HESI EXIT EXAM NEWEST VERSION
UPDATED 2026 2027 FINAL EXAM WITH
ACTUAL QUESTIONS AND CORRECET
DETAILED ANSWERS ALREADY GRADED
A+
What steps should you take for an older female client who was just admitted to a long-term
facility and is confused about the day of the week?
ANSWER-Remind the client what day of the week it is
Which information about end-of-life care should a practical nurse (PN) ensure the client has?
ANSWER-Instructions for care should be included in the clients living will
(Advance directives)
After a routine vaginal delivery of a healthy newborn, a client who is pregnant is taken to the
recovery room. You notice the client is shaking asks if she's cold. What's next?
,ANSWER-Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what
intervention is most important for the PN to implement
ANSWER-Auscultate all the lung fields
What is the most crucial step for the practical nurse to take while giving prescription medication
to an elderly resident of an extended care home who is having trouble hearing?
ANSWER-Determine if client has had difficulty hearing in the past
A full term 24hour old infant in the nursery regulates and suddenly turns cyanotic which
immediate interventions should the practical nurse (PN) take?
ANSWER-Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who reports pain in her stiches.
What action should the action should the PN take first?
ANSWER-Observe suture line for separation and hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on a client in their third trimester of
pregnancy what fetal heart rate should be reported to the registered nurse?
ANSWER-180
,Which problem has happened in an older client with these issues?
ANSWER-Evisceration
Which location should the practical nurse palpate to determine if a client submandibular lymph
node are enlarged?
ANSWER-Beneath the lower jaw
The most significant side effect that a practical nurse (PN) should check for after administering
an epidural to a client during labor is observation of the side effect.
ANSWER-Maternal hypotension
Which person has the highest risk of developing laryngeal cancer?
ANSWER-A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear
unkept and has lost a lot of weight which action should the PN take>
ANSWER-Report suspected abuse to supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with pruritic?
ANSWER-Keep fingernails trimmed short.
, When gathering data about a client with dark skin tones which site should the practical nurse
(PN) observe?
Finger and toe nails
What important intervention does the nurse need to ensure?
Measure head circumference
If a baby is born to a diabetic mother what should the nurse encourage?
Offer nipple feedings or 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds
the client lying on the bed the PN determines that the client is unresponsive which action
should the PN give the UAP first .
obtain emergency help
Which intervention should the practice nurse (PN) include in the client's care if the client has
broken metatarsals as a result of slamming a hand in a car door after taking the
hydrocodone/acetaminophen prescription for pain?
Implement ongoing assessments for signs of shortness or slowed breathing
UPDATED 2026 2027 FINAL EXAM WITH
ACTUAL QUESTIONS AND CORRECET
DETAILED ANSWERS ALREADY GRADED
A+
What steps should you take for an older female client who was just admitted to a long-term
facility and is confused about the day of the week?
ANSWER-Remind the client what day of the week it is
Which information about end-of-life care should a practical nurse (PN) ensure the client has?
ANSWER-Instructions for care should be included in the clients living will
(Advance directives)
After a routine vaginal delivery of a healthy newborn, a client who is pregnant is taken to the
recovery room. You notice the client is shaking asks if she's cold. What's next?
,ANSWER-Apply light warm blanket and assure her that this is normal following delivery
The practical nurse (PN) is assessing an older client with left sided heart failure what
intervention is most important for the PN to implement
ANSWER-Auscultate all the lung fields
What is the most crucial step for the practical nurse to take while giving prescription medication
to an elderly resident of an extended care home who is having trouble hearing?
ANSWER-Determine if client has had difficulty hearing in the past
A full term 24hour old infant in the nursery regulates and suddenly turns cyanotic which
immediate interventions should the practical nurse (PN) take?
ANSWER-Turn the infant to the right side
The practical nurse (PN) views the midline episiotomy of a client who reports pain in her stiches.
What action should the action should the PN take first?
ANSWER-Observe suture line for separation and hematoma formation
The practical nurse (PN) is obtaining fetal heart rates on a client in their third trimester of
pregnancy what fetal heart rate should be reported to the registered nurse?
ANSWER-180
,Which problem has happened in an older client with these issues?
ANSWER-Evisceration
Which location should the practical nurse palpate to determine if a client submandibular lymph
node are enlarged?
ANSWER-Beneath the lower jaw
The most significant side effect that a practical nurse (PN) should check for after administering
an epidural to a client during labor is observation of the side effect.
ANSWER-Maternal hypotension
Which person has the highest risk of developing laryngeal cancer?
ANSWER-A older male who drinks a 6 pack of beer nightly and smokes heavily
A home health practical nurse (PN) visits and older client living with offspring who exhibits fear
unkept and has lost a lot of weight which action should the PN take>
ANSWER-Report suspected abuse to supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with pruritic?
ANSWER-Keep fingernails trimmed short.
, When gathering data about a client with dark skin tones which site should the practical nurse
(PN) observe?
Finger and toe nails
What important intervention does the nurse need to ensure?
Measure head circumference
If a baby is born to a diabetic mother what should the nurse encourage?
Offer nipple feedings or 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients room and finds
the client lying on the bed the PN determines that the client is unresponsive which action
should the PN give the UAP first .
obtain emergency help
Which intervention should the practice nurse (PN) include in the client's care if the client has
broken metatarsals as a result of slamming a hand in a car door after taking the
hydrocodone/acetaminophen prescription for pain?
Implement ongoing assessments for signs of shortness or slowed breathing