UPDATE WITH VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS|| COMPLETE
QUESTIONS AND CORRECT ANSWERS|| REAL
EXIT HESI PN EXAM !! BRAND NEW 2026 -2027
At the beginning of the shift, in which order of priority should the
practical nurse PN assess these four clients?
1. An older adult with dizziness who's O2 saturation is 86%
2. An adult woman with vomiting whose potassium is 2.8 mEq/L
3. A young adult with a history of asthma who's arterial pH is 7.48
4. An adult client with an ulcer whose hemoglobin is 9.5 grams/dL
Which food provides the best source of vitamin B12?
Hamburger
The practical nurse (PN) is planning evening shift rounds for a group of
postoperative clients who all had surgery earlier that day. Which client
should the PN check first?
A preschooler who had an emergency appendectomy for appendicitis
Which finding for a client with an arteriovenous Fistula (AV fistula)
should the practical nurse PN report to the healthcare provider?
Radio pulse distal to AVF is absent and ulnar pulse is presentB. bruising
at the AVF site is purple and green in color
,The practical nurse PN is auscultating a client's lung sounds. Which
description should the PN use to document this sound?
Fine crackles
The practical nurse peer views the midline episiotomy of a client whose
reports pain in her stitches. Which action should the PN take first?
Observe suture line for separation and hematoma formation
The practical nurse peeing is documenting the insertion of a urinary
catheter for a female client with urinary retention. Which information
should the PN include during the electronic documentation of the
procedure? (Select all that apply)
- Size of urinary catheter
- Amount of urine obtained
- Appearance of urine obtained
The practical nurse PN is assisting with the plan of care for a client with
costochondritis who is now experiencing increased discomfort in
breathing. The client receives a prescription for tramadol. What
intervention should the PN include in the client's plan of care?
Implement ongoing assessments for signs of shallow or slow breathing
The practical nurse PN determines that a client's pupils constrict as they
change focus from a far object to a near object. How should the PN
document this finding?
Pupils reactive to accommodation
,The practical nurse PN is performing stomach care with the client.
While cleaning around the stoma, the PN notices blood on the
washcloth. Which action should the PN take next?
Continue to clean around the skin surrounding the stomal site
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?
Ability to swallow
A client receive Ondansetron Prior to a chemotherapy treatment. How
should the practical nurse evaluate the effectiveness of the
medication?
Monitor the client for nausea or vomiting following the treatment
A 2-day old infant with hydrocephalus returns from surgery following
placement of a ventriculoperitoneal shunt. Which nursing interventions
should the practical nurse PN implement during postoperative care?
(Select all that apply)
- Measure head circumference daily
- Document strict intake and output
- Monitor body temperature every four hours
In administering nystatin suspension to the gums of an infant with a
candida infection, which approach should the practical nurse (PN) use?
Use a gloved finger to rub the suspension over the infected area
, A client is diagnosed with Clostridium difficile. Which action should the
practical nurse (PN) implement to prevent the spread of Organism?
Don non sterile gloves when performing direct care
An older client tells the home health practical nurse (PN) about
experiencing dizziness when getting out of bed. Which assessment is
most important for the PN to obtain?
Standing blood pressure
An older client who had a colon resection 8 days ago is straining at
stool. The practical nurse (PN) observes sudden spillage of
serosanguinous Drainage from the client's wound followed by
appearance of bowel on the skin. Which complication has occurred?
Evisceration
The practical nurse is caring for a client receiving a prescription for
paroxetine who suddenly exhibits restlessness, tachycardia, fever, and
elevated blood pressure. Which action should the PN implement first?
Withhold the next dose and contact the health care provider