Page 1 of 178
HESI MED SURG PRACTICE MODE NAXLEX, HESI EXIT 3,
EXIT 2 ON NAXLEX QUESTIONS 2026 LATEST EXAM
SOLVED QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+
A client is scheduled for a thoracentesis that will be done at the bedside. What
should the practical nurse (PN) prepare before the healthcare provider arrives
on the unit to perform the procedure?
A. Place the client in an orthopneic position
B. Keep the client NPO and encourage to void.
C. Gather the procedure tray and equipment.
D. Cleanse the site and cover with a sterile towel.
C.Gather the procedure tray and equipment.
The practical nurse (PN) is caring for a client who has a prescription for
loratadine by mouth daily as needed. Which sign indicates to the PN that there
is a need to administer the medication?
A. Ulceration on the corner of the upper lip.
B. Ecchymosis and petechiae on the legs
C. Red welts widespread over the chest.
D. Red papules and pustules on the face.
C.Red welts widespread over the chest.
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. Which immediate intervention should the practical nurse (PN)
implement?
A. Turn the infant onto the right side.
B. Give oxygen by positive pressure
C. Suction the oral and nasal passages.
D. Stimulate the infant to cry.
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C.Suction the oral and nasal passages.
The practical nurse (PN) is caring for a client who has darkened membranes of
the mouth and a smoky breath. Which priority nursing problem should the PN
include in the plan of care?
A. Risk for infection
B. Ineffective airway clearance
C. Acute pain
D. Disturbed body image
B.Ineffective airway clearance
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 client's care?
A. Implement ongoing assessments for signs of shallow or slow breathing.
B. Assess the skin daily for areas of ecchymosis or other signs of bleeding.
C. Encourage the client to resume normal activities after medication
administration.
D. Observe the client for involuntary movements of the lips and tongue.
A.Implement ongoing assessments for signs of shallow or slow breathing.
The practical nurse (PN) is caring for a client who has darkened membranes of
the mouth and a smoky breath. Which priority nursing problem should the PN
include in the plan of care?
A. Risk for infection
B. Ineffective airway clearance
C. Acute pain
D. Disturbed body image
B.Ineffective airway clearance
An oil retention enema is prescribed for a hospitalized client. The practical
nurse (PN) should administer the enema solution at which temperature?
A. The solution should approximate the client's body temperature (98°F or
, Page 3 of 178
36°C).
B. The temperature of the enema is unrelated to the enema's effectiveness.
C. The solution temperature should be determined by the client's comfort
level.
D. The temperature should be higher (110°F or 43°C) than the client's body
temperature.
A.The solution should approximate the client's body temperature (98°F or 36°C).
The practical nurse (PN) observes a client's initial postoperative dressing and
drain as seen in the picture. Which follow-up actions should the PN
implement? (Select all that apply.).
A. Document the appearance of the wound as inflamed.
B. Report the appearance of the dressing to the charge nurse.
C. Remove the drainage device and apply a pressure dressing.
D. Compress the drainage device before closing the tab.
E. Clamp the drainage tubing for the next four hours.
B.Report the appearance of the dressing to the charge nurse.
D.Compress the drainage device before closing the tab.
The unlicensed assistive personnel (UAP) reports to the practical nurse (PN)
that a male clientwith fluid volume overload will not allow the UAP to obtain
his daily weight. Which action should the PN implement?
A. Include "Noncompliance". as a priority problem in the client's plan of care.
B. Advise the UAP to re-attempt the daily weight after the client eats breakfast.
C. Consult with the client about the reasons for his refusal to be weighed
D. Calculate the client's weight based on the 24-hour fluid intake and output.
C. Consult with the client about the reasons for his refusal to be weighed
An adult female client with type 1 diabetes mellitus is receiving NPH insulin 35
units each morning. Which finding should the practical nurse (PN) document
as evidence that the amount of insulin is inadequate? (Reference Range:
Glucose [0 to 50 years: less than 140 mg/dL or less than 7.8 mmo/L]).
A. Consecutive evening serum glucose greater than 260 mg/dL.
B. States her feet are constantly cold along with feeling numb.
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C. Reports nausea in the morning but still able to eat breakfast.
D. A wound on the ankle that starts to drain and becomes painful.
A.Consecutive evening serum glucose greater than 260 mg/dL.
While receiving report for a client with carcinoma in situ of the left breast, the
practical nurse (PN) reviews a pending lab report and notices the client's
Absolute Neutrophil Count (ANC) has decreased. Which changes should the
PN anticipate to be included in the client's plan of care?
A. Limiting the client's fluid intake to avoid hemodilution.
B. Avoiding the client's exposure to cold temperature.
C. Initiation of changes in infection control measures.
D. Increasing the client's dietary servings of fruits and vegetables.
C.Initiation of changes in infection control measures.
The practical nurse (PN) is providing care for a client who is receiving an
aminoglycoside to treat a bacterial infection. To assess for signs of
ototoxicity, which action should the PN take?
A. Observe the skin for a rash.
B. Monitor the client's hearing.
C. Measure the urinary output.
D. Check for changes in vision.
B.Monitor the client's hearing.
Which finding for a client with an arteriovenous fistula (AV Fistula) should the
practical nurse (PN) report to the healthcare provider?
A. Descriptions of numbness and tingling in fingers distal to the AVF.
B. A loud and consistent bruit is auscultated at the AVF site.
C. Bruising at the AVF site is purple and green in color.
D. Radial pulse distal to AVF is absent and ulnar pulse is present.
A.Descriptions of numbness and tingling in fingers distal to the AVF.
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 PN to the client's
silence is best?
