HESI PN Exit Exam Questions And Correct Verified Answers With
Rationales New Updated Version 2026
Terms in this set (100)
,A nurse who has recently completed D
orientation is beginning work in the labor and The new nurse should be assigned the least complicated client to
delivery unit for the first time. When making gain experience and confidence, as well as protect client safety. Of
assignments, which client should the charge the clients available for assignment, (D) is progressing well and is
nurse assign to this new nurse?A.A primigravida the least complicated. (A, B and C)have actual or potential
who is 8 cm dilated after 14hours of labor complications and should be
B.A client scheduled for a repeat cesarean assigned to a more experienced nurse.
birth at 38 weeks' gestation
C.A client being induced for fetal demise at 20
weeks' gestation
D.A multiparous client who is dilated 5 cm
and 50% effaced
,A client with human immunodeficiency virus A
(HIV) infection has white lesions in the oral HIV infection causes depression of cell-mediated immunity that
cavity that resemble milk curds. Nystatin allows an overgrowth of Candida albicans (oral moniliasis), which
(Mycostatin) preparation is prescribed as a appears as white, cheesy plaque or lesions that resemble milk
swish and swallow. Which information is curds. To ensure effective contact of the medication with the oral
most important for the nurse to provide the lesions, oral liquids should be consumed and oral hygiene
client? performed before swishing the liquid Mycostatin (A). (B and C)
provide the client with
additional information about the pathogenesis andtreatment of
A.Oral hygiene should be performed before the opportunistic infections, but (A) allows the client to participate in
medication. B.Antifungal medications are self-care of the oral infection. Dietary restriction of spicy foods
available in tablet, suppository, and liquid reduces discomfort associated with stomatitis,but restriction of
forms. dairy products is not indicated (D).
C.Candida albicans is the organism that
causes the white lesions in the mouth.
D.The dietary intake of dairy and spicy foods
should be limited.
A client who is admitted with emphysema is D Adequate lung expansion is dependent on deep breaths that
having difficulty breathing. In which position allow the respiratory muscles to increase the longitudinal and
should the nurse place the client? anterior-posterior size of the thoracic cage. Sitting upright and
leaning forward with the arms supported on an over the bed table
(D) allows the thoracic cage to expand in all four directions and
A.High Fowler's position without a pillow
reduces dyspnea. A high Fowler's position does not allow
behind the head
maximum expansion of the posterior lobes of the
B.Semi-Fowler's position with a single pillow
lungs (A). A semi-Fowler's position restricts expansion of the
behind the head
anterior-posterior diameter of the thoracic cage (B).
C.Right side-lying position with the head of the Positioning aclient on the right side with the head of the bed
bed elevated 45 degrees elevated (C) does not facilitate lung expansion.
D.Sitting upright and forward with both arms
supported on an over the bed table
A client with chronic renal insufficiency (CRI)is C The client has a normalized potassium level despite diuretic use
taking 25 mg of hydrochlorothiazide (HCTZ) (C). The kidney automatically secretes 90% of potassium
PO and 40 mg of furosemide (Lasix)PO daily. consumed, but in chronic renal insufficiency (CRI), less potassium
Today, at a routine clinic visit, the client's is excreted than normal. Therefore, the two potassium-wasting
serum potassium level is 4 mEq/L. drugs, a thiazide diuretic and loop diuretic,are not likely to affect
What is the most likely cause of this client's potassiumn levels. The normal potassium level is 3.5 to 5 mEq/L,
potassium level?A.The client is noncompliant and with a potassium level of 4 mEq/L,there is no reason to
with his medications.B.The client recently believe that the client is noncompliant with his treatment (A).
consumed large quantities of pears or Pears and nuts do not affect the serum
nuts.C.The client's renal function has affected potassium level (B). There is no need for a potassium
his supplement (D) because the client's potassium level is within the
potassium level. normal range.
D.The client needs to be started on a
potassium supplement.
