Exit Hesi PN Comprehensive Practice A
With All 100 Questions And Correct Answers
With Detailed Rationales| PN Hesi Exit
Practice A Exam 2025 (Brand New!)
Hesi Exit PN A
Staff on a cardiac unit consists of an RN, two practical nurses (PNs), and one UAP.
Team 1's assignment includes two clients who are both 1 day postangioplasty and
two clients with unstable angina. Team 2's assignment includes all stable clients,
but two clients are bedridden and incontinent. Which staffing plan represents the
best use of available staff?
Team 1: RN team leader, PN; team 2, PN team leader, UAP
The nurse formulates a nursing diagnosis of pain related to muscle spasms for a
client with extreme lower back pain associated with acute lumbosacral strain.
Which is the best intervention for the nurse to implement?
Rest in bed with the head of the bed elevated 20 degrees and flex the knees.
The nurse plans to evaluate the effectiveness of a bronchodilator. Which
assessment datum indicates that the desired effect of a bronchodilator has been
achieved?
Increased oxygen saturation
A client with hemiparesis needs assistance transferring from the bed to the
wheelchair. The nurse assists the client to a sitting position on the side of the bed.
Which action should the nurse implement next?
Allow the client to sit on the side of the bed for a few minutes before transferring.
When the nurse-manager posts a schedule for volunteers to be on call, one staff
member immediately signs up for all available 7-to-3 day shifts. Other staff
members complain to the charge nurse that they were not permitted the opportunity
to be on call for the day shift. What action should the nurse-manager implement?
pg. 1
,Speak privately with the nurse.
A 40-year-old office worker who is at 36 weeks' gestation presents to the
occupational health clinic complaining of a pounding headache, blurry vision, and
swollen ankles. Which intervention should the nurse implement first?
Check the client's blood pressure.
A client with acute renal failure (ARF) starts to void 4 L/day 2 weeks after
treatment is initiated. Which complication is important for the nurse to monitor the
client for at this time?
Hypotension
A mother of a 12-year-old boy states that her son is short and she fears that he will
always be shorter than his peers. She tells the nurse that her grown daughter only
grew 2 inches after she was 12 years of age. To provide health teaching, which
question is most important for the nurse to ask this mother?
"Did your daughter also start her menstrual period at 12 years of age?"
The nurse calls the primary health care provider to report the status of a
postsurgical client. Place the statements in the correct SBAR communication
format.
A. "Mr. Jones is experiencing pain of a 7 on a scale of 1 to 10. Vital signs are B/P
150/88, HR 90, and RR 26, with an O2 sat of 95%."
B. "This is Mary Smith, RN, calling about Mr. Jones in room 325 at Memorial
Hospital."
C. "Mr. Jones had an open cholecystectomy yesterday and reports inadequate pain
control with his current medication regimen since the surgery."
D. "Would you like to make a change in his pharmacologic regimen?"
B, C, A, D
SBAR:
S = Situation and includes introduction of the nurse and client/setting (B).
B = Background and includes the presenting complaint and relevant history (C).
A = Assessment and includes current vital signs and other information (A).
R = Recommendations and includes an explanation of why you are calling or a
suggestion about which action should be taken (D).
pg. 2
, A client with rhabdomyolysis tells the nurse about falling while going to the
bathroom and lying on the floor for 24 hours before being found. Which current
client finding is indicative of renal complications?
Blood urea nitrogen >25 mg/dL
What instruction(s) related to foot care is(are) appropriate for the client with type 1
diabetes mellitus? (Select all that apply.)
A.Use lanolin to moisturize the tops and bottoms of the feet.
B.Soak the feet in warm water for at least 1 hour daily.
C.Wash feet daily and dry well, particularly between the toes.
D.Use over-the-counter products to remove corns and calluses.
E.Wear leather shoes that fit properly.
- Use lanolin to moisturize the tops and bottoms of the feet.
- Wash feet daily and dry well, particularly between the toes.
- Wear leather shoes that fit properly.
The nurse recognizes which behavior(s) in a client as warning sign(s) of an
impending suicide attempt? (Select all that apply.)
- Mood changes from depressed to happy
- Begins giving away possessions
The charge nurse of a 16-bed medical unit is making 0700 to 1900 shift
assignments. The team consists of two RNs, two PNs, and two UAP. Which
assignment is the most effective use of the available team members?
Assign the UAPs to take vital signs and obtain daily weights.
The nurse is developing a health risk assessment protocol for use in a well-baby
clinic in a low-income neighborhood. Which information is most important for the
nurse to include in the assessment?
