PN HESI EXIT EXAM 3 2026 FINAL REVIEW
CORE TOPICS AND CLINICAL JUDGMENT
PRACTICE QUESTIONS
◉ Upon completing the admission documents, the nurse learns that
the 87 year-old client
does not have an advance directive. What action should the nurse
take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary.
Answer: is B: Give information about advance directives
◉ A nurse administers the influenza vaccine to a client in a clinic.
Within 15 minutes after
the immunization was given, the client complains of itchy and
watery eyes, increased
anxiety, and difficulty breathing. The nurse expects that the first
action in the sequence of
care for this client will be to
A) Maintain the airway
,B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered.
Answer: is B: Administer epinephrine 1:1000 as ordered .
◉ Which of these children at the site of a disaster at a child day care
center would the
triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between
crying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an
upper leg fracture
D) A school-age child with singed eyebrows and hair on the arms.
Answer: is B: A toddler with severe deep abrasions over 98% of the
body .
◉ When admitting a client to an acute care facility, an identification
bracelet is sent up
with the admission form. In the event these do not match, the
nurse's best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is
supplied
,C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client.
Answer: is C: notify the admissions office and wait to apply the
bracelet
◉ The nurse is having difficulty reading the health care provider's
written order that was
written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification.
Answer: is D: Call the provider for clarification
◉ An adult client is found to be unresponsive on morning rounds.
After checking for
responsiveness and calling for help, the next action that should be
taken by the nurse is
to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway.
, Answer: is D: open the client''s airway
◉ A client has an order for 1000 ml of D5W over an 8 hour period.
The nurse discovers
that 800 ml has been infused after 4 hours. What is the priority
nursing action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs.
Answer: is D: Auscultate the lungs
◉ Following change-of-shift report on an orthopedic unit, which
client should the nurse
see first?
A) 16 year-old who had an open reduction of a fractured wrist 10
hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle
accident
C) 72 year-old recovering from surgery after a hip replacement 2
hours ago
D) 75 year-old who is in skin traction prior to planned hip pinning
surgery..
CORE TOPICS AND CLINICAL JUDGMENT
PRACTICE QUESTIONS
◉ Upon completing the admission documents, the nurse learns that
the 87 year-old client
does not have an advance directive. What action should the nurse
take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary.
Answer: is B: Give information about advance directives
◉ A nurse administers the influenza vaccine to a client in a clinic.
Within 15 minutes after
the immunization was given, the client complains of itchy and
watery eyes, increased
anxiety, and difficulty breathing. The nurse expects that the first
action in the sequence of
care for this client will be to
A) Maintain the airway
,B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered.
Answer: is B: Administer epinephrine 1:1000 as ordered .
◉ Which of these children at the site of a disaster at a child day care
center would the
triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between
crying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an
upper leg fracture
D) A school-age child with singed eyebrows and hair on the arms.
Answer: is B: A toddler with severe deep abrasions over 98% of the
body .
◉ When admitting a client to an acute care facility, an identification
bracelet is sent up
with the admission form. In the event these do not match, the
nurse's best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is
supplied
,C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client.
Answer: is C: notify the admissions office and wait to apply the
bracelet
◉ The nurse is having difficulty reading the health care provider's
written order that was
written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification.
Answer: is D: Call the provider for clarification
◉ An adult client is found to be unresponsive on morning rounds.
After checking for
responsiveness and calling for help, the next action that should be
taken by the nurse is
to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway.
, Answer: is D: open the client''s airway
◉ A client has an order for 1000 ml of D5W over an 8 hour period.
The nurse discovers
that 800 ml has been infused after 4 hours. What is the priority
nursing action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs.
Answer: is D: Auscultate the lungs
◉ Following change-of-shift report on an orthopedic unit, which
client should the nurse
see first?
A) 16 year-old who had an open reduction of a fractured wrist 10
hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle
accident
C) 72 year-old recovering from surgery after a hip replacement 2
hours ago
D) 75 year-old who is in skin traction prior to planned hip pinning
surgery..
