HESI PN EXIT V5 EXAM FULL QUESTIONS AND
ANSWERS 2026 GRADED A+
◉ 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
ANSWERS 2026 GRADED A+
◉ 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
