2026 HESI PN Exit Exam 1 1000+ Questions,
NGN-Style Questions & Case Scenarios | (100%
Guarantee Pass) (2026/2027) –Practice
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When assessing a male client, the nurse notes that he has unequal lung expansion. What
conclusion regarding this finding is most likely to be accurate? The client has:
a- A collapsed lung
b- A history of COPD
c- A chronic lung infection
d- Normally functioning lungs
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a. A collapsed lung
Rationale:
Unilateral absence of chest movement (or unequal lung expansion because one lung is not
moving at all) may be indicative previous surgical removal of that lung, a bronchial
obstruction, or a collapsed lung caused by air or fluid in the pleural space.
When conducting diet teaching for a client who was diagnosed with hypoparathyroidism,
which foods should the nurse encourage the client to eat?
a- Nuts
b- Yogurt.
c- Fresh turkey
d- Fresh chicken
e- Processed cheese.
b- Yogurt.
e- Processed cheese.
Rationale: In hypoparathyroidism, the client's diet should be supplemented with calcium rich
foods which include dairy products.
The nurse is assessing a middle-aged adult who is diagnosed with osteoarthritis. Which factor
in this client's history is a contributor to the osteoarthritis?
a- Long distance runner since high school.
b- Lactose intolerant since childhood
c- Photosensitive to a drug currently taking
d- Recently treated for deep vein thrombosis.
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a. Long distance runner since high school.
Rationale: Osteoarthritis is a degenerative joint disease of the cause by traumatic or repetitive
stress to weight-bearing joint such as high impact sport like running.
The nurse manager is conducting an in-services education program on the fire evacuation of
the newborn recovery. What intervention should the nurse manager disseminate to the staff?
a. Place infants on a blanket for evacuation via stairwell
b. Secure three infants on a stretcher for transport
c. Evacuate each infant with mother via wheelchair
d. Use the bassinet in evacuate two infants at a time.
c. Evacuate each infant with mother via wheelchair
Rationale: Rooming-in and newborn babies are counted with their mothers. To exposure
safety and accountability during the evacuations newborns should be evacuated with their
mother in a wheelchair while maneuver with fire extinguisher are performed (PASS)...
A client with severe full-thickness burns is scheduled for an allografting procedure. Which
information should the nurse provide the client?
a. The donor site will be painless a few days after the surgery
b. Allografts are made from human and nonhuman material sources.
c. Human sources graft require monitoring for signs of graft injection
d. Something about scarring occurring under the graft?
c. Human source grafts require monitoring for signs of graft rejection
Rationale: Allograft is a graft created from the client's own skin, which is called harvest site. All
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types of grafts, from human and nonhuman sources should be monitor for signs of rejection.
Graft site are painful. (A). Allografts are obtained from the client, which is a human source (B).
scaring does occur under the graft (D)
An adult man reports that he recently experienced an episode of chest pressure and
breathlessness when he was jogging in the neighborhood. He expresses concern because
both of his deceased parents had heart disease and his father was a diabetic. He lives with his
male partner, is a vegetarian, and takes atenolol which maintain his blood pressure at 138/74.
Which risk factors should the nurse explore further with the client? Select all that apply
a- History of hypertension.
b- Homosexual lifestyle
c- Vegetarian diet
d- Excessive aerobic exercise
e- Family heath history.
a- History of hypertension.
e- Family heath history.
Rationale: Based on the client's family history and medication for management of
hypertension, the nurse should further explore these risk for ischemic heart disease.
The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (LPN), and
unlicensed assistant personnel (UAP). Which task should the charge nurse assign to the RN?
a. Supervised a newly hired graduate nurse during an admission assessment
Supervise a newly hired graduate nurse during an admission assessment
The nurse is administering a 750 ml cleansing enema to an adult client. After approximately
150 ml of enema has informed, the client states, 'stop I can't hold anymore." What action
should the nurse take?
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