PN HESI EXIT EXAM | HESI PN EXIT EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST 2025/2026 (HESI PN EXIT EXAM GUIDE RATED A+)
A client comes to that antepartal clinic and tells the practical nurse that she is six weeks
pregnant. Which sign is she most likely to report?
A. Amenorrhea
B. Nocturia
C. Decreased sexual libido
D. Quickening
The practical nurse finds a client who is assigned to another nurse bleeding from an
intravenous site and the IV tubing and fluid are on the floor. The PN immediately applies a
dressing to stop the bleeding. Which action should the PN take next?
A. Complete the shift documentation for this client and include the findings about the IV.
B. Tell the nurse assigned to the client about the event so the findings can be recorded.
C. Enter computer documentation of the findings and the application of a dressing.
D. Inform the charge nurse that the findings indicate that the client pulled out the IV.
Thirteen minutes after receiving IV morphine, a post-operative client continues to rate pain at
seven on 10 point scale. Which action should the practical nurse implement first?
A. Call healthcare provider to request a different analgesic
B. Implement complementary pain relief methods
C. Determine when morphine can be given again
D. Observe dressing to determine presence of bleeding
While observing a mother bottle feeding a four month old, the infant starts to choke. Which
action should the practical nurse (PN) take first?
A. Monitor the infant’s respiration for 15 seconds
B. Have the mother stop the feeding and sit the infant upright.
C. Immediately suction the infants mouth with a bulb syringe
D. Have the mother turn the infant over and perform three back-blows.
Choking can be an indication of impending aspiration. The initial action is to have the
mother stop the feeding and said the infant upright, which facilitates coughing and it's
usually all that is initially required to stop the infant from choking.
The practical nurse (PN) is caring for a client with coronary artery disease who is admitted with
intermittent chest pain. The admission laboratory results indicate elevations in troponin I and
creatinine phosphokinase myoglobin isoenzyme (CK-MB) levels. What should the PN
considered the most significant risk for this patient on the second day of admission?
A. The lab results indicate risk factors for transient ischemic attack (TIA) and neuro-vitals signs
should be monitored.
B. The client is at risk for recurrent long-term angina pain and subsequent myocardial
infarction.
C. The lab results indicate myocardial damage, and the client is at risk for cardiac
dysrhythmias.
D. The client is at risk for pulmonary embolism, and lifestyle modifications need to be
implemented.
A client reports being able to swallow only small bites of solid food and liquids for the last three
months. The practical nurse (PN) should assess the client for what additional information?
A. Dietary intake of roughage
B. Past traumatic injury to the neck
C. Daily consumption of hot beverages
D. History of alcohol and tobacco abuse
1Page
, A female client with Alzheimer's disease develops edema in both ankles. The healthcare
provider examines the client and determines she is in relatively good health with no cardiac or
renal health problems. Which action should the practical nurse (PN) take?
A. Provide low protein snacks between meals
B. Assist with ambulation several times a day
C. Encourage a regular toileting schedule
D. Remind the client to sit upright while awake
To promote adequate perfusion during remind the client to sit upright while awake
Vital signs every four hours
Hydrocodone bitartrate 5 mg/ acetaminophen 500 MG (Vicodin) one tablet every six hours as
needed for pain
Hydrocodone bitartrate 5 mg//acetaminophen 500 mg (Vicodin) two tablets every four hours as
needed for pain
Hemoglobin and hematocrit (H & H) on admission
Administer rubella vaccine if indicated.
Administer Rho (D) immune glodulin (RhoGam) if indicated.
Based on the computer documentation in the electronic medical record (ER), which action
should the nurse implement? (Click on each chart tab for additional information. Please be sure
to scroll to the bottom right corner of each tab to view all information contained in the clients
medical record)
A. Observe the mother breast-feeding her infant
B. Call the nursery for the infants blood type results
C. Give the rubella vaccine subcutaneously
D. Administer hydrocodone/acetaminophen one tablet for pain
While monitoring a 12 year old child with type 1 diabetes mellitus, the practical nurse (PN)
observes that a child is exhibiting Kussmaul respirations. Which additional symptom might the
PN expect the child to exhibit?
A. Cold, clammy skin
B. Breath with a fruity odor
C. Frothy white sputum
D. Cyanotic nail beds
A female client taking a liquid iron preparation expresses concern that her tooth color has
darkened since starting the medication. Which action should the practical nurse (PN)
implement?
A. Reassure the client that this change indicates the medication is having the desired effect
B. Determine if your client is also experiencing mouth organ pain and difficulty swallowing
C. Advise the client with hold further doses until consulting with a healthcare provider
D. Teach the client to use a straw when taking the medication to reduce further tooth staining
2
Page
ANSWERS LATEST 2025/2026 (HESI PN EXIT EXAM GUIDE RATED A+)
A client comes to that antepartal clinic and tells the practical nurse that she is six weeks
pregnant. Which sign is she most likely to report?
