PN HESI EXIT EXAM 2025 | HESI PN EXIT EXAM WITH NGN ACTUAL
EXAM - COMPLETE EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST 2025/2026 ,ALREADY GRADED A+ (HESI PN EXIT
EXAM)
1. Following the dressing change of an abdominal surgical wound, a client expresses concern to the practical
nurse (P) about the scar that might result from the wound. Which response is best for the PN to provide?
A. "You can always wear clothing to cover the scar."
B." know you are frightened about how you will appear later."
C. "Tell me more about your concerns regarding an abdominal scar."
D." have heard that rubbing coco butter on the scar helps it fade away
Answer: C
2. 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?
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
3. 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)]:
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
4. 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 in the first
trimester. Which parity should the PN document for term, premature, abortion, and living children (TPAL)
for this client?:
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
5. 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
1
implement?
Page
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
6. 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?
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
7. 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?:
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
8. Which is the first intervention for the practical nurse (P) to implement when a client refuses to take a
prescribed medication?
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
9. 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 bowel movement. Which should the PN do first?
A. Obtain fetal heart rate and maternal vital signs.
B. Instruct the client to push with each contraction.
C. Notify the registered nurse (R) of the client's urge to push.
D. Provide the client with a bedpan to have a bowel movement.
Answer: C
10. At the end of a 12 hour shift, the practical nurse (P) observes the urine in a client's drainage bag as seen in
the picture. Which action should the PN take next?:
A. Note the most recent white blood cell count.
B. Obtain a finger stick capillary glucose level.
C. Determine if the client's bladder feels distended.
D. Offer to administer a prescribed PRN analgesic.
Answer: A
11. The practical nurse (P) stops at a motor vehicle collision site to render aid until the emergency personnel
2
arrive, and applies pressure to a groin wound that is bleeding profusely. Which act protects the PN from
Page
liability as long as the care provided is performed in a reasonable and prudent manner?
A. The Standards of Practice for Practical Nurses.
, B. The Good Samaritan Act.
C. The Patient's Bill of Rights.
D. The Practical Nurse Code of Ethics.
12. A 4-year-old client returned to the day surgery unit after an inguinal herniorrhaphy and has remained
stable for the last four hours. The child is taking PO liquids without any nausea, and the parent wants to take
the client home. Which finding is most important for the practical nurse (P) to obtain before discharging the
client?
A. Presence of bowel sounds.
B. Testes in the scrotal sac.
C. Ambulation tolerance.
D. Ability to void.
Answer: A
13. The practical nurse (P) is assisting the nurse with the admission physical assessment of a client diagnosed
with pneumonia. What symptom(s) is the client most likely to exhibit? Select all that apply.
A. Lung crackles.
B. Ankle edema.
C. Painful cough.
D. Bradycardia.
E. Dyspnea.
Answers: A, C, E
14. The practical nurse (P) is providing instructions to the unlicensed assistive personnel (UP) preparing to
give a total bed bath to an immobile client who has a continuous feeding via gastrostomy tube (GT). Which
instruction is most important for the PN to emphasize?:
A. Keep the head of the bed raised while the tube feeding is infusing.
B. Report any drainage observed around the GT insertion site.
C. Raise the entire bed while bathing the client to reduce back strain.
D. Use plenty of pillows to position the client on the side after bathing.
Answer: A
15. The practical nurse (P) observes a client's initial postoperative dressing and drain as seen in the picture.
What follow up action(s) should the PN implement? Select all that apply.
A. Clamp the drainage tubing for the next four hours.
B. Report the appearance of the dressing to the charge nurse.
C. Compress the drainage device before closing the tab.
D. Document the appearance of the wound as inflamed.
E. Remove the drainage device and apply a pressure dressing.
Answer: B, D
16. A client who is a primigravida tells the practical nurse (P), "My baby seems to be sleeping, but is making
funny movements." The PN notices that the infant is making hand-to-hand movements, smacking the lips, and
turning the head. Which is the best response for the PN to make?:
A. These movements indicate that the infant is hungry.
3
B. Check to see if the infant needs a diaper change.
Page
C. The infant may be uncomfortable. Place the infant on its side.
D. Allow the infant to sleep. The baby is probably only dreaming.
EXAM - COMPLETE EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS LATEST 2025/2026 ,ALREADY GRADED A+ (HESI PN EXIT
EXAM)
1. Following the dressing change of an abdominal surgical wound, a client expresses concern to the practical
nurse (P) about the scar that might result from the wound. Which response is best for the PN to provide?
