HESI PN EXIT EXAM 2 WITH NEXT GENERATION NCLEX (NGN)
QUESTIONS AND VERIFIED ANSWERS LATEST GUIDE HAVING 2
COMPLETE VERSIONS, 2025/2026 (HESI PN EXIT EXAM 2)
1. The practical nurse (PN) is observing a client self-administering a dose if subcutaneous
insulin. What step of the injection technique should the practical nurse (PN) reteach?
Selects the same site that was used for the previous injection
2. The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is
counting a client's radial pulse as seen in the picture. Which action should the PN take?
Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse, follow
the pinky for the brachial)
3. The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds
(4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L or
SI units) 30 minutes after birth. Based on this information, which intervention should the
practical nurse (PN) implement first?
Begin frequent feedings of breast milk or formula
4. A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flavored gelatin and
1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How
many mL total oral and IV intake should the PN document on the client's medical record? (Enter
numeric value only):
8 oz x 30 mL = 240 mL 4 oz x 30 mL = 120 mL 4 oz x 30 mL = 120 mL 1 L = 1000 mL
Total intake = 1480 ml
5. The nurse is very busy and running late with administering medications and asks the practical
nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the
PN respond?
"I am not comfortable doing that. Is there something else I can do to help you?
1|DynamicNurse
,6. The practical nurse (PN) is assigning care for a group of clients on the urology medical unit.
Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that
apply.):
Empty beside drainage unit for a client with indwelling urinary catheter
Transport a urine culture sample to the laboratory
7. Which intervention should the practical nurse (PN) reinforce for a client with pruritis?
Keep fingernails trimmed short
8. While administering prescription medications to an older resident in an extended care facility,
the practical nurse (PN) notices that the client is having difficulty hearing. What action is most
important for the PN to take?
Determine if the client has had difficulty in the past
9. The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vialis
labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5
mL sterile water for injection to provide a total volume of 3.0 mL." After reconstitution, how
many mL should be administered to the client? (Enter numeric value only. If rounding is
required, round to the nearest tenth.
1.3 mL
10. In caring for a client with Buck's traction, the practical nurse (PN) observes that the
prescribed amount weights are hanging freely, and the traction rope is on the pulley. Which
action should the PN implement first?
Document that the Buck's traction is being maintained
11. When a small fire breaks out in the kitchen of a long-term care facility, which task is most
important for the practical nurse (PN) to perform instead of assigning to a unlicensed assistive
personnel:
Identify the method for transporting and evacuating each resident
2|DynamicNurse
,12. 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 creatine phosphokinase myoglobulin isoenzyme (CK-MB) levels. What should the PN
consider the most significant risk for this client on the secondday of admission?
The lab results indicate myocardial damage, and the client is at risk for cardiac
dysrhythmias
13. `The practical nurse (PN) observes hematuria in the urinary catheter drainage tubing of
aclient who is receiving intravenous heparin. Which action should the PN implement first?
Check the client's gums for bleeding?
14. The practical nurse (PN) explains the 2-week dosage prescription of prednisone to a client
who has poison ivy covering multiple skin surfaces. What should the PN emphasize about the
dosing schedule: Decrease dosage daily as prescribed
15. A client is receiving an anticonvulsant, diazepam, intravenously for status epilepticus. Which
intervention is most important for the practical nurse (PN) to implement?
Monitor the client's respiratory rate and effort
16. The practical nurse (PN) administers filgrastim to a client with neutropenia. The client later
complains of bone pain. Which action should the PN take?
Offer to administer a prescribed PRN analgesic to the client
17. The practical nurse (PN) is caring for a client who has been taking nonsteroidal anti-
inflammatory drug ibuprofen for arthritic pain. Which action will the PN include in this client
plan of care?:
Observe for signs of gastrointestinal bleeding
18. The practical nurse (PN) reviews instructions for use of polyethylene glycol, a laxative, with
a client scheduled for a colonoscopy. Which instruction should the PN include?:
Drink each glass of solution rapidly at regular specified time intervals
3|DynamicNurse
, 19. The practical nurse (PN) notifies the healthcare provider about client information using
Situation, Background, Assessment, Recommendation (SBAR) technique. Which information
should the PN provide first?:
Blood pressure is 80/48 mmHg
20. In administering nystatin suspension to the gums of an infant with candida infection, which
approach should the practical nurse (PN) use?:
Draw up the medication in a needle-less syringe which the infant can suck
21. When obtaining a capillary blood sample for glucose measurement, which intervention
should the practical nurse (PN) implement?
Determine which finger was used previously
22. The practical nurse (PN) is assisting a client to cough and deep breathe following surgery. To
facilitate effective coughing, the PN should assist the client to assume which position?
Sitting on the side of bed with feet flat on the floor
23. The practical nurse (PN) learns that a client who is receiving chemotherapy has developed
stomatitis. Which information should the PN obtain from the client during a focused
assessment?:
Ability to swallow
24. An older female adult who was admitted to a long-term care facility yesterday is confused
about what day of the week it is. Her history does not indicate that she was confused prior to
admission. What action should the practical nurse (PN) take?
