HOSMERIT
HESI PN PRACTICE EXAM 2025 QUESTIONS AND
CORRECT DETAILED ANSWERS
|ALREADY GRADED A
The nurse is planning care for a client who has fourth degree midline laceration that
occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention
has the highest priority?
a. Administer Prescribed stool softener
b. Administer prescribed PRN sleep medications.
c. Encourage breastfeeding to promote uterine involution
d. Encourage use of prescribed analgesic perineal sprays. - A.Administer Prescribed
stool softener
The nurse is palpating the right upper hypochondriac region of theabdomen of a
client. What organ lies underneath this area.
a. Duodenum
b. Gastric Pylorus
c. Liver
d. Spleen - C. Liver
A client comes to the antepartum clinic and tells the nurse that she is6 weeks
pregnant. Which sign is she most likely to report?
a. Decreased sexual libido
b. Amenorrhea
c. Quickening
d. Nocturia - B Amenorrhea
A client's daughter phones the charge nurse to report that the nightnurse did not
provide good care for her mother. What response should the nurse make?
,a. Ask for a description of what happened during the night
b. Tell the daughter to talk to the unit's nurse manager
c. Reassure the daughter that the mother will get better care.
d. Explain that all the staff are doing the best they can. - A. Askfora description of
what happened during the night
A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's
"mine". According to Erikson's theory of psychosocial development, this child's
behavior is a demonstrationofwhich developmental stage?
a. Autonomy vs. Shame and doubt.
b. Industry vs. Inferiority
c. initiative vs. Guilt
d. Trust vs. Mistrust - A. Autonomy vs. Shame and doubt.
Which action should the nurse implement in caring for apatientfollowing an
electroencephalogram (EEG)?
a. Monitor the client's vital signs q4h
b. Assess for sensation in the client's lower extremities
c. Instruct the patientto maintain bed rest for eight hours
d. Wash any paste from the client's hair and scalp - D. Wash anypaste from the
client's hair and scalp
The nurse is caring for a 75- year-old male patientwho is beginningtoform a
decubitus ulcer at the coccyx. Which intervention will be most helpful in preventing
further development of the decubitus?
a. Encourage the patientto eat foods high in protein
b. Assess the patientwith daily range of motion exercises
c. Teach the family how to perform sterile wound care
d. Ensure the IV fluids are administered as prescribed - A.Encourage the patientto eat
foods high in protein
What is the homeostatic cellular transport mechanism that moveswater from a
hypotonic to a hypertonic fluid space?
a. Filtration
,b. Diffusion
c. Osmosis
d. Active transport - C. Osmosis
The nurse is taking blood pressure of a patientadmitted with a possible myocardial
infarction. When taking the client's BP at thebrachial artery, the nurse should place
the client's arm in which position?
a. Slightly above the level of the heart
b. At the level of the heart
c. At the level of comfort for the client
d. Below the level of the heart - B. At the level of the heart
What are the final parameters that produce blood pressure? (selectall that apply)
a. Heart rate
b. Stroke volume
c. Peripheral resistance
d. Neuroendocrine hormones
e. Muscle tone - A. Heart rate
Stroke volume
Peripheral resistance
A patientbegins an antidepressant drug during the second day of hospitalization.
Which assessment is most important for the nurse toinclude in this client's plan of
care while the patientis taking the antidepressant?
a. Appetite
b. Mood
c. Withdrawal
d. Energy level - B. Mood
Based on the documentation in the medical record, which actionshould the nurse
implement next?
a. Give the rubella vaccine subcutaneously
, b. Observe the mother breastfeeding her infant
c. Call the nursery for the infant's blood type result
d. Administer Vicodin one tablet for pain - A. Give the rubellavaccine subcutaneously
A patientis adminitted to the hospital with a diagnosis of Pneumonia.Which intervetion
should the nurse implement toprevent complications associated with Pneumonia?
a. Encourage mobilization and ambulation
b. Encourage energy conservation with complete bed rest
c. Provide humidified oxygen per nasal cannula
d. Restrict PO and intravenous fluids - A. encourage mobilizationand ambulation
The practical nurse is preparing to administer a prescription forcefazolin (kefzol) 600
mg IM every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram and the
instructions for reconstitution, "For IM use add 2ml sterile water for injection.
Total volume after reconstruction = 2.5 ml. "when reconstituted, how many
milligrams are in each mil of solutions (Enter numeric value only) - 15
Which nursing activity is within the scope of practice for thepractical nurse?
a. Complete an admission assessment in the normal newbornnursery.
b. Discontinue a central venous catheter that has becomedislodged
c. Observe a patientrotate the subcutaneous site for an insulinpump
d. Monitor a continuous narcotic epidural for a postoperativeclient
C. Observe a patientrotate the subcutaneous site for an insulinpump
After morning dressing changes are completed, a male patientwhohas paraplegia
contaminates his ischial decubiti dressing with a diarrheal stool. What activity is best
for the nurse to assign to the unlicensed assistive personnel?
a. Identify the need for additional supplies to provide an extradressing change
b. Provide perianal care and collect clean linens for the dressingchange
c. Document the diarrhea that necessitates an additional dressingchange
d. Position the patientfor access to the decubiti sties and remove dressings - B. Provide
perianal care and collect clean linens for the dressing change
The nurse is planning to evaluate the effectiveness of several drugsadministered by
different routes. ArtRage the routes of administration in the order from fastest to
slowest rate of absorption.
