PN HESI EXIT ACTUAL EXAM VERSION 5
NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY
GRADED A+
1. 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
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
2. The nurse is palpating the right upper hypochondriac region of the
abdomen of a client. What organ lies underneath this area.
A. Duodenum
pg. 33
, B. Gastric Pylorus
C. Liver
D. Spleen
3. 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
C. Quickening
D. Nocturia
4. A client's daughter phones the charge nurse to report that the night nurse
did not provide good care for her mother. What response should the nurse
make?
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.
5. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
and say's "mine". According to Erikson's theory of psychosocial development,
this child's behavior is a demonstration of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
6. Which action should the nurse implement in caring for a client
following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
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
7. 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
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
pg. 34
,8. What is the homeostatic cellular transport mechanism that moves water
from a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
9. 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?
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
10. What are the final parameters that produce blood pressure?
(select all that apply)
A.
B.
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
11. 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?
A. Appetite
B. Mood
C. Withdrawl
D. Energy level
12. Based on the documentation in the medical record, which action should
the nurse implement next?
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
13. A client is adminitted to the hosptial with a diagnosis of Pneumonia. Which
intervetion should the nurse implement to prevent complications
associated with Pneumonia?
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
pg. 35
, 14. 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 reconsittution, "For IM use add 2ml
sterile water for injection. Total volume after reconstruction = 2.5 ml. "when
reconstituded, how many milligrams are in each mil of solutions (Enter
numeric value only)
A. 15
15. Which nursing activity is within the scope of practice for the
practical nurse?
A. Complete an admission assessment in the normal newborn
nursery.
B. Discontinue a central venous catheter that has become
dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continuous narcotic epidural for a postoperative client
16. After morning dressing changes are completed, a male client whohas 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
dressing change
Provide perianal care and collect clean linens for the dressing
B.
change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove
dressings
17. The nurse is planning to evaluate the effectiveness of several drugs
administered by different routes. Arrage the routes of administration in the
order from fastest to slowest rate of absorption.
A.
18. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9weeks
gestation. At one-house post dilation and curettage (D&C) the nurse assess the
vital signs and vaginal bleeding. The client begins tocry softly. How should the
nurse intervene?
A. Offer to call the social worker to discuss the possiblity of abortion
B. Reassure the client that the infertility specialist can help
pg. 36
NEWEST 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY
GRADED A+
1. 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
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
2. The nurse is palpating the right upper hypochondriac region of the
abdomen of a client. What organ lies underneath this area.
A. Duodenum
pg. 33
, B. Gastric Pylorus
C. Liver
D. Spleen
3. 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
C. Quickening
D. Nocturia
4. A client's daughter phones the charge nurse to report that the night nurse
did not provide good care for her mother. What response should the nurse
make?
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.
5. A hosptitalized toddler who is recovering from a sickle cell crisis holds a toy
and say's "mine". According to Erikson's theory of psychosocial development,
this child's behavior is a demonstration of which developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
C. intiative vs. Guilt
D. Trust vs. Mistrust
6. Which action should the nurse implement in caring for a client
following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
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
7. 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
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
pg. 34
,8. What is the homeostatic cellular transport mechanism that moves water
from a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. Osmosis
D. Active transport
9. 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?
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
10. What are the final parameters that produce blood pressure?
(select all that apply)
A.
B.
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
11. 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?
A. Appetite
B. Mood
C. Withdrawl
D. Energy level
12. Based on the documentation in the medical record, which action should
the nurse implement next?
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
13. A client is adminitted to the hosptial with a diagnosis of Pneumonia. Which
intervetion should the nurse implement to prevent complications
associated with Pneumonia?
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
pg. 35
, 14. 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 reconsittution, "For IM use add 2ml
sterile water for injection. Total volume after reconstruction = 2.5 ml. "when
reconstituded, how many milligrams are in each mil of solutions (Enter
numeric value only)
A. 15
15. Which nursing activity is within the scope of practice for the
practical nurse?
A. Complete an admission assessment in the normal newborn
nursery.
B. Discontinue a central venous catheter that has become
dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continuous narcotic epidural for a postoperative client
16. After morning dressing changes are completed, a male client whohas 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
dressing change
Provide perianal care and collect clean linens for the dressing
B.
change
C. Document the diarrhea that necessitates an additional dressing change
D. Position the client for access to the decubiti sties and remove
dressings
17. The nurse is planning to evaluate the effectiveness of several drugs
administered by different routes. Arrage the routes of administration in the
order from fastest to slowest rate of absorption.
A.
18. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9weeks
gestation. At one-house post dilation and curettage (D&C) the nurse assess the
vital signs and vaginal bleeding. The client begins tocry softly. How should the
nurse intervene?
A. Offer to call the social worker to discuss the possiblity of abortion
B. Reassure the client that the infertility specialist can help
pg. 36
