Hesi PN Practice Exam and Questions CURRENT EXAM 2025
The nurse is planning care for the 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 softner
A. Administer Prescribed stool softner
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
The nurse is palpating the right upper hypochondriac region of the
abdomen of a client. What organ lies underneath this area.
A. Duodenum C. Liver
B. Gastric Pylorus
C. Liver
D. Spleen
A client comes to the antepartal clinic and tells the nurse that she
is 6 weeks pregnant. Which sign is she most likely to report?
A. Decreased sexual libido B Amenorrhea
B. Amenorrhea
C. Quickening
D. Nocturia
A client's daughter phones the charge nurse to report that the
night nurse did not provide good care for her mother. What re-
sponse should the nurse make?
A. Ask for a description of what happened during the night
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 hosptitalized toddler who is recovering from a sickle cell crisis
holds a toy and say's "mine". According to Erikson's theory of psy-
chosocial development, this child's behavior is a demonstration of
which developmental stage?
A. Autonomy vs. Shame and doubt.
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
Which action should the nurse implement in caring for a client
following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h D. Wash any paste from the client's hair and scalp
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
The nurse is caring for a 75- year-old male client who is beginning
to form a decubitus ulcer at the coccyx. Which intervention will be
most helpfull in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
What is the homeostatic cellular transport mechanism that moves
water from a hypotonic to a hypertonic fluid space?
C. Osmosis
A. Filtration
B. Diffusion
, Hesi PN Practice Exam and Questions CURRENT EXAM 2025
C. Osmosis
D. Active transport
The nurse is taking blood presure of a client admitted with a
possible myocardial infarction. When taking the client's BP at the
brachial artery, the nurse should place the client's arm in which
position?
B. At the level of the heart
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
What are the final parameters that produce blood pressure? (se-
lect all that apply)
A. Heart rate
A. Heart rate
B. Stroke volume
B. Stroke volume
C. Peripheral resistance
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
A client begins an antidepressant drug during the second day of
hospitalization. Which assessment is most important for the nurse
to include in this client's plan of care while the client is taking the
antidepressant?
B. Mood
A. Appetite
B. Mood
C. Withdrawl
D. Energy level
Based on the documentation in the medical record, which action
should the nurse implement next?
A. Give the rubella vaccine subcutaneously A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blodd type result
D. Administer Vicodin one tablet for pain
A client is adminitted to the hosptial with a diagnosis of Pneu-
monia. Which intervetion should the nurse implement to prevent
complications associated with Pneumonia?
A. Enourage mobilization and ambulation A. Enourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
The practical nurse is preparing to administer a prescription for
cefazolin (kefzol) 600 mg IM every 6 hours. The available vial
is labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for re-
consittution, "For IM use add 2ml sterile water for injection. Total 15
volume after reconstruction = 2.5 ml. "when reconstituded, how
many milligrams are in each mil of solutions (Enter numeric value
only)
Which nursing activity is within the scope of practice for the
practical nurse?
A. Complete an admission assessment in the normal newborn
nursery. C. Observe a client rotate the subcutaneous site for an insulin
B. Discontinue a central venous catheter that has become dis- pump
lodged
C. Observe a client rotate the subcutaneous site for an insulin
pump
D. Monitor a continous narcotic epidural for a postoperative client
, Hesi PN Practice Exam and Questions CURRENT EXAM 2025
After morning dressing changes are completed, a male client who
has 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 extra
B. Provide perianal care and collect clean linens for the dressing
dressing change
change
B. Provide perianal care and collect clean linens for the dressing
change
C. Document the diarrhea that necessitates an additional dressing
change
D. Position the client for access to the decubiti sties and remove
dressings
The nurse is planning to evaluate the effectiveness of several
drugs administered by different routes. Arrage the routes of ad-
ministration in the order from fastest to slowest rate of absorption.
Subcutaenous Intravenous, sublingual, intramuscular, subcutaneous, oral.
Intravenous
Intramuscular
Sublingual
Oral
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9
weeks gestation. At one-house post dilation and curettage (D&C)
the nurse assess the vital signs and vaginal bleeding. The client
begins to cry softly. How should the nurse intervene?
