HESI PN MED SURG EXIT EXAM A 2026 WITH
REAL COMPLETE PRACTICEQUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+ ||
REAL HESI PN EXAM 2026-2027 QUESTIONS
AND VERIFIED ANSWERS|| BRAND NEW!!
The charge nurse of a medical surgical unit is alerted to an impending
disaster requiring implementation of the hospital's disaster plan.
Specific facts about the nature of this disaster are not yet known. Which
instruction should the charge nurse give to the other staff members at
this time?
A.Prepare to evacuate the unit, starting with the bedridden clients.
B.UAPs should report to the emergency center to handle transports.
C.The licensed staff should begin counting wheelchairs and IV poles on
the unit.
D.Continue with current assignments until more instructions are
received.
D
When faced with an impending disaster, hospital personnel may be
alerted but should continue with current client care assignments until
further instructions are received (D). Evacuation is typically a response
of last resort that begins with clients who are most able to ambulate
(A). (B) is premature and is likely to increase the chaos if incoming
casualties are anticipated. (C) is poor utilization of personnel.
,The nurse assesses a client while the UAP measures the client's vital
signs. The client's vital signs change suddenly, and the nurse determines
that the client's condition is worsening. The nurse is unsure of the
client's resuscitative status and needs to check the client's medical
record for any advanced directives. Which action should the nurse
implement?
A. Ask the UAP to check for the advanced directive while the nurse
completes the assessment.
B. Assign the UAP to complete the assessment while the nurse checks
for the advanced directive.
C. Check the medical record for the advanced directive and then
complete the client assessment.
D. Call for the charge nurse to check the advanced directive while
continuing to assess the client.
D
Because the client's condition is worsening, the nurse should remain
with the client and continue the assessment while calling for help from
the charge nurse to determine the client's resuscitative status (D). (A
and B) are tasks that must be completed by a nurse and cannot be
delegated to the UAP. (C) is contraindicated.
,The nurse is preparing a client for surgery scheduled in 2 hours. A UAP
is helping the nurse. Which task is important for the nurse to perform,
rather than the UAP?
A. Remove the client's nail polish and dentures.
B. Assist the client to the restroom to void.
C. Obtain the client's height and weight.
D. Offer the client emotional support.
D
By using therapeutic techniques to offer support (D), the nurse can
determine any client concerns that need to be addressed. (A, B, and C)
are all actions that can be performed by the UAP under the supervision
of the nurse.
Until the census on the obstetrics (OB) unit increases, an unlicensed
assistive personnel (UAP) who usually works in labor and delivery and
the newborn nursery is assigned to work on the postoperative unit.
Which client would be best for the charge nurse to assign to this UAP?
A. An adolescent who was readmitted to the hospital because of a
postoperative infection
B. A woman with a new colostomy who requires discharge teaching
C. A woman who had a hip replacement and may be transferred to the
home care unit
D. A man who had a cholecystectomy and currently has a nasogastric
tube set to intermittent suction
C
The charge nurse will be responsible for providing a report to the
home care unit if the transfer occurs (A). The client is infected and an
employee who works on an OB unit should be assigned to clean cases
in case the employee is required to return to the OB unit (B). This
requires the skills of a registered nurse (RN) to do discharge teaching
and provide emotional support (D). This may require skills beyond the
level of this UAP.
, A male client is admitted for observation after being hit on the head
with a baseball bat. Six hours after admission, the client attempts to
crawl out of bed and asks the nurse why there are so many bugs in his
bed. His vital signs are stable, and the pulse oximeter reading is 98% on
room air. Which intervention should the nurse perform first?
A. Administer oxygen per nasal cannula at 2 L/min.
B. Plan to check his vital signs again in 30 minutes.
C. Notify the health care provider of the change in mental status.
D. Ask the client why he thinks there are bugs in the bed.
C
One of the earliest signs of increased intracranial pressure (ICP) is a
change in mental status (C). It is important to act early and quickly
when symptoms of increased ICP occur. Because his oxygen saturation
is normal, the administration of oxygen (A) is not the top priority. Vital
signs should be monitored frequently (B), but the client's confusion
should be reported immediately. (D) is not a useful intervention.
