HESI PN EXIT EXAM V3 310
QUESTIONS
AND ANSWERS 2026 UPDATED
NEW
1. A woman just learned that she was infected with Heliobacter pylori. Based on this finding,
which health promotion practice should the nurse suggest?
• Encourage screening for a peptic ulcer
2. A client who recently underwear a tracheostomy is being prepared for discharge to home.
Which instructions is most important for the nurse to include in the discharge plan?
• Teach tracheal suctioning techniques
3. A child with heart failure is receiving the diuretic furosemide (Lasix) and has serum
potassium level 3.0 mEq/L. Which assessment is most important for the nurse to obtain?
• Cardiac rhythm and heart rate.
• Daily intake of foods rich in potassium.
1
, • Hourly urinary output
• Thirst ad skin turgor.
4. The nurse note a depressed female client has been more withdrawn and non-communicative
during the past two weeks. Which intervention is most important to include in the updated
plan of care for this client?
• Encourage the client’s family to visit more often
• Schedule a daily conference with the social worker
• Encourage the client to participate in group activities
• Engage the client in a non-threatening conversation.
• Rationale: Consistent attempts to draw the client into conversations which focus
on non-threatening subjects can be an effective means of eliciting a response,
thereby decreasing isolation behaviors. There is not sufficient data to support the
effectiveness of A as an intervention for this client. Although B may be indicated,
nursing interventions can also be used to treat this client. C is too threatening to
this client.
5. A client with rheumatoid arthritis (RA) starts a new prescription of etanercept (Enbrel)
subcutaneously once weekly. The nurse should emphasize the importance of reporting
problem to the healthcare provider?
• Headache
• Joint stiffness
• Persistent fever
• Increase hunger and thirst
• Rationale: Enbrel decrease immune and inflammatory responses, increasing the
client’s risk of serious infection, so the client should be instructed to report a
persistent fever, or other signs of infection to the healthcare provider.
6. The nurse is assessing an older adult with type 2 diabetes mellitus. Which assessment finding
indicates that the client understands long- term control of diabetes?
• The fating blood sugar was 120 mg/dl this morning.
• Urine ketones have been negative for the past 6 months
• The hemoglobin A1C was 6.5g/100 ml last week
• No diabetic ketoacidosis has occurred in 6 months.
• Rationale: A hemoglobin A1C level reflects he average blood sugar the client had
over the previous 2 to 3 month, and level of 6.5 g/100 ml suggest that the client
2
, understand long-term diabetes control. Normal value in a diabetic patient is up to
6.5 g/100 ml.
7. An older male client is admitted with the medical diagnosis of possible cerebral vascular
accident (CVA). He has facial paralysis and cannot move his left side. When entering the
room, the nurse finds the client’s wife tearful and trying unsuccessfully to give him a drink of
water. What action should the nurse take?
• Ask the wife to stop and assess the client’s swallowing reflex
8. A 13 years-old client with non-union of a comminuted fracture of the tibia is admitted with
osteomyelitis. The healthcare provider collects home aspirate specimens for culture and
sensitivity and applies a cast to the adolescent’s lower leg. What action should the nurse
implement next?
• Administer antiemetic agents
• Bivalve the cast for distal compromise
• Provide high- calorie, high-protein diet
• Begin parenteral antibiotic therapy
• Rationale: The standard of treatment for osteomyelitis is antibiotic therapy and
immobilization. After bond and blood aspirate specimens are obtained for culture
and sensitivity, the nurse should initiate parenteral antibiotics as prescribed.
9. The nurse is preparing a community education program on osteoporosis. Which instruction is
helpful in preventing bone loss and promoting bone formation?
• Recommend weigh bearing physical activity
10. A client with a history of chronic pain requests a nonopioid analgesic. The client is alert but
has difficulty describing the exact nature and location of the pain to the nurse. What action
should the nurse implement next?
• Administer the analgesic as requested
11. A male client receives a thrombolytic medication following a myocardial infarction. When
the client has a bowel movement, what action should the nurse implement?
• Send stool sample to the lab for a guaiac test
• Observe stool for a day-colored appearance.
• Obtain specimen for culture and sensitivity analysis
• Asses for fatty yellow streaks in the client’s stool.