HESI MED SURG PRACTICE MODE NAXLEX, HESI EXIT 3,
EXIT 2 ON NAXLEX QUESTIONS 2026 LATEST EXAM
SOLVED QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+
A client is scheduled for a thoracentesis that will be done at the bedside. What
should the practical nurse (PN) prepare before the healthcare provider arrives
on the unit to perform the procedure?
A. Place the client in an orthopneic position
B. Keep the client NPO and encourage to void.
C. Gather the procedure tray and equipment.
D. Cleanse the site and cover with a sterile towel.
C.Gather the procedure tray and equipment.
The practical nurse (PN) is caring for a client who has a prescription for
loratadine by mouth daily as needed. Which sign indicates to the PN that there
is a need to administer the medication?
A. Ulceration on the corner of the upper lip.
B. Ecchymosis and petechiae on the legs
C. Red welts widespread over the chest.
D. Red papules and pustules on the face.
C.Red welts widespread over the chest.
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns
cyanotic. Which immediate intervention should the practical nurse (PN)
implement?
A. Turn the infant onto the right side.
B. Give oxygen by positive pressure
C. Suction the oral and nasal passages.
D. Stimulate the infant to cry.
, Page 2 of 178
C.Suction the oral and nasal passages.
The practical nurse (PN) is caring for a client who has darkened membranes of
the mouth and a smoky breath. Which priority nursing problem should the PN
include in the plan of care?
A. Risk for infection
B. Ineffective airway clearance
C. Acute pain
D. Disturbed body image
B.Ineffective airway clearance
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 client's care?
A. Implement ongoing assessments for signs of shallow or slow breathing.
B. Assess the skin daily for areas of ecchymosis or other signs of bleeding.
C. Encourage the client to resume normal activities after medication
administration.
D. Observe the client for involuntary movements of the lips and tongue.
A.Implement ongoing assessments for signs of shallow or slow breathing.
The practical nurse (PN) is caring for a client who has darkened membranes of
the mouth and a smoky breath. Which priority nursing problem should the PN
include in the plan of care?
A. Risk for infection
B. Ineffective airway clearance
C. Acute pain
D. Disturbed body image
B.Ineffective airway clearance
An oil retention enema is prescribed for a hospitalized client. The practical
nurse (PN) should administer the enema solution at which temperature?
A. The solution should approximate the client's body temperature (98°F or
, Page 3 of 178
36°C).
B. The temperature of the enema is unrelated to the enema's effectiveness.
C. The solution temperature should be determined by the client's comfort
level.
D. The temperature should be higher (110°F or 43°C) than the client's body
temperature.
A.The solution should approximate the client's body temperature (98°F or 36°C).
The practical nurse (PN) observes a client's initial postoperative dressing and
drain as seen in the picture. Which follow-up actions should the PN
implement? (Select all that apply.).
A. Document the appearance of the wound as inflamed.
B. Report the appearance of the dressing to the charge nurse.
C. Remove the drainage device and apply a pressure dressing.
D. Compress the drainage device before closing the tab.
E. Clamp the drainage tubing for the next four hours.
B.Report the appearance of the dressing to the charge nurse.
D.Compress the drainage device before closing the tab.
The unlicensed assistive personnel (UAP) reports to the practical nurse (PN)
that a male clientwith fluid volume overload will not allow the UAP to obtain
his daily weight. Which action should the PN implement?
A. Include "Noncompliance". as a priority problem in the client's plan of care.
B. Advise the UAP to re-attempt the daily weight after the client eats breakfast.
C. Consult with the client about the reasons for his refusal to be weighed
D. Calculate the client's weight based on the 24-hour fluid intake and output.
C. Consult with the client about the reasons for his refusal to be weighed
An adult female client with type 1 diabetes mellitus is receiving NPH insulin 35
units each morning. Which finding should the practical nurse (PN) document
as evidence that the amount of insulin is inadequate? (Reference Range:
Glucose [0 to 50 years: less than 140 mg/dL or less than 7.8 mmo/L]).
A. Consecutive evening serum glucose greater than 260 mg/dL.
B. States her feet are constantly cold along with feeling numb.
, Page 4 of 178
C. Reports nausea in the morning but still able to eat breakfast.
D. A wound on the ankle that starts to drain and becomes painful.
A.Consecutive evening serum glucose greater than 260 mg/dL.
While receiving report for a client with carcinoma in situ of the left breast, the
practical nurse (PN) reviews a pending lab report and notices the client's
Absolute Neutrophil Count (ANC) has decreased. Which changes should the
PN anticipate to be included in the client's plan of care?
A. Limiting the client's fluid intake to avoid hemodilution.
B. Avoiding the client's exposure to cold temperature.
C. Initiation of changes in infection control measures.
D. Increasing the client's dietary servings of fruits and vegetables.
C.Initiation of changes in infection control measures.
The practical nurse (PN) is providing care for a client who is receiving an
aminoglycoside to treat a bacterial infection. To assess for signs of
ototoxicity, which action should the PN take?
A. Observe the skin for a rash.
B. Monitor the client's hearing.
C. Measure the urinary output.
D. Check for changes in vision.
B.Monitor the client's hearing.
Which finding for a client with an arteriovenous fistula (AV Fistula) should the
practical nurse (PN) report to the healthcare provider?
A. Descriptions of numbness and tingling in fingers distal to the AVF.
B. A loud and consistent bruit is auscultated at the AVF site.
C. Bruising at the AVF site is purple and green in color.
D. Radial pulse distal to AVF is absent and ulnar pulse is present.
A.Descriptions of numbness and tingling in fingers distal to the AVF.
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 PN to the client's
silence is best?
