EXIT HESI PN: EXAM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
A client is receiving an epidural anesthesia during labor which
observation is the most important adverse effect that the
practical nurse (PN) should assess for following the administration
of the epidural
Maternal hypotension
While changing a clients dressing with a leg ulcer the practical
nurse (PN) observes a red tendon and swollen wound
at the site of the lesion before reporting this finding to the health
care provider the PN should valuate which of the
laboratory values
Neutrophils count
The practical nurse (PN) is reviewing results of a client urinalysis
which results indicate problems and should be
reported by the PN to the health care provider (select all that
apply)
• Bacteria present
• Positive for albumin or protein
• Slightly acidic PH
The practical nurse (PN) is monitoring a client neurological status
following a closed head injury witch assessment
finding should the PN include (select all that apply)
,• Pupillary reaction
• Vital sign measures
• Conscience level
A client has unconscious has a weak thready pulse cool moist skin
cyanosis of the nails beds and Kussmaul
respirations which of the following actions should the practical
nurse implement
Place client in semi fowlers position
Prior to an invasive examination of a hospitalized client a consent
form should be obtained which action best
describes the responsibility of the practical nurse?
Check the medical records for correct signed consent form prior
to the examination
An older male is returning to the surgical unit after a total right
hip replacement which assessment finding are most
important to the practical nurse (PN) to document in the
electronic medical record
Paresthesia paralysis pedal pulse pallor and pain
93 East New England Ave
the client with current and previous sleep habits
A practical nurse who is a member of the continued quality
improvement committee of an extended care facility
identifies that there has been an increase incidence of urinary
infection (UTI) over the last six months period which
intervention should the PN implement on decrease catheter
Evaluate the UAP techniques for catheter care
in caring for a client following a below the knee amputation which
task best for the practical nurse (PN) to assign the
,unlicensed assistive personal (UAP) who is assisting with the care
of this client
empty and measure the drainage in the suction device
which action should the practical nurse (PN) include when
assessing a client for signs and symptoms of fluid volume
excess (select all that apply)
• observe color and amount
• palpate the rate and volume of the pulse
• measure body weight at the same time daily
an adult with a history of cardiovascular disease comes to the
clinic complaining of indigestion vital signs are heart
rate 130beats/min respirations 24 breaths/min and BP 180/90
which findings should the practical nurse (PN) report
immediately
Left jaw discomfort
What is the first intervention for the practical nurse (PN) to
implement when a client refuses to take prescribed
medication?
Determine the clients reasoning for refusing the medication
The practical nurse (PN) finds a client who is assigned to another
nurse bleeding from an intravenous (IV) site and the
IV tubing floor the PN immediately applies a dressing to stop the
bleeding which action should the PN take next?
Enter computer documentation of the finding and the application
of a dressing
When applying a pulse oximeter which actions should the
practical nurse (PN) take first?
Observe for finer nail polish
, For the past 6 hours a postoperative male client has refused pain
medication because he believes that he could
"tough it out" when an opioid analgesic is administered the client
has difficulty obtaining a satisfactory level of
comfort which action is best for the nurse to use in assisting this
client to deal with his pain?