, A registered nurse (RN) delivers telehealth C Sending medical records over the Internet, even with the latest
services to clients via electronic communication. security protection, creates the greatest risk for liability because of
Which nursing action creates the greatest risk for the high potential of breaching client confidentiality and the amount
professional liability and has the potential for a of information being
malpractice lawsuit? transferred (C). Client confidentiality is protected by federal
wiretapping laws making telephone consultation (A) a private and
protected form of communication. By stating one's namne and
A.Participating in telephone consultations with credentials in telehealth communication (B), one is taking
clients responsibility for the encounter. E-mail initiated by the client (D)
B.Identifying oneself by name and title to poses less risk than sending records via the Internet.
clients in telehealth communications
C.Sending medical records to health care
providers via the Internet
D.Answering a client-initiated health
question via electronic mail
Which pathophysiologic response supports the D
contraindication for opioids, such as morphine, in
The greatest risk associated with opioids such as morphine (D)is
clients with increased
respiratory depression that causes an increase in Pco2,
intracranial pressure (ICP)?
which increases ICP and masks the early signs of intracranial
bleeding in head injury. (A, B, and C) do not support the risks
A.Sedation produced by opioids is a result of a associated with opioid use in a client with increased ICP.
prolonged half-life when the ICP is elevated.
B.Higher doses of opioids are required
when cerebral blood flow is reduced by an
elevated ICP.
C.Dysphoria from opioids contributes to
altered levels of consciousness with an
elevated ICP.
D.Opioids suppress respirations, which
increases Pco2 and contributes to an
elevated ICP.
D
The charge nurse of a medical surgical unit is
alerted to an impending disaster requiring When faced with an impending disaster, hospital personnel may be
implementation of the hospital's disaster plan. alerted but should continue with current client care assignments
Specific facts about the nature of this disaster are until further instructions are received (D).
not yet known. Which instruction should the Evacuation is typically a response of last resort that begins with
charge nurse give to the other staff members at clients who are most able to ambulate (A). (B) is premature and is
this time? likely to increase the chaos if incoming casualties are anticipated.
(C) is poor utilization of personnel.
A.Prepare to evacuate the unit, starting with the
bedridden clients.
B.UAPs should report to the emergency
center to handle transports.
C.The licensed staff should begin counting
wheelchairs and IV poles on the unit.
D.Continue with current assignments until
more instructions are received.
Rationales New Updated Version 2026
Terms in this set (100)
,A nurse who has recently completed D
orientation is beginning work in the labor and The new nurse should be assigned the least complicated client to
delivery unit for the first time. When making gain experience and confidence, as well as protect client safety. Of
assignments, which client should the charge the clients available for assignment, (D) is progressing well and is
nurse assign to this new nurse?A.A primigravida the least complicated. (A, B and C)have actual or potential
who is 8 cm dilated after 14hours of labor complications and should be
B.A client scheduled for a repeat cesarean assigned to a more experienced nurse.
birth at 38 weeks' gestation
C.A client being induced for fetal demise at 20
weeks' gestation
D.A multiparous client who is dilated 5 cm
and 50% effaced
,A client with human immunodeficiency virus A
(HIV) infection has white lesions in the oral HIV infection causes depression of cell-mediated immunity that
cavity that resemble milk curds. Nystatin allows an overgrowth of Candida albicans (oral moniliasis), which
(Mycostatin) preparation is prescribed as a appears as white, cheesy plaque or lesions that resemble milk
swish and swallow. Which information is curds. To ensure effective contact of the medication with the oral
most important for the nurse to provide the lesions, oral liquids should be consumed and oral hygiene
client? performed before swishing the liquid Mycostatin (A). (B and C)
provide the client with
additional information about the pathogenesis andtreatment of
A.Oral hygiene should be performed before the opportunistic infections, but (A) allows the client to participate in
medication. B.Antifungal medications are self-care of the oral infection. Dietary restriction of spicy foods
available in tablet, suppository, and liquid reduces discomfort associated with stomatitis,but restriction of
forms. dairy products is not indicated (D).
C.Candida albicans is the organism that
causes the white lesions in the mouth.
D.The dietary intake of dairy and spicy foods
should be limited.