C. Express sorrow for the client's grief and offer to sit with her
A. Offer to call the social worker to discuss the possiblity of
abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
A terminally ill male client and his family are requesting hospice
care after discharge from the hosptial and ask the nurse to explain
what kind of care they should expect. The nurse should indicate
that hospice philosophy focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
The nurse observes a wife shaving her husband's beard with a
safety razor by holding the skin taut and shaving in the direction
of the hair growth . What action should the nurse take?
A. Advsie the wife to shave against the hair growth C. Encourage the wife to continue shaving her husband
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
To assess pedal pulse what arterial sites should the nurse pal-
pate? (select all that apply)
A. Posterior tibialis artery
B. Politeal artery A. Posterior tibialis artery, D. Dorsalis pedis artery
C. External femoral artery
D. Dorsalis pedis artery
E Radial artery
The nurse is admitting a client who is diagnosed with Angina
Pectoris. Which precipitating factor in this client's history is likely
to be related to the anginal pain?
, Hesi PN Practice Exam and Questions CURRENT EXAM 2025
A. Smokes one pack of cigarettes daily
B. Drinks two beers daily A. Smokes one pack of cigarettes daily
C. Works in a job that requires exposure to the sun
D. Eats while lying in bed
The nurse is assessing an older resident of a long-term care
facility who has a history of Benign Prostatic Hypertrophy and
identifies that the client's bladder is distended. The healthcare
provider prescribes post-voided residual catherterization over the
next 24 hours and placement of an indwelling catheter if the
residual volume exceeds 100 mL. The client's PO intake is 600
mL, and fifteen minutes ago, the client voided 90 mL. What action
should the nurse take?
D. Catheterize with an indwelling catheter and if the residual
volume is greater than 100 mL. Inflate the balloon.
A. Stand the client to void and run tap water within hearing dis-
tance before catheterizing the client.
B. Straight catheterize and if the residual uring volume is greater
than 100 mL, clamp catheter
C. Catheterize q2H and place in an indwelling catheter at the end
of the prescribed 24hr period.
D. Catheterize with an indwelling catheter and if the residual
volume is greater than 100 mL. Inflate the balloon.
A client is receiving dexamethasone (Hexadrol, Decadron). What
symptoms should the nurse recognize as Cushionoid side effects?
A. Moon face, Slow wound healing, muscle wasting sodium and
water retention
A. Moon face, Slow wound healing, muscle wasting sodium and
B. Tachycardia hypertension, weight loss, heat intolerance, ner-
water retention
vousness, restlessness, tremor
C. Bradycardia, weight gain, cold intolerance, myxedema facies
and periobarbital edema
D. Hyperpigmentation, hyponatremia, hyperkalemia, dehydration,
hypotension
The cervix is the opening into the uterine cavity. What is its function
in reproduction?
A. Accepts and interprets signals of sexual stimuli B. Secretes mucus to facilitate sperm transport
B. Secretes mucus to facilitate sperm transport
C. Serves as the site for union of ovum ans sperm
D. Receives the penis during intercourse
The nurse is working in a community health setting and assisting
the charge nurse in performing health screenings. Which individ-
ual is at highest risk for contracting an HIV infection?
A. 17-year-old who is sexually active simultaneously with numer- A. 17-year-old who is sexually active simultaneously with numer-
ous partners ous partners
B. 34-year old homosexual who is in a monogamous relationship
C. 30-year-old cocaine user who inhales and smokes drugs
D. 45-year-old who has received two blood transfusions in the past
6 months
The nurse is administering amiodarone (Cordarone) to a client
who has been admitted with Atrial Fibrillation (AFIB). What ther-
apeutic response should the nurse anticipate?
A. Conversion of irregular heart rate to regular heart rhythm A. Conversion of irregular heart rate to regular heart rhythm
B. Pulse oximetry readings within normal range during activity
C. Peripheral pulse points with adequate capillary refill
D. Increase excercise tolerance without shortness of breath
An elderly male client is planning to vacation with a group of senior
citizens. He is concerned about developing constipation during
The nurse is planning care for the 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 softner
A. Administer Prescribed stool softner
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
The nurse is palpating the right upper hypochondriac region of the
abdomen of a client. What organ lies underneath this area.