Guide the client through slow rhythm breathing
In implementing the plan of care what date should the practical
nurse (PN) obtain first for a client with a sleep pattern
disturbance
Sleep routines that the client practices regularly
The practical nurse (PN) is preparing for shift change which task
has the highest priority and should be completed
first
Verify completion of all new prescriptions
the practical nurse (PN) palpates the clients radial pulse
disappears when light pressure is applied how should the
PN document this finding
Thready pulse volume
Under which condition do all state nurse practice act provide the
revocation of the license of practical nursing (PN)
Practicing under the influence of drug and alcohol
The client expresses concern about receiving proper in in
accordance with the client religion which action is the best
for the practical nurse (PN) to take
Ask the client about individual care preference
After administering pantoprazole to a client with
gastroesophageal reflex disorder (GERD) which statement by the
CORRECT/ACCURATE ANSWERS
A client is receiving an epidural anesthesia during labor which
observation is the most important adverse effect that the
practical nurse (PN) should assess for following the administration
of the epidural
Maternal hypotension
While changing a clients dressing with a leg ulcer the practical
nurse (PN) observes a red tendon and swollen wound
at the site of the lesion before reporting this finding to the health
care provider the PN should valuate which of the
laboratory values
Neutrophils count
The practical nurse (PN) is reviewing results of a client urinalysis
which results indicate problems and should be
reported by the PN to the health care provider (select all that
apply)
• Bacteria present
• Positive for albumin or protein
• Slightly acidic PH
The practical nurse (PN) is monitoring a client neurological status
following a closed head injury witch assessment
finding should the PN include (select all that apply)
,• Pupillary reaction
• Vital sign measures
• Conscience level
A client has unconscious has a weak thready pulse cool moist skin
cyanosis of the nails beds and Kussmaul
respirations which of the following actions should the practical
nurse implement
Place client in semi fowlers position
Prior to an invasive examination of a hospitalized client a consent
form should be obtained which action best
describes the responsibility of the practical nurse?
Check the medical records for correct signed consent form prior
to the examination
An older male is returning to the surgical unit after a total right
hip replacement which assessment finding are most
important to the practical nurse (PN) to document in the
electronic medical record
Paresthesia paralysis pedal pulse pallor and pain
93 East New England Ave
the client with current and previous sleep habits
A practical nurse who is a member of the continued quality
improvement committee of an extended care facility
identifies that there has been an increase incidence of urinary
infection (UTI) over the last six months period which
intervention should the PN implement on decrease catheter
Evaluate the UAP techniques for catheter care
in caring for a client following a below the knee amputation which
task best for the practical nurse (PN) to assign the
,unlicensed assistive personal (UAP) who is assisting with the care
of this client
empty and measure the drainage in the suction device
which action should the practical nurse (PN) include when
assessing a client for signs and symptoms of fluid volume
excess (select all that apply)
• observe color and amount
• palpate the rate and volume of the pulse
• measure body weight at the same time daily
an adult with a history of cardiovascular disease comes to the
clinic complaining of indigestion vital signs are heart
rate 130beats/min respirations 24 breaths/min and BP 180/90
which findings should the practical nurse (PN) report
immediately
Left jaw discomfort
What is the first intervention for the practical nurse (PN) to
implement when a client refuses to take prescribed
medication?
Determine the clients reasoning for refusing the medication
The practical nurse (PN) finds a client who is assigned to another
nurse bleeding from an intravenous (IV) site and the
IV tubing floor the PN immediately applies a dressing to stop the
bleeding which action should the PN take next?
Enter computer documentation of the finding and the application
of a dressing
When applying a pulse oximeter which actions should the
practical nurse (PN) take first?
Observe for finer nail polish
, For the past 6 hours a postoperative male client has refused pain
medication because he believes that he could
"tough it out" when an opioid analgesic is administered the client
has difficulty obtaining a satisfactory level of
comfort which action is best for the nurse to use in assisting this
client to deal with his pain?
Guide the client through slow rhythm breathing
In implementing the plan of care what date should the practical
nurse (PN) obtain first for a client with a sleep pattern
disturbance
Sleep routines that the client practices regularly
The practical nurse (PN) is preparing for shift change which task
has the highest priority and should be completed
first
Verify completion of all new prescriptions
the practical nurse (PN) palpates the clients radial pulse
disappears when light pressure is applied how should the
PN document this finding
Thready pulse volume
Under which condition do all state nurse practice act provide the
revocation of the license of practical nursing (PN)
Practicing under the influence of drug and alcohol
The client expresses concern about receiving proper in in
accordance with the client religion which action is the best
for the practical nurse (PN) to take
Ask the client about individual care preference
After administering pantoprazole to a client with
gastroesophageal reflex disorder (GERD) which statement by the
