PN HESI Exit Exam 2026:
Comprehensive Practice Questions with
Detailed Rationales x
1. 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?: Urinary output of 50 mL/hour.
2. 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?: The lab results indicate myocardial damage,
and the client is at risk for cardiac
dysrhythmias
3. 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.: 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
4. 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?: Demon strate to the UAP how to approach the client
from the client's left side
5. 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?: Approach the
UAP to discuss the behavior and obtain the information needed about
the client
6. While assisting the RN with the admission of a toddler, which
intervention
,should the practical nurse (PN) implement to make the experience least
stress ful for the child?: Do a complete head-to-toe exam in sequence
7. An older adult female is admitted with syncope and laboratory
findings indi cate 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?: Aspirin
x
8. The spouse of a hospitalized client asked the practical nurse PN for
aceta minophen for tension headache. Which action should the PN
take?: Explain that
medication can only be provided to clients.
9. Prior to administering pain medication to an adult postoperative
client, what
information should the practical nurse PN obtain? (Select all that
apply): - Time of
last administration of pain medication
- Client's pain rating on a scale of 1 to 10
- Effectiveness of last pain medication administered
10. The practical nurse (PN) notifies the health care provider about
client infor mation using the situation, background, assessment,
recommendation SBAR
, technique. Which information should the PM provide
first?: Cholecystectomy 24 hours
ago
11. The practical nurse (PN) is caring for a client with fractured
metatarsals
after slamming a hand in the car door. After administering the
prescribed hy drocodone/acetaminophen for pain, which intervention
should the PN include
in the clients care?: Implement ongoing assessments for signs of
shallow or slow breathing.
12. The practical nurse peeing and ministers an anticonvulsant That
causes
photosensitivity. Which action should the PN take after administering
the med ication?: Remind the client to protect skin from sunlight
13. An order client with metastatic breast cancer is experiencing
shortness of
breath as a result of bilateral pneumonia. The client has a living will,
and the
family is requesting Hospice care. Which information should the
practical nurse
(PN) reinforce with the client and family regarding Hospice care? (select
all that
apply): - Instructions for care should be included in the client's living
will
- Care can be provided in the home where the client resides
Comprehensive Practice Questions with
Detailed Rationales x
1. 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?: Urinary output of 50 mL/hour.
2. 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?: The lab results indicate myocardial damage,
and the client is at risk for cardiac
dysrhythmias
3. 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.: 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
4. 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?: Demon strate to the UAP how to approach the client
from the client's left side
5. 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?: Approach the
UAP to discuss the behavior and obtain the information needed about
the client
6. While assisting the RN with the admission of a toddler, which
intervention
,should the practical nurse (PN) implement to make the experience least
stress ful for the child?: Do a complete head-to-toe exam in sequence
7. An older adult female is admitted with syncope and laboratory
findings indi cate 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?: Aspirin
x
8. The spouse of a hospitalized client asked the practical nurse PN for
aceta minophen for tension headache. Which action should the PN
take?: Explain that
medication can only be provided to clients.
9. Prior to administering pain medication to an adult postoperative
client, what
information should the practical nurse PN obtain? (Select all that
apply): - Time of
last administration of pain medication
- Client's pain rating on a scale of 1 to 10
- Effectiveness of last pain medication administered
10. The practical nurse (PN) notifies the health care provider about
client infor mation using the situation, background, assessment,
recommendation SBAR
, technique. Which information should the PM provide
first?: Cholecystectomy 24 hours
ago
11. The practical nurse (PN) is caring for a client with fractured
metatarsals
after slamming a hand in the car door. After administering the
prescribed hy drocodone/acetaminophen for pain, which intervention
should the PN include
in the clients care?: Implement ongoing assessments for signs of
shallow or slow breathing.
12. The practical nurse peeing and ministers an anticonvulsant That
causes
photosensitivity. Which action should the PN take after administering
the med ication?: Remind the client to protect skin from sunlight
13. An order client with metastatic breast cancer is experiencing
shortness of
breath as a result of bilateral pneumonia. The client has a living will,
and the
family is requesting Hospice care. Which information should the
practical nurse
(PN) reinforce with the client and family regarding Hospice care? (select
all that
apply): - Instructions for care should be included in the client's living
will
- Care can be provided in the home where the client resides