HESI PN PRACTICE EXAM 2025 QUESTIONS AND
CORRECT DETAILED ANSWERS
|ALREADY GRADED A
The nurse is planning care for a client who has fourth degree midline laceration that
occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention
has the highest priority?
a. Administer Prescribed stool softener
b. Administer prescribed PRN sleep medications.
c. Encourage breastfeeding to promote uterine involution
d. Encourage use of prescribed analgesic perineal sprays. - A.Administer Prescribed
stool softener
The nurse is palpating the right upper hypochondriac region of theabdomen of a
client. What organ lies underneath this area.
a. Duodenum
b. Gastric Pylorus
c. Liver
d. Spleen - C. Liver
A client comes to the antepartum clinic and tells the nurse that she is6 weeks
pregnant. Which sign is she most likely to report?
a. Decreased sexual libido
b. Amenorrhea
c. Quickening
d. Nocturia - B Amenorrhea
A client's daughter phones the charge nurse to report that the nightnurse did not
provide good care for her mother. What response should the nurse make?
,a. Ask for a description of what happened during the night
b. Tell the daughter to talk to the unit's nurse manager
c. Reassure the daughter that the mother will get better care.
d. Explain that all the staff are doing the best they can. - A. Askfora description of
what happened during the night
A hospitalized toddler who is recovering from a sickle cell crisis holds a toy and say's
"mine". According to Erikson's theory of psychosocial development, this child's
behavior is a demonstrationofwhich developmental stage?
a. Autonomy vs. Shame and doubt.
b. Industry vs. Inferiority
c. initiative vs. Guilt
d. Trust vs. Mistrust - A. Autonomy vs. Shame and doubt.
Which action should the nurse implement in caring for apatientfollowing an
electroencephalogram (EEG)?
a. Monitor the client's vital signs q4h
b. Assess for sensation in the client's lower extremities
c. Instruct the patientto maintain bed rest for eight hours
d. Wash any paste from the client's hair and scalp - D. Wash anypaste from the
client's hair and scalp
The nurse is caring for a 75- year-old male patientwho is beginningtoform a
decubitus ulcer at the coccyx. Which intervention will be most helpful in preventing
further development of the decubitus?
a. Encourage the patientto eat foods high in protein
b. Assess the patientwith daily range of motion exercises
c. Teach the family how to perform sterile wound care
d. Ensure the IV fluids are administered as prescribed - A.Encourage the patientto eat
foods high in protein
What is the homeostatic cellular transport mechanism that moveswater from a
hypotonic to a hypertonic fluid space?
a. Filtration
,b. Diffusion
c. Osmosis
d. Active transport - C. Osmosis
The nurse is taking blood pressure of a patientadmitted with a possible myocardial
infarction. When taking the client's BP at thebrachial artery, the nurse should place
the client's arm in which position?
a. Slightly above the level of the heart
b. At the level of the heart
c. At the level of comfort for the client
d. Below the level of the heart - B. At the level of the heart
What are the final parameters that produce blood pressure? (selectall that apply)
a. Heart rate
b. Stroke volume
c. Peripheral resistance
d. Neuroendocrine hormones
e. Muscle tone - A. Heart rate
Stroke volume
Peripheral resistance
A patientbegins an antidepressant drug during the second day of hospitalization.
Which assessment is most important for the nurse toinclude in this client's plan of
care while the patientis taking the antidepressant?
a. Appetite
b. Mood
c. Withdrawal
d. Energy level - B. Mood
Based on the documentation in the medical record, which actionshould the nurse
implement next?
a. Give the rubella vaccine subcutaneously
, b. Observe the mother breastfeeding her infant
c. Call the nursery for the infant's blood type result
d. Administer Vicodin one tablet for pain - A. Give the rubellavaccine subcutaneously
A patientis adminitted to the hospital with a diagnosis of Pneumonia.Which intervetion
should the nurse implement toprevent complications associated with Pneumonia?
a. Encourage mobilization and ambulation
b. Encourage energy conservation with complete bed rest
c. Provide humidified oxygen per nasal cannula
d. Restrict PO and intravenous fluids - A. encourage mobilizationand ambulation
The practical nurse is preparing to administer a prescription forcefazolin (kefzol) 600
mg IM every 6 hours. The available vial is labeled, "Cefazolin (Kefzol) 1 gram and the
instructions for reconstitution, "For IM use add 2ml sterile water for injection.
Total volume after reconstruction = 2.5 ml. "when reconstituted, how many
milligrams are in each mil of solutions (Enter numeric value only) - 15
Which nursing activity is within the scope of practice for thepractical nurse?
a. Complete an admission assessment in the normal newbornnursery.
b. Discontinue a central venous catheter that has becomedislodged
c. Observe a patientrotate the subcutaneous site for an insulinpump
d. Monitor a continuous narcotic epidural for a postoperativeclient
C. Observe a patientrotate the subcutaneous site for an insulinpump
After morning dressing changes are completed, a male patientwhohas paraplegia
contaminates his ischial decubiti dressing with a diarrheal stool. What activity is best
for the nurse to assign to the unlicensed assistive personnel?
a. Identify the need for additional supplies to provide an extradressing change
b. Provide perianal care and collect clean linens for the dressingchange
c. Document the diarrhea that necessitates an additional dressingchange
d. Position the patientfor access to the decubiti sties and remove dressings - B. Provide
perianal care and collect clean linens for the dressing change
The nurse is planning to evaluate the effectiveness of several drugsadministered by
different routes. ArtRage the routes of administration in the order from fastest to
slowest rate of absorption.