A. "You can always wear clothing to cover the scar."
B." know you are frightened about how you will appear later."
C. "Tell me more about your concerns regarding an abdominal scar."
D." have heard that rubbing coco butter on the scar helps it fade away
Answer: C
2. 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?
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
3. 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)]:
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
4. 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 in the first
trimester. Which parity should the PN document for term, premature, abortion, and living children (TPAL)
for this client?:
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
5. 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
1
implement?
Page
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
6. 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?
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
7. 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?:
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
8. Which is the first intervention for the practical nurse (P) to implement when a client refuses to take a
prescribed medication?
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
9. 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 bowel movement. Which should the PN do first?
A. Obtain fetal heart rate and maternal vital signs.
B. Instruct the client to push with each contraction.
C. Notify the registered nurse (R) of the client's urge to push.
D. Provide the client with a bedpan to have a bowel movement.
Answer: C
10. At the end of a 12 hour shift, the practical nurse (P) observes the urine in a client's drainage bag as seen in
the picture. Which action should the PN take next?:
A. Note the most recent white blood cell count.
B. Obtain a finger stick capillary glucose level.
C. Determine if the client's bladder feels distended.
D. Offer to administer a prescribed PRN analgesic.
Answer: A
11. The practical nurse (P) stops at a motor vehicle collision site to render aid until the emergency personnel
2
arrive, and applies pressure to a groin wound that is bleeding profusely. Which act protects the PN from
Page
liability as long as the care provided is performed in a reasonable and prudent manner?
A. The Standards of Practice for Practical Nurses.
, B. The Good Samaritan Act.
C. The Patient's Bill of Rights.
D. The Practical Nurse Code of Ethics.
12. A 4-year-old client returned to the day surgery unit after an inguinal herniorrhaphy and has remained
stable for the last four hours. The child is taking PO liquids without any nausea, and the parent wants to take
the client home. Which finding is most important for the practical nurse (P) to obtain before discharging the
client?
A. Presence of bowel sounds.
B. Testes in the scrotal sac.
C. Ambulation tolerance.
D. Ability to void.
Answer: A
13. The practical nurse (P) is assisting the nurse with the admission physical assessment of a client diagnosed
with pneumonia. What symptom(s) is the client most likely to exhibit? Select all that apply.
A. Lung crackles.
B. Ankle edema.
C. Painful cough.
D. Bradycardia.
E. Dyspnea.
Answers: A, C, E
14. The practical nurse (P) is providing instructions to the unlicensed assistive personnel (UP) preparing to
give a total bed bath to an immobile client who has a continuous feeding via gastrostomy tube (GT). Which
instruction is most important for the PN to emphasize?:
A. Keep the head of the bed raised while the tube feeding is infusing.
B. Report any drainage observed around the GT insertion site.
C. Raise the entire bed while bathing the client to reduce back strain.
D. Use plenty of pillows to position the client on the side after bathing.
Answer: A
15. The practical nurse (P) observes a client's initial postoperative dressing and drain as seen in the picture.
What follow up action(s) should the PN implement? Select all that apply.
A. Clamp the drainage tubing for the next four hours.
B. Report the appearance of the dressing to the charge nurse.
C. Compress the drainage device before closing the tab.
D. Document the appearance of the wound as inflamed.
E. Remove the drainage device and apply a pressure dressing.
Answer: B, D
16. A client who is a primigravida tells the practical nurse (P), "My baby seems to be sleeping, but is making
funny movements." The PN notices that the infant is making hand-to-hand movements, smacking the lips, and
turning the head. Which is the best response for the PN to make?:
A. These movements indicate that the infant is hungry.
3
B. Check to see if the infant needs a diaper change.
Page
C. The infant may be uncomfortable. Place the infant on its side.
D. Allow the infant to sleep. The baby is probably only dreaming.
