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HESI Exit Practice Exam 2026:
Comprehensive Questions with
Detailed Answer RationalesStudy online at
https://quizlet.com/_gz58f0
1. 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.: Correct Answer: C
Explanation
The correct answer is choice C. Red welts widespread over the chest.
Red welts widespread over the chest are indicative of hives (urticaria),
which are often caused by allergic reactions.
Loratadine can help alleviate the symptoms of hives by blocking
histamine release, making it an appropriate choice for
this condition.
2. A client has a prescription for NPH insulin 25 units before breakfast
and
,insulin aspart before meals and hour of sleep per sliding scale. The
sliding scale
parameters are:.
0 units for finger stick glucose less than 170 mg/dL;
5 units for finger stick glucose 171 to 219 mg/dL;
10 units for finger stick glucose 220 to 269 mg/dL;
15 units for finger stick glucose 270 to 300 mg/dL.
Call healthcare provider for finger stick glucose greater than 300 mg/dL
The client's 0730 finger stick glucose is 271 mg/dL. What is the total
amount of
insulin this client should receive?
40: Calculate the total insulin dose: Total insulin dose =NPH insulin dose
+ Sliding scale dose
Total insulin dose= 25 units + 15units = 40 units
3. At a prenatal visit, a primigravida client confides to the practical
nurse (PN)
that her partner is abusive. Which information should the PN provide?
A. Safety plan to keep in a purse at all times.
B. Paperwork needed to file a restraining order.
c
Study online at https://quizlet.com/_gz58f0
C. Visit summary documenting the report of abuse.
, D. Contact information for a women's shelter.: Choice D rationale:
Providing contact information for a women's shelter provides
immediate practical support and resources for the client,
offering a safe haven where she can seek refuge and assistance in
escaping the abusive situation.
4. The practical nurse (PN) learns that a client who is receiving
chemotherapy
has developed stomatitis. Which information should the PN obtain
from the
client during a focused assessment?
A. Urinary output.
B. Blood pressure while standing.
C. Ability to swallow.
D. Frequency of bowel movements: Choice B rationale:
Blood pressure while standing is not directly related to stomatitis
either. This assessment is more relevant for conditions
such as orthostatic hypotension, which can cause a drop in blood
pressure upon standing.
5. Question 5:
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. Which intervention is best for the PN to implement?
HESI Exit Practice Exam 2026:
Comprehensive Questions with
Detailed Answer RationalesStudy online at
https://quizlet.com/_gz58f0
1. 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.: Correct Answer: C
Explanation
The correct answer is choice C. Red welts widespread over the chest.
Red welts widespread over the chest are indicative of hives (urticaria),
which are often caused by allergic reactions.
Loratadine can help alleviate the symptoms of hives by blocking
histamine release, making it an appropriate choice for
this condition.
2. A client has a prescription for NPH insulin 25 units before breakfast
and
,insulin aspart before meals and hour of sleep per sliding scale. The
sliding scale
parameters are:.
0 units for finger stick glucose less than 170 mg/dL;
5 units for finger stick glucose 171 to 219 mg/dL;
10 units for finger stick glucose 220 to 269 mg/dL;
15 units for finger stick glucose 270 to 300 mg/dL.
Call healthcare provider for finger stick glucose greater than 300 mg/dL
The client's 0730 finger stick glucose is 271 mg/dL. What is the total
amount of
insulin this client should receive?
40: Calculate the total insulin dose: Total insulin dose =NPH insulin dose
+ Sliding scale dose
Total insulin dose= 25 units + 15units = 40 units
3. At a prenatal visit, a primigravida client confides to the practical
nurse (PN)
that her partner is abusive. Which information should the PN provide?
A. Safety plan to keep in a purse at all times.
B. Paperwork needed to file a restraining order.
c
Study online at https://quizlet.com/_gz58f0
C. Visit summary documenting the report of abuse.
, D. Contact information for a women's shelter.: Choice D rationale:
Providing contact information for a women's shelter provides
immediate practical support and resources for the client,
offering a safe haven where she can seek refuge and assistance in
escaping the abusive situation.
4. The practical nurse (PN) learns that a client who is receiving
chemotherapy
has developed stomatitis. Which information should the PN obtain
from the
client during a focused assessment?
A. Urinary output.
B. Blood pressure while standing.
C. Ability to swallow.
D. Frequency of bowel movements: Choice B rationale:
Blood pressure while standing is not directly related to stomatitis
either. This assessment is more relevant for conditions
such as orthostatic hypotension, which can cause a drop in blood
pressure upon standing.
5. Question 5:
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. Which intervention is best for the PN to implement?
