PN HESI EXIT REAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS |GUARANTEED PASS| NEW
UPDATE 2025-2026
• 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?
a. Injects Air Into The Insulin Vial To Displace The Dose
b. Selects The Same Site That Was Used For The Previous Injection
c. Inserts The Needle At A 90-Degree Angle To The Skin Surface
d. Uses A Circular Motion When Applying An Alcohol Pad To The Site
Rationale: The PN Should Reteach The Client To Rotate The NOON Site To A
Site Other Than The Same One Used For The AM Dose. Different Sites Used
Throughout The Day May Provide A Varying Rate Of Absorption Related To
Activity. Intra-Site Rotation Is Recommended For The Dose Used During One
Specific Time Of The Day. The Other Choices Are Acceptable Techniques For
Subcutaneous Injection Of Insulin.
, • 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?
a. Confirm Accuracy Of The Pulse Rate Obtained By The UAP
b. Instruct The UAP To Report Any Abnormal Findings
c. Remind The UAP To Check The Clients Pulse Volume
d. Demonstrate The Correct Pulse Site To The UAP (Follow The Thumb
For The Radial Pulse ,Follow The Pinky For The Brachial)
Rationale: When Checking The Radial Pulse, The Index And Middle Finger Should
Be Aligned With The Thumb, For Brachial Pulse Assessment Should Be Aligned
With The Pinky Finger.
• 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?
, a. Repeat The Heel Stick For Glucose In One Hour
b. Offer Nipple Feedings Of 10% Dextrose
c. Begin Frequent Feedings Of Breast Milk Or Formula
d. Assess For Signs Of Hypocalcemia
Rationale: Providing Frequent Feedings Will Reduce The Infants Blood Glucose;
We Wouldn’t Want To Obtain Another Heel Stick As We Want To Do Less
Invasive As Possible.
• 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
• 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?
a. “You Should Know That I Cannot Administer The Medication In This Syringe”
b. “As Long As The Charge Nurse Checks The Syringe, I Can Give The Medication”
c. “Teamwork Is The Best Approach. I Will Be Glad To Help You Get Caught Up”
d. “I Am Not Comfortable Doing That. Is There Something Else I Can Do
To Help You?”
Rationale: Explaining Your Comfortability Is Always Okay Because You Don’t
Want To Jeopardize Your License, So Offering To Help With The Nurse’s Other
Workload Is Being. A Team Player.
• 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.)
a. Irrigate An Indwelling Urinary Catheter For A Client With Bladder Suspension
b. Obtain A Post-Voided Residual (PVR) Volume
c. Empty Beside Drainage Unit For A Client With Indwelling Urinary Catheter
d. Teach The Client With Fluid Restrictions How To Measure Urine Output
e. Transport A Urine Culture Sample To The Laboratory
Rationale: The Scope Of Practice Of UAP Includes Personal Care Such As Bowel
And Bladder Care Including Intake And Output Measurements. Emptying Urine
CORRECT ANSWERS |GUARANTEED PASS| NEW
UPDATE 2025-2026
• 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?
a. Injects Air Into The Insulin Vial To Displace The Dose
b. Selects The Same Site That Was Used For The Previous Injection
c. Inserts The Needle At A 90-Degree Angle To The Skin Surface
d. Uses A Circular Motion When Applying An Alcohol Pad To The Site
Rationale: The PN Should Reteach The Client To Rotate The NOON Site To A
Site Other Than The Same One Used For The AM Dose. Different Sites Used
Throughout The Day May Provide A Varying Rate Of Absorption Related To
Activity. Intra-Site Rotation Is Recommended For The Dose Used During One
Specific Time Of The Day. The Other Choices Are Acceptable Techniques For
Subcutaneous Injection Of Insulin.
, • 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?
a. Confirm Accuracy Of The Pulse Rate Obtained By The UAP
b. Instruct The UAP To Report Any Abnormal Findings
c. Remind The UAP To Check The Clients Pulse Volume
d. Demonstrate The Correct Pulse Site To The UAP (Follow The Thumb
For The Radial Pulse ,Follow The Pinky For The Brachial)
Rationale: When Checking The Radial Pulse, The Index And Middle Finger Should
Be Aligned With The Thumb, For Brachial Pulse Assessment Should Be Aligned
With The Pinky Finger.
• 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?
, a. Repeat The Heel Stick For Glucose In One Hour
b. Offer Nipple Feedings Of 10% Dextrose
c. Begin Frequent Feedings Of Breast Milk Or Formula
d. Assess For Signs Of Hypocalcemia
Rationale: Providing Frequent Feedings Will Reduce The Infants Blood Glucose;
We Wouldn’t Want To Obtain Another Heel Stick As We Want To Do Less
Invasive As Possible.
• 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
• 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?
a. “You Should Know That I Cannot Administer The Medication In This Syringe”
b. “As Long As The Charge Nurse Checks The Syringe, I Can Give The Medication”
c. “Teamwork Is The Best Approach. I Will Be Glad To Help You Get Caught Up”
d. “I Am Not Comfortable Doing That. Is There Something Else I Can Do
To Help You?”
Rationale: Explaining Your Comfortability Is Always Okay Because You Don’t
Want To Jeopardize Your License, So Offering To Help With The Nurse’s Other
Workload Is Being. A Team Player.
• 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.)
a. Irrigate An Indwelling Urinary Catheter For A Client With Bladder Suspension
b. Obtain A Post-Voided Residual (PVR) Volume
c. Empty Beside Drainage Unit For A Client With Indwelling Urinary Catheter
d. Teach The Client With Fluid Restrictions How To Measure Urine Output
e. Transport A Urine Culture Sample To The Laboratory
Rationale: The Scope Of Practice Of UAP Includes Personal Care Such As Bowel
And Bladder Care Including Intake And Output Measurements. Emptying Urine