A. Amenorrhea
B. Nocturia
C. Decreased sexual libido
D. Quickening
The practical nurse finds a client who is assigned to another nurse bleeding from an
intravenous site and the IV tubing and fluid are on the floor. The PN immediately applies a
dressing to stop the bleeding. Which action should the PN take next?
A. Complete the shift documentation for this client and include the findings about the IV.
B. Tell the nurse assigned to the client about the event so the findings can be recorded.
C. Enter computer documentation of the findings and the application of a dressing.
D. Inform the charge nurse that the findings indicate that the client pulled out the IV.
Thirteen minutes after receiving IV morphine, a post-operative client continues to rate pain at
seven on 10 point scale. Which action should the practical nurse implement first?
A. Call healthcare provider to request a different analgesic
B. Implement complementary pain relief methods
C. Determine when morphine can be given again
D. Observe dressing to determine presence of bleeding
While observing a mother bottle feeding a four month old, the infant starts to choke. Which
action should the practical nurse (PN) take first?
A. Monitor the infant’s respiration for 15 seconds
B. Have the mother stop the feeding and sit the infant upright.
C. Immediately suction the infants mouth with a bulb syringe
D. Have the mother turn the infant over and perform three back-blows.
Choking can be an indication of impending aspiration. The initial action is to have the
mother stop the feeding and said the infant upright, which facilitates coughing and it's
usually all that is initially required to stop the infant from choking.
The practical nurse (PN) is caring for a client with coronary artery disease who is admitted with
intermittent chest pain. The admission laboratory results indicate elevations in troponin I and
creatinine phosphokinase myoglobin isoenzyme (CK-MB) levels. What should the PN
considered the most significant risk for this patient on the second day of admission?
A. The lab results indicate risk factors for transient ischemic attack (TIA) and neuro-vitals signs
should be monitored.
B. The client is at risk for recurrent long-term angina pain and subsequent myocardial
infarction.
C. The lab results indicate myocardial damage, and the client is at risk for cardiac
dysrhythmias.
D. The client is at risk for pulmonary embolism, and lifestyle modifications need to be
implemented.
A client reports being able to swallow only small bites of solid food and liquids for the last three
months. The practical nurse (PN) should assess the client for what additional information?
A. Dietary intake of roughage
B. Past traumatic injury to the neck
C. Daily consumption of hot beverages
D. History of alcohol and tobacco abuse
1Page
, A female client with Alzheimer's disease develops edema in both ankles. The healthcare
provider examines the client and determines she is in relatively good health with no cardiac or
renal health problems. Which action should the practical nurse (PN) take?
A. Provide low protein snacks between meals
B. Assist with ambulation several times a day
C. Encourage a regular toileting schedule
D. Remind the client to sit upright while awake
To promote adequate perfusion during remind the client to sit upright while awake
Vital signs every four hours
Hydrocodone bitartrate 5 mg/ acetaminophen 500 MG (Vicodin) one tablet every six hours as
needed for pain
Hydrocodone bitartrate 5 mg//acetaminophen 500 mg (Vicodin) two tablets every four hours as
needed for pain
Hemoglobin and hematocrit (H & H) on admission
Administer rubella vaccine if indicated.
Administer Rho (D) immune glodulin (RhoGam) if indicated.
Based on the computer documentation in the electronic medical record (ER), which action
should the nurse implement? (Click on each chart tab for additional information. Please be sure
to scroll to the bottom right corner of each tab to view all information contained in the clients
medical record)
A. Observe the mother breast-feeding her infant
B. Call the nursery for the infants blood type results
C. Give the rubella vaccine subcutaneously
D. Administer hydrocodone/acetaminophen one tablet for pain
While monitoring a 12 year old child with type 1 diabetes mellitus, the practical nurse (PN)
observes that a child is exhibiting Kussmaul respirations. Which additional symptom might the
PN expect the child to exhibit?
A. Cold, clammy skin
B. Breath with a fruity odor
C. Frothy white sputum
D. Cyanotic nail beds
A female client taking a liquid iron preparation expresses concern that her tooth color has
darkened since starting the medication. Which action should the practical nurse (PN)
implement?
A. Reassure the client that this change indicates the medication is having the desired effect
B. Determine if your client is also experiencing mouth organ pain and difficulty swallowing
C. Advise the client with hold further doses until consulting with a healthcare provider
D. Teach the client to use a straw when taking the medication to reduce further tooth staining
2
Page