3
QUESTIONS
AND ANSWERS 2026 UPDATED
NEW
1. A woman just learned that she was infected with Heliobacter pylori. Based on this finding,
which health promotion practice should the nurse suggest?
• Encourage screening for a peptic ulcer
2. A client who recently underwear a tracheostomy is being prepared for discharge to home.
Which instructions is most important for the nurse to include in the discharge plan?
• Teach tracheal suctioning techniques
3. A child with heart failure is receiving the diuretic furosemide (Lasix) and has serum
potassium level 3.0 mEq/L. Which assessment is most important for the nurse to obtain?
• Cardiac rhythm and heart rate.
• Daily intake of foods rich in potassium.
1
, • Hourly urinary output
• Thirst ad skin turgor.
4. The nurse note a depressed female client has been more withdrawn and non-communicative
during the past two weeks. Which intervention is most important to include in the updated
plan of care for this client?
• Encourage the client’s family to visit more often
• Schedule a daily conference with the social worker
• Encourage the client to participate in group activities
• Engage the client in a non-threatening conversation.
• Rationale: Consistent attempts to draw the client into conversations which focus
on non-threatening subjects can be an effective means of eliciting a response,
thereby decreasing isolation behaviors. There is not sufficient data to support the
effectiveness of A as an intervention for this client. Although B may be indicated,
nursing interventions can also be used to treat this client. C is too threatening to
this client.
5. A client with rheumatoid arthritis (RA) starts a new prescription of etanercept (Enbrel)
subcutaneously once weekly. The nurse should emphasize the importance of reporting
problem to the healthcare provider?
• Headache
• Joint stiffness
• Persistent fever
• Increase hunger and thirst
• Rationale: Enbrel decrease immune and inflammatory responses, increasing the
client’s risk of serious infection, so the client should be instructed to report a
persistent fever, or other signs of infection to the healthcare provider.
6. The nurse is assessing an older adult with type 2 diabetes mellitus. Which assessment finding
indicates that the client understands long- term control of diabetes?
• The fating blood sugar was 120 mg/dl this morning.
• Urine ketones have been negative for the past 6 months
• The hemoglobin A1C was 6.5g/100 ml last week
• No diabetic ketoacidosis has occurred in 6 months.
• Rationale: A hemoglobin A1C level reflects he average blood sugar the client had
over the previous 2 to 3 month, and level of 6.5 g/100 ml suggest that the client
2
, understand long-term diabetes control. Normal value in a diabetic patient is up to
6.5 g/100 ml.
7. An older male client is admitted with the medical diagnosis of possible cerebral vascular
accident (CVA). He has facial paralysis and cannot move his left side. When entering the
room, the nurse finds the client’s wife tearful and trying unsuccessfully to give him a drink of
water. What action should the nurse take?
• Ask the wife to stop and assess the client’s swallowing reflex
8. A 13 years-old client with non-union of a comminuted fracture of the tibia is admitted with
osteomyelitis. The healthcare provider collects home aspirate specimens for culture and
sensitivity and applies a cast to the adolescent’s lower leg. What action should the nurse
implement next?
• Administer antiemetic agents
• Bivalve the cast for distal compromise
• Provide high- calorie, high-protein diet
• Begin parenteral antibiotic therapy
• Rationale: The standard of treatment for osteomyelitis is antibiotic therapy and
immobilization. After bond and blood aspirate specimens are obtained for culture
and sensitivity, the nurse should initiate parenteral antibiotics as prescribed.
9. The nurse is preparing a community education program on osteoporosis. Which instruction is
helpful in preventing bone loss and promoting bone formation?
• Recommend weigh bearing physical activity
10. A client with a history of chronic pain requests a nonopioid analgesic. The client is alert but
has difficulty describing the exact nature and location of the pain to the nurse. What action
should the nurse implement next?
• Administer the analgesic as requested
11. A male client receives a thrombolytic medication following a myocardial infarction. When
the client has a bowel movement, what action should the nurse implement?
• Send stool sample to the lab for a guaiac test
• Observe stool for a day-colored appearance.
• Obtain specimen for culture and sensitivity analysis
• Asses for fatty yellow streaks in the client’s stool.
3
