EXIT HESI PRACTICE QUESTIONS WITH CORRECT
ANSWERS
The practical nurse enters a male client's room to administer routine morning medications, and the client is on
t t t t t t t t t t t t t t t t t t
the phone. Which action is best for the PN to take?
t t t t t t t t t t
A. Ask another nurse to go back with the medication when the client's hung up the phone
t t t t t t t t t t t t t t t t
B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking the
t t t t t t t t t t t t t t t t t t
medication
C. Return the medication to the client's drawer on the cart and document the client refused the dose
t t t t t t t t t t t t t t t t t
D. Leave the medication with the client, and let him take it when he finishes the conversation. - correct answer
t t t t t t t t t t t t t t t t t t t t
B
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy. The ON
t t t t t t t t t t t t t t t t t t t
observed that the chambers are set at the prescribed suction of 20 cm water pressure and tidying occurs with
t t t t t t t t t t t t t t t t t t t
respirations and bubbling. What action should the PN implement? t t t t t t t t
A. Clamp the chest tube to see if the activity stops
t t t t t t t t t t
B. Notify the registered nurse of the malfunction
t t t t t t t
C. Maintain system integrity to promote lung reexpansion
t t t t t t t
D. Apply a partially occlusive dressing toterm-10 chest - correct answer C
t t t t t t t t t t t
,The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls the clinic to
t t t t t t t t t t t t t t t t t
inquire if it will be all right to take her infant to the first birthday party of a friend's child for the following day.
t t t t t t t t t t t t t t t t t t t t t t t t
Which response should the PN provide the mother?
t t t t t t t
A. Do not expose other children as the virus is very contagious even without direct contact
t t t t t t t t t t t t t t t
B. The child will no longer be contagious, no need to take any further precautions
t t t t t t t t t t t t t t
C. The child can be around other children but should wear a mask
t t t t t t t t t t t t
D. Make sure there are no children under the age of 5 months around the infected child. - correct answer A
t t t t t t t t t t t t t t t t t t t t
The practical nurse is assisting the nurse with the admission of a young adult female Korean exchange student
t t t t t t t t t t t t t t t t t t
with acute abdominal pain. Although the client has been able to easily answer questions, when asked about
t t t t t t t t t t t t t t t t t
sexual activity, she looks away. What action should the PN take?
t t t t t t t t t t
A. Omit compelling this section of the assessment form
t t t t t t t t
B. Ask her if she would like an interpreter to ask her the question
t t t t t t t t t t t t t
C. Reword the question in case the client did not understand
t t t t t t t t t t
D. Watch the client's response when asked a different question - correct answer D
t t t t t t t t t t t t t
During immediate postoperative period following a total hip placement, which intervention is most
t t t t t t t t t t t t t
important for the PN to implement? t t t t t
A. Encourage client to use walker or cane when ambulating
t t t t t t t t t
B. Keep client's hip aligned with knees abducted
t t t t t t t
C. Teach client to sit on the side of the bed before standing
t t t t t t t t t t t t
D. Monitor urinary flow via indwelling catheter - correct answer B
t t t t t t t t t t
A client confides to the PN that the client has been substituting herbal supplements for high blood pressure
t t t t t t t t t t t t t t t t t t
instead of the prescribed medication. How should the PN respond first?
t t t t t t t t t t
A. Ask the client's reason for choosing to take herbs instead of prescribed drugs
t t t t t t t t t t t t t
B. Reinforce that the healthcare provider prescribed the medication for a reason
t t t t t t t t t t t
,C. Have client use own words to describe complications of high blood pressure
t t t t t t t t t t t t
D. Point out the risks of not taking the herbal medications rather than prescribed - correct answer A
t t t t t t t t t t t t t t t t t
The PN is assigned to administer medications in a long term care facility. A disoriented resident has no
t t t t t t t t t t t t t t t t t t
identification band or picture. What is the best nursing action for the PN to take prior administering the t t t t t t t t t t t t t t t t t t
medications this resident? t t
term-14
A. Ask a regular staff member to confirm the resident's identity
t t t t t t t t t t
B. Hold the medication until a family member again
t t t t t t t t
C. Re-orient the resident to name, place, and situation
t t t t t t t t
D. Confirm the room and bed numbers with those on the medication record. - correct answer D
t t t t t t t t t t t t t t t t
An adult client who weighs 150 pounds has partial-thickness and full-thickness burns over 40% of the body
t t t t t t t t t t t t t t t t t
from a house fire. After admission, which observation is most important for the practical nurse to report
t t t t t t t t t t t t t t t t t
immediately?