A. Duodenum C. Liver
B. Gastric Pylorus
C. Liver
D. Spleen
A client comes to the antepartal clinic and tells the nurse that she
is 6 weeks pregnant. Which sign is she most likely to report?
A. Decreased sexual libido B Amenorrhea
B. Amenorrhea
C. Quickening
D. Nocturia
A client's daughter phones the charge nurse to report that the
night nurse did not provide good care for her mother. What re-
sponse should the nurse make?
A. Ask for a description of what happened during the night
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 hosptitalized toddler who is recovering from a sickle cell crisis
holds a toy and say's "mine". According to Erikson's theory of psy-
chosocial development, this child's behavior is a demonstration of
which developmental stage?
A. Autonomy vs. Shame and doubt.
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
Which action should the nurse implement in caring for a client
following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h D. Wash any paste from the client's hair and scalp
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
The nurse is caring for a 75- year-old male client who is beginning
to form a decubitus ulcer at the coccyx. Which intervention will be
most helpfull in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
What is the homeostatic cellular transport mechanism that moves
water from a hypotonic to a hypertonic fluid space?
C. Osmosis
A. Filtration
B. Diffusion
, Hesi PN Practice Exam and Questions CURRENT EXAM 2025
C. Osmosis
D. Active transport
The nurse is taking blood presure of a client admitted with a
possible myocardial infarction. When taking the client's BP at the
brachial artery, the nurse should place the client's arm in which
position?
B. At the level of the heart
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
What are the final parameters that produce blood pressure? (se-
lect all that apply)
A. Heart rate
A. Heart rate
B. Stroke volume
B. Stroke volume
C. Peripheral resistance
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
A client begins an antidepressant drug during the second day of
hospitalization. Which assessment is most important for the nurse
to include in this client's plan of care while the client is taking the
antidepressant?
B. Mood
A. Appetite
B. Mood
C. Withdrawl
D. Energy level
Based on the documentation in the medical record, which action
should the nurse implement next?
A. Give the rubella vaccine subcutaneously A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blodd type result
D. Administer Vicodin one tablet for pain
A client is adminitted to the hosptial with a diagnosis of Pneu-
monia. Which intervetion should the nurse implement to prevent
complications associated with Pneumonia?
A. Enourage mobilization and ambulation A. Enourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
The practical nurse is preparing to administer a prescription for
cefazolin (kefzol) 600 mg IM every 6 hours. The available vial
is labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for re-
consittution, "For IM use add 2ml sterile water for injection. Total 15
volume after reconstruction = 2.5 ml. "when reconstituded, how
many milligrams are in each mil of solutions (Enter numeric value
only)
Which nursing activity is within the scope of practice for the
practical nurse?
A. Complete an admission assessment in the normal newborn
nursery. C. Observe a client rotate the subcutaneous site for an insulin
B. Discontinue a central venous catheter that has become dis- pump
lodged
C. Observe a client rotate the subcutaneous site for an insulin
pump
D. Monitor a continous narcotic epidural for a postoperative client
, Hesi PN Practice Exam and Questions CURRENT EXAM 2025
After morning dressing changes are completed, a male client who
has 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 extra
B. Provide perianal care and collect clean linens for the dressing
dressing change
change
B. Provide perianal care and collect clean linens for the dressing
change
C. Document the diarrhea that necessitates an additional dressing
change
D. Position the client for access to the decubiti sties and remove
dressings
The nurse is planning to evaluate the effectiveness of several
drugs administered by different routes. Arrage the routes of ad-
ministration in the order from fastest to slowest rate of absorption.
Subcutaenous Intravenous, sublingual, intramuscular, subcutaneous, oral.
Intravenous
Intramuscular
Sublingual
Oral
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9
weeks gestation. At one-house post dilation and curettage (D&C)
the nurse assess the vital signs and vaginal bleeding. The client
begins to cry softly. How should the nurse intervene?
