HESI PN LEADERSHIP EXIT COMPREHENSIVE
EXAM STUDY GUIDE WITH FULLY SOLVED
QUESTIONS AND VERIFIED SOLUTIONS 2026
● The practical nurse (P) is caring for a 17-year-old client who fell 20
feet while climbing the side of a cliff and has been in a sustained
vegetative state for 5 months since the accident. Which intervention
should the PN implement? Answer: A.Inquire about food allergies and
food likes and dislikes.
B Monitor vital signs and neurological status every 2 hours.
C Talk directly to the adolescent while providing care.
D Initiate open communication with the teens parents.
Answer : C
● The practical nurse (P) is assisting with the development of a plan of
care for an older adult client who reports blurred vision and who is
newly diagnosed with type 2 diabetes (DM). Which outcome should the
PN include in the plan of care?
Reference Ranges:
Glycosylated hemoglobin (A1C) [4% to 5.9%]
,Fasting Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] Answer:
A .The client's fasting glucose reading will be greater than 140 mg/dL (8
mmol/L) every day.
B. The client will express acceptance of their newly diagnosed health
status.
C. The client's hemoglobin AlC will be less than 7.0 % in 3 months.
D. The PN will reinforce with the client on how to perform stress
management techniques.
Answer : C
● at 39 weeks gestation is admitted in early labor. During the focused
assessment, the practical nurse (PN) reviews the obstetrical history with
the client o reports that she has been pregnant five times but has only
two living children, both of whom were full term. The other three
pregnancies were miscarriages ing the first trimester. Which parity
should the PN document for term, premature, abortion, and living
children (TPAL) for this client? Answer: A.Term 2, Premature 1,
Abortion 0,Living 3.
B.Term 3, Premature 0, Abortion 3,Living 2.
C.Term 2, Premature 3, Abortion 3,Living 2
D. Term 6, Premature 3, Abortion 3,Living 2.
Answer: B
,● The home health practical nurse (P) visits a young male client with
AIDS who has Kaposi's sarcoma and peripheral neuropathies. His
parents, who provide care for the client, state that their son sleeps most
of the time. The PN observes the client is semi-conscious with stable
vital signs and cries out in pain when turned or moved. A fentanyl patch
is in place and skin lesions are closed and dried. Which intervention
should the PN implement? Answer: A. Call for ambulance
transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.Discuss end-of-life decisions with the client's parents.
D.Remove the fentanyl patch as directed by prescription.
Answer: C
● Twenty four hours after receiving a telephone prescription for a
client's medication, the practical nurse (P) observes that the prescription
has not been signed by the prescriber, which conflicts with agency
policy. Which action should the PN take? Answer: A.Hold the next dose
of medication and assess the client.
B.Continue to administer the medication as initially prescribed.
C.Contact the prescriber for a renewal of the prescription.
D.Discontinue the medication immediately.
Answer: c
, ● An older adult female resident of a long-term care facility experiences
frequent episodes of urinary incontinence. Which focused assessment is
most important for
the practical nurse (P) to perform regularly in response to the resident's
incontinence? Answer: A. Ability to perform Kegel exercises.
B.Fluctuations in the body weight.
C.Appearance of skin in perineal area.
D.Sleep and rest patterns and routines.
Answer: C
● Which is the first intervention for the practical nurse (P) to implement
when a client refuses to take a prescribed medication? Answer:
A.Determine the client's reason for refusing the medication
B.Instruct the client about the purpose of the medication.
C.Document the client's refusal on the medication record.
D.Explain to the client the potential harm in not taking the medication.
Answer:A
● The practical nurse (P) is assisting a client who is multiparous in
active labor with breathing techniques during contractions. The client's
contractions are occurring every 2 minutes, with a duration of 80
seconds, when she suddenly wants to go to the bathroom to have a
EXAM STUDY GUIDE WITH FULLY SOLVED
QUESTIONS AND VERIFIED SOLUTIONS 2026
● The practical nurse (P) is caring for a 17-year-old client who fell 20
feet while climbing the side of a cliff and has been in a sustained
vegetative state for 5 months since the accident. Which intervention
should the PN implement? Answer: A.Inquire about food allergies and
food likes and dislikes.
B Monitor vital signs and neurological status every 2 hours.
C Talk directly to the adolescent while providing care.
D Initiate open communication with the teens parents.
Answer : C
● The practical nurse (P) is assisting with the development of a plan of
care for an older adult client who reports blurred vision and who is
newly diagnosed with type 2 diabetes (DM). Which outcome should the
PN include in the plan of care?
Reference Ranges:
Glycosylated hemoglobin (A1C) [4% to 5.9%]
,Fasting Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] Answer:
A .The client's fasting glucose reading will be greater than 140 mg/dL (8
mmol/L) every day.
B. The client will express acceptance of their newly diagnosed health
status.
C. The client's hemoglobin AlC will be less than 7.0 % in 3 months.
D. The PN will reinforce with the client on how to perform stress
management techniques.
Answer : C
● at 39 weeks gestation is admitted in early labor. During the focused
assessment, the practical nurse (PN) reviews the obstetrical history with
the client o reports that she has been pregnant five times but has only
two living children, both of whom were full term. The other three
pregnancies were miscarriages ing the first trimester. Which parity
should the PN document for term, premature, abortion, and living
children (TPAL) for this client? Answer: A.Term 2, Premature 1,
Abortion 0,Living 3.
B.Term 3, Premature 0, Abortion 3,Living 2.
C.Term 2, Premature 3, Abortion 3,Living 2
D. Term 6, Premature 3, Abortion 3,Living 2.
Answer: B
,● The home health practical nurse (P) visits a young male client with
AIDS who has Kaposi's sarcoma and peripheral neuropathies. His
parents, who provide care for the client, state that their son sleeps most
of the time. The PN observes the client is semi-conscious with stable
vital signs and cries out in pain when turned or moved. A fentanyl patch
is in place and skin lesions are closed and dried. Which intervention
should the PN implement? Answer: A. Call for ambulance
transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.Discuss end-of-life decisions with the client's parents.
D.Remove the fentanyl patch as directed by prescription.
Answer: C
● Twenty four hours after receiving a telephone prescription for a
client's medication, the practical nurse (P) observes that the prescription
has not been signed by the prescriber, which conflicts with agency
policy. Which action should the PN take? Answer: A.Hold the next dose
of medication and assess the client.
B.Continue to administer the medication as initially prescribed.
C.Contact the prescriber for a renewal of the prescription.
D.Discontinue the medication immediately.
Answer: c
, ● An older adult female resident of a long-term care facility experiences
frequent episodes of urinary incontinence. Which focused assessment is
most important for
the practical nurse (P) to perform regularly in response to the resident's
incontinence? Answer: A. Ability to perform Kegel exercises.
B.Fluctuations in the body weight.
C.Appearance of skin in perineal area.
D.Sleep and rest patterns and routines.
Answer: C
● Which is the first intervention for the practical nurse (P) to implement
when a client refuses to take a prescribed medication? Answer:
A.Determine the client's reason for refusing the medication
B.Instruct the client about the purpose of the medication.
C.Document the client's refusal on the medication record.
D.Explain to the client the potential harm in not taking the medication.
Answer:A
● The practical nurse (P) is assisting a client who is multiparous in
active labor with breathing techniques during contractions. The client's
contractions are occurring every 2 minutes, with a duration of 80
seconds, when she suddenly wants to go to the bathroom to have a