A. Poor appetite and refusing to eat
t t t t t t
B. Systolic blood pressure at 102
t t t t t
C. Painful moaning and crying
t t t t
D. Urinary Output of 20ml/hr - correct answer D
t t t t t t t t
A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of "itchy" skin 15
t t t t t t t t t t t t t t t t t t t
minutes after the unit of blood is started. The child appears flushed. What action should the practical nurse
t t t t t t t t t t t t t t t t t t
take first? t
A. Apply lotion to the skin
t t t t t
B. Stop the transfusion
t t t
C. Inspect the infusion site
t t t t
D. Obtain the vital signs - correct answer B
t t t t t t t t
, A PN is competing a focused assessment of an older adult's skin. The PN notes a crusted 0.7 cm lesion on the
t t t t t t t t t t t t t t t t t t t t t t
client's forehead. Which action should the PN take in response to this finding?
t t t t t t t t t t t t
A. Report the finding to the healthcare provider
t t t t t t t
B. Place a clear occlusive dressing over the site
t t t t t t t t
C. Apply a warm compress to remove the crusted area
t t t t t t t t t
D. Explain that this is a normal skin change with aging - correct answer C
t t t t t t t t t t t t t t
While taking the vital signs of an older male client who takes psychotropic medications, the PN notes that he
t t t t t t t t t t t t t t t t t t t
has uncontrollable hand movements and is excessively blinking his eyes. Which information in the client's
t t t t t t t t t t t t t t t
medical record should the PN review? t t t t t
A. Prescription for lorazepam
t t t
B. History of Parkinson's disease
t t t t
C. Screening for tardive dyskinesia
t t t t t
D. Recent urine drug screen report - correct answer B
t t t t t t t t t
The PN is caring for an elderly female client who tells the PN, "When I sneeze, I wet my pants." After discussing
t t t t t t t t t t t t t t t t t t t t t t
the client's complaint with the charge nurse, the PN plans to reinforce teaching that the client has received
t t t t t t t t t t t t t t t t t t
about the importance of Kegel exercises.WHat muscles are involved in these exercises?
t t t t t t t t t t t
A. Pectoral muscles
t t
B. Buttock muscles
t t
C. Abdominal muscles
t t
D. Pelvic floor muscles - correct answer D
t t t t t t t
While providing oral care for a client who is unconscious, the nurse positions the client laterally and uses a
t t t t t t t t t t t t t t t t t t t
basin to collect secretions. Which intervention is best for the nurse to implement?
t t t t t t t t t t t t
A. Swab the oral cavity with a washcloth
t t t t t t t
B. Use oral swabs with normal saline
t t t t t t
ANSWERS
The practical nurse enters a male client's room to administer routine morning medications, and the client is on
t t t t t t t t t t t t t t t t t t
the phone. Which action is best for the PN to take?
t t t t t t t t t t
A. Ask another nurse to go back with the medication when the client's hung up the phone
t t t t t t t t t t t t t t t t
B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking the
t t t t t t t t t t t t t t t t t t
medication
C. Return the medication to the client's drawer on the cart and document the client refused the dose
t t t t t t t t t t t t t t t t t
D. Leave the medication with the client, and let him take it when he finishes the conversation. - correct answer
t t t t t t t t t t t t t t t t t t t t
B
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy. The ON
t t t t t t t t t t t t t t t t t t t
observed that the chambers are set at the prescribed suction of 20 cm water pressure and tidying occurs with
t t t t t t t t t t t t t t t t t t t
respirations and bubbling. What action should the PN implement? t t t t t t t t
A. Clamp the chest tube to see if the activity stops
t t t t t t t t t t
B. Notify the registered nurse of the malfunction
t t t t t t t
C. Maintain system integrity to promote lung reexpansion
t t t t t t t
D. Apply a partially occlusive dressing toterm-10 chest - correct answer C
t t t t t t t t t t t
,The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls the clinic to
t t t t t t t t t t t t t t t t t
inquire if it will be all right to take her infant to the first birthday party of a friend's child for the following day.
t t t t t t t t t t t t t t t t t t t t t t t t
Which response should the PN provide the mother?
t t t t t t t
A. Do not expose other children as the virus is very contagious even without direct contact
t t t t t t t t t t t t t t t
B. The child will no longer be contagious, no need to take any further precautions
t t t t t t t t t t t t t t
C. The child can be around other children but should wear a mask
t t t t t t t t t t t t
D. Make sure there are no children under the age of 5 months around the infected child. - correct answer A
t t t t t t t t t t t t t t t t t t t t
The practical nurse is assisting the nurse with the admission of a young adult female Korean exchange student
t t t t t t t t t t t t t t t t t t
with acute abdominal pain. Although the client has been able to easily answer questions, when asked about
t t t t t t t t t t t t t t t t t
sexual activity, she looks away. What action should the PN take?
