceeds 100 mL. The client's PO intake is 600 mL, and fifteen minutes ago, the client voided 90 mL. What action should the nurse take? - CORRECT ANSWERS Catheterize with an indwelling catheter and if the residual volume id greater than 100 mL,inflate the balloon