C. Express sorrow for the client's grief and offer to sit with her
A. Offer to call the social worker to discuss the possiblity of
abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
A terminally ill male client and his family are requesting hospice
care after discharge from the hosptial and ask the nurse to explain
what kind of care they should expect. The nurse should indicate
that hospice philosophy focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
The nurse observes a wife shaving her husband's beard with a
safety razor by holding the skin taut and shaving in the direction
of the hair growth . What action should the nurse take?
A. Advsie the wife to shave against the hair growth C. Encourage the wife to continue shaving her husband
B. Teach the wife to keep the skin loose to avoid cuts
C. Encourage the wife to continue shaving her husband
D. Demonstrate the correct procedure to the wife
To assess pedal pulse what arterial sites should the nurse pal-
pate? (select all that apply)
A. Posterior tibialis artery
B. Politeal artery A. Posterior tibialis artery, D. Dorsalis pedis artery
C. External femoral artery
D. Dorsalis pedis artery
E Radial artery
The nurse is admitting a client who is diagnosed with Angina
Pectoris. Which precipitating factor in this client's history is likely
to be related to the anginal pain?
, Hesi PN Practice Exam and Questions CURRENT EXAM 2025
A. Smokes one pack of cigarettes daily
B. Drinks two beers daily A. Smokes one pack of cigarettes daily
C. Works in a job that requires exposure to the sun
D. Eats while lying in bed
The nurse is assessing an older resident of a long-term care
facility who has a history of Benign Prostatic Hypertrophy and
identifies that the client's bladder is distended. The healthcare
provider prescribes post-voided residual catherterization over the
next 24 hours and placement of an indwelling catheter if the
residual volume exceeds 100 mL. The client's PO intake is 600
mL, and fifteen minutes ago, the client voided 90 mL. What action
should the nurse take?
D. Catheterize with an indwelling catheter and if the residual
volume is greater than 100 mL. Inflate the balloon.
A. Stand the client to void and run tap water within hearing dis-
tance before catheterizing the client.
B. Straight catheterize and if the residual uring volume is greater
than 100 mL, clamp catheter
C. Catheterize q2H and place in an indwelling catheter at the end
of the prescribed 24hr period.
D. Catheterize with an indwelling catheter and if the residual
volume is greater than 100 mL. Inflate the balloon.
A client is receiving dexamethasone (Hexadrol, Decadron). What
symptoms should the nurse recognize as Cushionoid side effects?
A. Moon face, Slow wound healing, muscle wasting sodium and
water retention
A. Moon face, Slow wound healing, muscle wasting sodium and
B. Tachycardia hypertension, weight loss, heat intolerance, ner-
water retention
vousness, restlessness, tremor
C. Bradycardia, weight gain, cold intolerance, myxedema facies
and periobarbital edema
D. Hyperpigmentation, hyponatremia, hyperkalemia, dehydration,
hypotension
The cervix is the opening into the uterine cavity. What is its function
in reproduction?
A. Accepts and interprets signals of sexual stimuli B. Secretes mucus to facilitate sperm transport
B. Secretes mucus to facilitate sperm transport
C. Serves as the site for union of ovum ans sperm
D. Receives the penis during intercourse
The nurse is working in a community health setting and assisting
the charge nurse in performing health screenings. Which individ-
ual is at highest risk for contracting an HIV infection?
A. 17-year-old who is sexually active simultaneously with numer- A. 17-year-old who is sexually active simultaneously with numer-
ous partners ous partners
B. 34-year old homosexual who is in a monogamous relationship
C. 30-year-old cocaine user who inhales and smokes drugs
D. 45-year-old who has received two blood transfusions in the past
6 months
The nurse is administering amiodarone (Cordarone) to a client
who has been admitted with Atrial Fibrillation (AFIB). What ther-
apeutic response should the nurse anticipate?
A. Conversion of irregular heart rate to regular heart rhythm A. Conversion of irregular heart rate to regular heart rhythm
B. Pulse oximetry readings within normal range during activity
C. Peripheral pulse points with adequate capillary refill
D. Increase excercise tolerance without shortness of breath
An elderly male client is planning to vacation with a group of senior
citizens. He is concerned about developing constipation during