REAL COMPLETE PRACTICEQUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+ ||
REAL HESI PN EXAM 2026-2027 QUESTIONS
AND VERIFIED ANSWERS|| BRAND NEW!!
The charge nurse of a medical surgical unit is alerted to an impending
disaster requiring implementation of the hospital's disaster plan.
Specific facts about the nature of this disaster are not yet known. Which
instruction should the charge nurse give to the other staff members at
this time?
A.Prepare to evacuate the unit, starting with the bedridden clients.
B.UAPs should report to the emergency center to handle transports.
C.The licensed staff should begin counting wheelchairs and IV poles on
the unit.
D.Continue with current assignments until more instructions are
received.
D
When faced with an impending disaster, hospital personnel may be
alerted but should continue with current client care assignments until
further instructions are received (D). Evacuation is typically a response
of last resort that begins with clients who are most able to ambulate
(A). (B) is premature and is likely to increase the chaos if incoming
casualties are anticipated. (C) is poor utilization of personnel.
,The nurse assesses a client while the UAP measures the client's vital
signs. The client's vital signs change suddenly, and the nurse determines
that the client's condition is worsening. The nurse is unsure of the
client's resuscitative status and needs to check the client's medical
record for any advanced directives. Which action should the nurse
implement?
A. Ask the UAP to check for the advanced directive while the nurse
completes the assessment.
B. Assign the UAP to complete the assessment while the nurse checks
for the advanced directive.
C. Check the medical record for the advanced directive and then
complete the client assessment.
D. Call for the charge nurse to check the advanced directive while
continuing to assess the client.
D
Because the client's condition is worsening, the nurse should remain
with the client and continue the assessment while calling for help from
the charge nurse to determine the client's resuscitative status (D). (A
and B) are tasks that must be completed by a nurse and cannot be
delegated to the UAP. (C) is contraindicated.
,The nurse is preparing a client for surgery scheduled in 2 hours. A UAP
is helping the nurse. Which task is important for the nurse to perform,
rather than the UAP?
A. Remove the client's nail polish and dentures.
B. Assist the client to the restroom to void.
C. Obtain the client's height and weight.
D. Offer the client emotional support.
D
By using therapeutic techniques to offer support (D), the nurse can
determine any client concerns that need to be addressed. (A, B, and C)
are all actions that can be performed by the UAP under the supervision
of the nurse.
Until the census on the obstetrics (OB) unit increases, an unlicensed
assistive personnel (UAP) who usually works in labor and delivery and
the newborn nursery is assigned to work on the postoperative unit.
Which client would be best for the charge nurse to assign to this UAP?
A. An adolescent who was readmitted to the hospital because of a
postoperative infection
B. A woman with a new colostomy who requires discharge teaching
C. A woman who had a hip replacement and may be transferred to the
home care unit
D. A man who had a cholecystectomy and currently has a nasogastric
tube set to intermittent suction
C
The charge nurse will be responsible for providing a report to the
home care unit if the transfer occurs (A). The client is infected and an
employee who works on an OB unit should be assigned to clean cases
in case the employee is required to return to the OB unit (B). This
requires the skills of a registered nurse (RN) to do discharge teaching
and provide emotional support (D). This may require skills beyond the
level of this UAP.
, A male client is admitted for observation after being hit on the head
with a baseball bat. Six hours after admission, the client attempts to
crawl out of bed and asks the nurse why there are so many bugs in his
bed. His vital signs are stable, and the pulse oximeter reading is 98% on
room air. Which intervention should the nurse perform first?
A. Administer oxygen per nasal cannula at 2 L/min.
B. Plan to check his vital signs again in 30 minutes.
C. Notify the health care provider of the change in mental status.
D. Ask the client why he thinks there are bugs in the bed.
C
One of the earliest signs of increased intracranial pressure (ICP) is a
change in mental status (C). It is important to act early and quickly
when symptoms of increased ICP occur. Because his oxygen saturation
is normal, the administration of oxygen (A) is not the top priority. Vital
signs should be monitored frequently (B), but the client's confusion
should be reported immediately. (D) is not a useful intervention.