t t t t t t t t t t
A. Omit compelling this section of the assessment form
t t t t t t t t
B. Ask her if she would like an interpreter to ask her the question
t t t t t t t t t t t t t
C. Reword the question in case the client did not understand
t t t t t t t t t t
D. Watch the client's response when asked a different question - correct answer D
t t t t t t t t t t t t t
During immediate postoperative period following a total hip placement, which intervention is most
t t t t t t t t t t t t t
important for the PN to implement? t t t t t
A. Encourage client to use walker or cane when ambulating
t t t t t t t t t
B. Keep client's hip aligned with knees abducted
t t t t t t t
C. Teach client to sit on the side of the bed before standing
t t t t t t t t t t t t
D. Monitor urinary flow via indwelling catheter - correct answer B
t t t t t t t t t t
A client confides to the PN that the client has been substituting herbal supplements for high blood pressure
t t t t t t t t t t t t t t t t t t
instead of the prescribed medication. How should the PN respond first?
t t t t t t t t t t
A. Ask the client's reason for choosing to take herbs instead of prescribed drugs
t t t t t t t t t t t t t
B. Reinforce that the healthcare provider prescribed the medication for a reason
t t t t t t t t t t t
,C. Have client use own words to describe complications of high blood pressure
t t t t t t t t t t t t
D. Point out the risks of not taking the herbal medications rather than prescribed - correct answer A
t t t t t t t t t t t t t t t t t
The PN is assigned to administer medications in a long term care facility. A disoriented resident has no
t t t t t t t t t t t t t t t t t t
identification band or picture. What is the best nursing action for the PN to take prior administering the t t t t t t t t t t t t t t t t t t
medications this resident? t t
term-14
A. Ask a regular staff member to confirm the resident's identity
t t t t t t t t t t
B. Hold the medication until a family member again
t t t t t t t t
C. Re-orient the resident to name, place, and situation
t t t t t t t t
D. Confirm the room and bed numbers with those on the medication record. - correct answer D
t t t t t t t t t t t t t t t t
An adult client who weighs 150 pounds has partial-thickness and full-thickness burns over 40% of the body
t t t t t t t t t t t t t t t t t
from a house fire. After admission, which observation is most important for the practical nurse to report
t t t t t t t t t t t t t t t t t
immediately?
A. Poor appetite and refusing to eat
t t t t t t
B. Systolic blood pressure at 102
t t t t t
C. Painful moaning and crying
t t t t
D. Urinary Output of 20ml/hr - correct answer D
t t t t t t t t
A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of "itchy" skin 15
t t t t t t t t t t t t t t t t t t t
minutes after the unit of blood is started. The child appears flushed. What action should the practical nurse
t t t t t t t t t t t t t t t t t t
take first? t
A. Apply lotion to the skin
t t t t t
B. Stop the transfusion
t t t
C. Inspect the infusion site
t t t t
D. Obtain the vital signs - correct answer B
t t t t t t t t
, A PN is competing a focused assessment of an older adult's skin. The PN notes a crusted 0.7 cm lesion on the
t t t t t t t t t t t t t t t t t t t t t t
client's forehead. Which action should the PN take in response to this finding?
t t t t t t t t t t t t
A. Report the finding to the healthcare provider
t t t t t t t
B. Place a clear occlusive dressing over the site
t t t t t t t t
C. Apply a warm compress to remove the crusted area
t t t t t t t t t
D. Explain that this is a normal skin change with aging - correct answer C
t t t t t t t t t t t t t t
While taking the vital signs of an older male client who takes psychotropic medications, the PN notes that he
t t t t t t t t t t t t t t t t t t t
has uncontrollable hand movements and is excessively blinking his eyes. Which information in the client's
t t t t t t t t t t t t t t t
medical record should the PN review? t t t t t
A. Prescription for lorazepam
t t t
B. History of Parkinson's disease
t t t t
C. Screening for tardive dyskinesia
t t t t t
D. Recent urine drug screen report - correct answer B
t t t t t t t t t
The PN is caring for an elderly female client who tells the PN, "When I sneeze, I wet my pants." After discussing
t t t t t t t t t t t t t t t t t t t t t t
the client's complaint with the charge nurse, the PN plans to reinforce teaching that the client has received
t t t t t t t t t t t t t t t t t t
about the importance of Kegel exercises.WHat muscles are involved in these exercises?
t t t t t t t t t t t
A. Pectoral muscles
t t
B. Buttock muscles
t t
C. Abdominal muscles
t t
D. Pelvic floor muscles - correct answer D
t t t t t t t
While providing oral care for a client who is unconscious, the nurse positions the client laterally and uses a
t t t t t t t t t t t t t t t t t t t
basin to collect secretions. Which intervention is best for the nurse to implement?
t t t t t t t t t t t t
A. Swab the oral cavity with a washcloth
t t t t t t t
B. Use oral swabs with normal saline
t t t t t t