.Immunization history
A 77-year-old female client states that she has never been so large around the waist
and that she has frequent periods of constipation. Colon disease has been ruled out
pg. 3
With All 100 Questions And Correct Answers
With Detailed Rationales| PN Hesi Exit
Practice A Exam 2025 (Brand New!)
Hesi Exit PN A
Staff on a cardiac unit consists of an RN, two practical nurses (PNs), and one UAP.
Team 1's assignment includes two clients who are both 1 day postangioplasty and
two clients with unstable angina. Team 2's assignment includes all stable clients,
but two clients are bedridden and incontinent. Which staffing plan represents the
best use of available staff?
Team 1: RN team leader, PN; team 2, PN team leader, UAP
The nurse formulates a nursing diagnosis of pain related to muscle spasms for a
client with extreme lower back pain associated with acute lumbosacral strain.
Which is the best intervention for the nurse to implement?
Rest in bed with the head of the bed elevated 20 degrees and flex the knees.
The nurse plans to evaluate the effectiveness of a bronchodilator. Which
assessment datum indicates that the desired effect of a bronchodilator has been
achieved?
Increased oxygen saturation
A client with hemiparesis needs assistance transferring from the bed to the
wheelchair. The nurse assists the client to a sitting position on the side of the bed.
Which action should the nurse implement next?
Allow the client to sit on the side of the bed for a few minutes before transferring.
When the nurse-manager posts a schedule for volunteers to be on call, one staff
member immediately signs up for all available 7-to-3 day shifts. Other staff
members complain to the charge nurse that they were not permitted the opportunity
to be on call for the day shift. What action should the nurse-manager implement?
pg. 1
,Speak privately with the nurse.
A 40-year-old office worker who is at 36 weeks' gestation presents to the
occupational health clinic complaining of a pounding headache, blurry vision, and
swollen ankles. Which intervention should the nurse implement first?
Check the client's blood pressure.
A client with acute renal failure (ARF) starts to void 4 L/day 2 weeks after
treatment is initiated. Which complication is important for the nurse to monitor the
client for at this time?
Hypotension
A mother of a 12-year-old boy states that her son is short and she fears that he will
always be shorter than his peers. She tells the nurse that her grown daughter only
grew 2 inches after she was 12 years of age. To provide health teaching, which
question is most important for the nurse to ask this mother?
"Did your daughter also start her menstrual period at 12 years of age?"
The nurse calls the primary health care provider to report the status of a
postsurgical client. Place the statements in the correct SBAR communication
format.
A. "Mr. Jones is experiencing pain of a 7 on a scale of 1 to 10. Vital signs are B/P
150/88, HR 90, and RR 26, with an O2 sat of 95%."
B. "This is Mary Smith, RN, calling about Mr. Jones in room 325 at Memorial
Hospital."
C. "Mr. Jones had an open cholecystectomy yesterday and reports inadequate pain
control with his current medication regimen since the surgery."
D. "Would you like to make a change in his pharmacologic regimen?"
B, C, A, D
SBAR:
S = Situation and includes introduction of the nurse and client/setting (B).
B = Background and includes the presenting complaint and relevant history (C).
A = Assessment and includes current vital signs and other information (A).
R = Recommendations and includes an explanation of why you are calling or a
suggestion about which action should be taken (D).
pg. 2
, A client with rhabdomyolysis tells the nurse about falling while going to the
bathroom and lying on the floor for 24 hours before being found. Which current
client finding is indicative of renal complications?
Blood urea nitrogen >25 mg/dL
What instruction(s) related to foot care is(are) appropriate for the client with type 1
diabetes mellitus? (Select all that apply.)
A.Use lanolin to moisturize the tops and bottoms of the feet.
B.Soak the feet in warm water for at least 1 hour daily.
C.Wash feet daily and dry well, particularly between the toes.
D.Use over-the-counter products to remove corns and calluses.
E.Wear leather shoes that fit properly.
- Use lanolin to moisturize the tops and bottoms of the feet.
- Wash feet daily and dry well, particularly between the toes.
- Wear leather shoes that fit properly.
The nurse recognizes which behavior(s) in a client as warning sign(s) of an
impending suicide attempt? (Select all that apply.)
- Mood changes from depressed to happy
- Begins giving away possessions
The charge nurse of a 16-bed medical unit is making 0700 to 1900 shift
assignments. The team consists of two RNs, two PNs, and two UAP. Which
assignment is the most effective use of the available team members?
Assign the UAPs to take vital signs and obtain daily weights.
The nurse is developing a health risk assessment protocol for use in a well-baby
clinic in a low-income neighborhood. Which information is most important for the
nurse to include in the assessment?
.Immunization history
A 77-year-old female client states that she has never been so large around the waist
and that she has frequent periods of constipation. Colon disease has been ruled out
pg. 3