Remind the client what day of the week it is
25. The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in
which the local anesthetic was sprayed on the throat. Which priority action should the PN
include in the clients plan of care?:
Assess the gag reflex
4|DynamicNurse
QUESTIONS AND VERIFIED ANSWERS LATEST GUIDE HAVING 2
COMPLETE VERSIONS, 2025/2026 (HESI PN EXIT EXAM 2)
1. The practical nurse (PN) is observing a client self-administering a dose if subcutaneous
insulin. What step of the injection technique should the practical nurse (PN) reteach?
Selects the same site that was used for the previous injection
2. The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is
counting a client's radial pulse as seen in the picture. Which action should the PN take?
Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse, follow
the pinky for the brachial)
3. The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds
(4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L or
SI units) 30 minutes after birth. Based on this information, which intervention should the
practical nurse (PN) implement first?
Begin frequent feedings of breast milk or formula
4. A client consumes 8 ounces (oz) of broth, 4 oz of apple juice, 4 ounces of flavored gelatin and
1 banana. During the same shift, this client receives 1 liter of IV fluid and voids 700 mL. How
many mL total oral and IV intake should the PN document on the client's medical record? (Enter
numeric value only):
8 oz x 30 mL = 240 mL 4 oz x 30 mL = 120 mL 4 oz x 30 mL = 120 mL 1 L = 1000 mL
Total intake = 1480 ml
5. The nurse is very busy and running late with administering medications and asks the practical
nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the
PN respond?
"I am not comfortable doing that. Is there something else I can do to help you?
1|DynamicNurse
,6. The practical nurse (PN) is assigning care for a group of clients on the urology medical unit.
Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that
apply.):
Empty beside drainage unit for a client with indwelling urinary catheter
Transport a urine culture sample to the laboratory
7. Which intervention should the practical nurse (PN) reinforce for a client with pruritis?
Keep fingernails trimmed short
8. While administering prescription medications to an older resident in an extended care facility,
the practical nurse (PN) notices that the client is having difficulty hearing. What action is most
important for the PN to take?
Determine if the client has had difficulty in the past
9. The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vialis
labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5
mL sterile water for injection to provide a total volume of 3.0 mL." After reconstitution, how
many mL should be administered to the client? (Enter numeric value only. If rounding is
required, round to the nearest tenth.
1.3 mL
10. In caring for a client with Buck's traction, the practical nurse (PN) observes that the
prescribed amount weights are hanging freely, and the traction rope is on the pulley. Which
action should the PN implement first?
Document that the Buck's traction is being maintained
11. When a small fire breaks out in the kitchen of a long-term care facility, which task is most
important for the practical nurse (PN) to perform instead of assigning to a unlicensed assistive
personnel:
Identify the method for transporting and evacuating each resident
2|DynamicNurse
,12. 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 creatine phosphokinase myoglobulin isoenzyme (CK-MB) levels. What should the PN
consider the most significant risk for this client on the secondday of admission?
The lab results indicate myocardial damage, and the client is at risk for cardiac
dysrhythmias
13. `The practical nurse (PN) observes hematuria in the urinary catheter drainage tubing of
aclient who is receiving intravenous heparin. Which action should the PN implement first?
Check the client's gums for bleeding?
14. The practical nurse (PN) explains the 2-week dosage prescription of prednisone to a client
who has poison ivy covering multiple skin surfaces. What should the PN emphasize about the
dosing schedule: Decrease dosage daily as prescribed
15. A client is receiving an anticonvulsant, diazepam, intravenously for status epilepticus. Which
intervention is most important for the practical nurse (PN) to implement?
Monitor the client's respiratory rate and effort
16. The practical nurse (PN) administers filgrastim to a client with neutropenia. The client later
complains of bone pain. Which action should the PN take?
Offer to administer a prescribed PRN analgesic to the client
17. The practical nurse (PN) is caring for a client who has been taking nonsteroidal anti-
inflammatory drug ibuprofen for arthritic pain. Which action will the PN include in this client
plan of care?:
Observe for signs of gastrointestinal bleeding
18. The practical nurse (PN) reviews instructions for use of polyethylene glycol, a laxative, with
a client scheduled for a colonoscopy. Which instruction should the PN include?:
Drink each glass of solution rapidly at regular specified time intervals
3|DynamicNurse
, 19. The practical nurse (PN) notifies the healthcare provider about client information using
Situation, Background, Assessment, Recommendation (SBAR) technique. Which information
should the PN provide first?:
Blood pressure is 80/48 mmHg
20. In administering nystatin suspension to the gums of an infant with candida infection, which
approach should the practical nurse (PN) use?:
Draw up the medication in a needle-less syringe which the infant can suck
21. When obtaining a capillary blood sample for glucose measurement, which intervention
should the practical nurse (PN) implement?
Determine which finger was used previously
22. The practical nurse (PN) is assisting a client to cough and deep breathe following surgery. To
facilitate effective coughing, the PN should assist the client to assume which position?
Sitting on the side of bed with feet flat on the floor
23. The practical nurse (PN) learns that a client who is receiving chemotherapy has developed
stomatitis. Which information should the PN obtain from the client during a focused
assessment?:
Ability to swallow
24. An older female adult who was admitted to a long-term care facility yesterday is confused
about what day of the week it is. Her history does not indicate that she was confused prior to
admission. What action should the practical nurse (PN) take?
Remind the client what day of the week it is
25. The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in
which the local anesthetic was sprayed on the throat. Which priority action should the PN
include in the clients plan of care?:
Assess the gag reflex
4|DynamicNurse