A client who is admitted with emphysema is D Adequate lung expansion is dependent on deep breaths that
having difficulty breathing. In which position allow the respiratory muscles to increase the longitudinal and
should the nurse place the client? anterior-posterior size of the thoracic cage. Sitting upright and
leaning forward with the arms supported on an over the bed table
(D) allows the thoracic cage to expand in all four directions and
A.High Fowler's position without a pillow
reduces dyspnea. A high Fowler's position does not allow
behind the head
maximum expansion of the posterior lobes of the
B.Semi-Fowler's position with a single pillow
lungs (A). A semi-Fowler's position restricts expansion of the
behind the head
anterior-posterior diameter of the thoracic cage (B).
C.Right side-lying position with the head of the Positioning aclient on the right side with the head of the bed
bed elevated 45 degrees elevated (C) does not facilitate lung expansion.
D.Sitting upright and forward with both arms
supported on an over the bed table
A client with chronic renal insufficiency (CRI)is C The client has a normalized potassium level despite diuretic use
taking 25 mg of hydrochlorothiazide (HCTZ) (C). The kidney automatically secretes 90% of potassium
PO and 40 mg of furosemide (Lasix)PO daily. consumed, but in chronic renal insufficiency (CRI), less potassium
Today, at a routine clinic visit, the client's is excreted than normal. Therefore, the two potassium-wasting
serum potassium level is 4 mEq/L. drugs, a thiazide diuretic and loop diuretic,are not likely to affect
What is the most likely cause of this client's potassiumn levels. The normal potassium level is 3.5 to 5 mEq/L,
potassium level?A.The client is noncompliant and with a potassium level of 4 mEq/L,there is no reason to
with his medications.B.The client recently believe that the client is noncompliant with his treatment (A).
consumed large quantities of pears or Pears and nuts do not affect the serum
nuts.C.The client's renal function has affected potassium level (B). There is no need for a potassium
his supplement (D) because the client's potassium level is within the
potassium level. normal range.
D.The client needs to be started on a
potassium supplement.
, A registered nurse (RN) delivers telehealth C Sending medical records over the Internet, even with the latest
services to clients via electronic communication. security protection, creates the greatest risk for liability because of
Which nursing action creates the greatest risk for the high potential of breaching client confidentiality and the amount
professional liability and has the potential for a of information being
malpractice lawsuit? transferred (C). Client confidentiality is protected by federal
wiretapping laws making telephone consultation (A) a private and
protected form of communication. By stating one's namne and
A.Participating in telephone consultations with credentials in telehealth communication (B), one is taking
clients responsibility for the encounter. E-mail initiated by the client (D)
B.Identifying oneself by name and title to poses less risk than sending records via the Internet.
clients in telehealth communications
C.Sending medical records to health care
providers via the Internet
D.Answering a client-initiated health
question via electronic mail
Which pathophysiologic response supports the D
contraindication for opioids, such as morphine, in
The greatest risk associated with opioids such as morphine (D)is
clients with increased
respiratory depression that causes an increase in Pco2,
intracranial pressure (ICP)?
which increases ICP and masks the early signs of intracranial
bleeding in head injury. (A, B, and C) do not support the risks
A.Sedation produced by opioids is a result of a associated with opioid use in a client with increased ICP.
prolonged half-life when the ICP is elevated.
B.Higher doses of opioids are required
when cerebral blood flow is reduced by an
elevated ICP.
C.Dysphoria from opioids contributes to
altered levels of consciousness with an
elevated ICP.
D.Opioids suppress respirations, which
increases Pco2 and contributes to an
elevated ICP.
D
The charge nurse of a medical surgical unit is
alerted to an impending disaster requiring When faced with an impending disaster, hospital personnel may be
implementation of the hospital's disaster plan. alerted but should continue with current client care assignments
Specific facts about the nature of this disaster are until further instructions are received (D).
not yet known. Which instruction should the Evacuation is typically a response of last resort that begins with
charge nurse give to the other staff members at clients who are most able to ambulate (A). (B) is premature and is
this time? likely to increase the chaos if incoming casualties are anticipated.
(C) is poor utilization of personnel.
A.Prepare to evacuate the unit, starting with the
bedridden clients.
B.UAPs should report to the emergency
center to handle transports.
C.The licensed staff should begin counting
wheelchairs and IV poles on the unit.
D.Continue with current assignments until
more instructions are received.
