HESI PN Exit Exam 2026: Comprehensive
Review with Practice Questions & Detailed
Rationalesdy online at https://quizlet.com/_hje1j9
1. The practical nurse (PN) identifies an electrolyte imbalance, a
generalized
edema, and a weight gain of 4.4lbs(2kg) in 24hours for a client with
chronic
kidney disease. Which intervention in the plan of care should the PN
imple ment?: Discuss a low sodium diet
2. The practical nurse (PN) evaluates a client 30 minutes after the Initial
admin istration of a new anti infective what would be the immediate
action by the
PN?: Pruritus (itching) and urticaria (hives) after receiving a broad-
spectrum antibiotic
3. An infant diagnosed with pyloric stenosis recently developed
projectile vom iting. Which finding indicates to the practical nurse (PN)
that the infant is
becoming dehydrated?: Weak cry without any tears
4. When leaving a clients room the practical nurse (PN) realizes that the
wrong
medication was given to the patient. Which action should the PN
take?: Report the
error to the pharmacy
,5. The practical nurse (PN) is assigned to care for a client that is
unconscious
and at risk for aspiration. The PN prepares to provide oral care to the
client as
seen in the picture. Which action should the PN take next?: Place the
client in a side-laying
position.
6. The practical nurse PN enters the room of a client who underwent a
mas tectomy eight hours ago. The PN observes the unlicensed assistive
personnel
(UAP) preparing to measure the clients blood pressure using an
automated
blood pressure device on the clients operative side. which action should
the
PN implement?: Instruct the UAP to measure the client's blood
pressure on the non-operative side.
7. An older client with pernicious anemia uses hot packs to loosen
psoriatic
plaques. The PN who assists with home care twice weekly should refer
to which
finding to the home health care charge nurse?: Erythema and
edematous areas
8. The practical nurse (PN) notice that a clients urine is pale, yellow,
with a cloudy
apperance and has a foul odor. Which assessment should the PN
complete
, next?: Ask the client about urinary frequency.
9. The practical nurse is preparing a client for discharge after gastric
bypass.
Prior to discharge which information should the PN reinforce with the
client to
prevent dumping syndrome?: Avoid drinking caffeinated beverages
C
Study online at https://quizlet.com/_hje1j9
10. The practical nurse is caring for a client recovering from abdominal
surgery.
Which action should the PN take first?: Monitor the cardiorespiratory
status
11. An older client is receiving an IV of 0.9% normal saline at 75 ml.hr.
Which
indicates to the practical nurse that the client may be developing a
complication
from this therapy: Fatigue and breathlessness upon exertion.
12. Which instruction should the practical nurse (PN) provide the
unlicensed
assistive personnel(UAP) assisting with the care of a client following a
lumbar
puncture?: Be sure to keep the client supplied with plenty of fluids.
13. The practical nurse (PN) notes that a client who is receiving
continuous
Review with Practice Questions & Detailed
Rationalesdy online at https://quizlet.com/_hje1j9
1. The practical nurse (PN) identifies an electrolyte imbalance, a
generalized
edema, and a weight gain of 4.4lbs(2kg) in 24hours for a client with
chronic
kidney disease. Which intervention in the plan of care should the PN
imple ment?: Discuss a low sodium diet
2. The practical nurse (PN) evaluates a client 30 minutes after the Initial
admin istration of a new anti infective what would be the immediate
action by the
PN?: Pruritus (itching) and urticaria (hives) after receiving a broad-
spectrum antibiotic
3. An infant diagnosed with pyloric stenosis recently developed
projectile vom iting. Which finding indicates to the practical nurse (PN)
that the infant is
becoming dehydrated?: Weak cry without any tears
4. When leaving a clients room the practical nurse (PN) realizes that the
wrong
medication was given to the patient. Which action should the PN
take?: Report the
error to the pharmacy
,5. The practical nurse (PN) is assigned to care for a client that is
unconscious
and at risk for aspiration. The PN prepares to provide oral care to the
client as
seen in the picture. Which action should the PN take next?: Place the
client in a side-laying
position.
6. The practical nurse PN enters the room of a client who underwent a
mas tectomy eight hours ago. The PN observes the unlicensed assistive
personnel
(UAP) preparing to measure the clients blood pressure using an
automated
blood pressure device on the clients operative side. which action should
the
PN implement?: Instruct the UAP to measure the client's blood
pressure on the non-operative side.
7. An older client with pernicious anemia uses hot packs to loosen
psoriatic
plaques. The PN who assists with home care twice weekly should refer
to which
finding to the home health care charge nurse?: Erythema and
edematous areas
8. The practical nurse (PN) notice that a clients urine is pale, yellow,
with a cloudy
apperance and has a foul odor. Which assessment should the PN
complete
, next?: Ask the client about urinary frequency.
9. The practical nurse is preparing a client for discharge after gastric
bypass.
Prior to discharge which information should the PN reinforce with the
client to
prevent dumping syndrome?: Avoid drinking caffeinated beverages
C
Study online at https://quizlet.com/_hje1j9
10. The practical nurse is caring for a client recovering from abdominal
surgery.
Which action should the PN take first?: Monitor the cardiorespiratory
status
11. An older client is receiving an IV of 0.9% normal saline at 75 ml.hr.
Which
indicates to the practical nurse that the client may be developing a
complication
from this therapy: Fatigue and breathlessness upon exertion.
12. Which instruction should the practical nurse (PN) provide the
unlicensed
assistive personnel(UAP) assisting with the care of a client following a
lumbar
puncture?: Be sure to keep the client supplied with plenty of fluids.
13. The practical nurse (PN) notes that a client who is receiving
continuous
