HESI EXAM vc
Exam Solution vc
HESI PN EXIT 2026 A+ GRADE ASSURED COMPLETE SOL
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UTIONS AND VERIFIED ANSWERS (D7C09) vc vc vc vc
QUESTION 1 vc
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appear
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ance, and has a foul odor. Which assessment should the PN complete next?
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ANSWER
Ask the client about urinary frequency
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QUESTION 2 vc
An older adult client who resides in a long-
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term care facility has a friend of the opposite sex who often visits in the evenings. The pr
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actical nurse (PN) enters the client's room to administer medications and finds the coupl
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e in bed together. Which action should the PN take?
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ANSWER
Exit the room and quietly close the door.
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QUESTION 3 vc
Which action by a practical nurse (PN) indicates the best understanding of the principles
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related to medical asepsis and effective handwashing?
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ANSWER
Hold your hands lower than your elbows to promote microbe removal.
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QUESTION 4 vc
The practical nurse (PN) is removing the personal protective equipment (PPE) worn whe
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n caring for a client. Which PPE should be removed first?
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ANSWER
,gloves
QUESTION 5 vc
The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery.
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Which finding should the PN report immediately to the charge nurse?
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ANSWER
Rubra lochia saturating three perineal pads per hour.
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QUESTION 6 vc
Following the dressing change of an abdominal surgical wound, a client expresses concer
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n to the practical nurse (PN) about the scar that might result from the wound. Which res
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ponse is best for the PN to provide?
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ANSWER
Tell me more about your concerns regarding an abdominal scar.
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QUESTION 7 vc
When preparing to change a client's sterile dressing, the practical nurse (PN) opens a pa
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ckage of gauze pads as seen in the picture. Which action should the PN take next?
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ANSWER
Pick up pads and place them on a sterile field.
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QUESTION 8 vc
A client experiences a muscle strain or sprain to the ankle. Which intervention should th
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e practical nurse (PN) implement for an acute soft tissue injury?
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ANSWER
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
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QUESTION 9 vc
The practical nurse (PN) is assisting the nurse with the admission physical assessment of
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a client diagnosed with pneumonia. What symptom(s) is the client most likely to exhibit
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?
ANSWER
,a. Dyspnea
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c. Lung crackles
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e. Painful cough
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QUESTION 10 vc
The practical nurse (PN) is working with a newly hired PN on a medical-
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surgical unit. Which action performed by the newly hired PN requires intervention by th
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e PN?
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ANSWER
Posting client names and healthcare providers on hospital room doors.
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QUESTION 11 vc
The practical nurse (PN) is caring for a 9-month-
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old infant with developmental dysplasia of the hip (DDH) after a closed reduction and hi
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p spica cast application. After application of the cast, which is the most important interve
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ntion in caring for the infant?
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ANSWER
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
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QUESTION 12 vc
The practical nurse (PN) turns a client with right-
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sided paralysis from a supine to a left lateral position. Which bony prominence is most li
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kely to manifest signs of erythema when first turned?
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ANSWER
Sacrum
QUESTION 13 vc
Which nursing intervention is most important to include in the plan of care for a child wi
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th acute glomerulonephritis?
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ANSWER
Weigh the child daily vc vc vc
QUESTION 14 vc
, An older adult female resident of a long-
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term care facility experiences frequent episodes of urinary incontinence. Which focused
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assessment is most important for the practical nurse (PN) to perform regularly in respon
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se to the resident's incontinence?
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ANSWER
Appearance of skin in perineal area. vc vc vc vc vc
QUESTION 15 vc
A client tells the practical nurse (PN) of being afraid about a scheduled surgery. How sho
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uld the PN respond? It is normal to have some fears before surgery.
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ANSWER
Tell me what is making you feel afraid.
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QUESTION 16 vc
A client with a chronic medical condition tells the practical nurse (PN) of not wanting an
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y heroics to prolong the client's life if anything should happen. Which action should the P
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N take?
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ANSWER
Notify the client's healthcare provider of the client's wishes as soon as possible
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QUESTION 17 vc
The practical nurse (PN) is reviewing results of a client's urinalysis. What results indicat
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e problems and should be reported by the PN to the healthcare provider? Select all that a
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pply.
ANSWER
* Positive for albumin or protein. * Bacteria present * Large count of red blood cells.
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QUESTION 18 vc
A client with paranoia is admitted to the mental health unit and immediately goes to the
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corner of the room and sits quietly without communicating. While approaching the client
vc vc vc vc vc vc vc vc vc vc vc vc
, which intervention should the practical nurse (PN) implement first?
vc vc vc vc vc vc vc vc vc
ANSWER
Describe functions of the practical nurse (PN).
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Exam Solution vc
HESI PN EXIT 2026 A+ GRADE ASSURED COMPLETE SOL
vc vc vc vc vc vc vc vc
UTIONS AND VERIFIED ANSWERS (D7C09) vc vc vc vc
QUESTION 1 vc
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appear
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ance, and has a foul odor. Which assessment should the PN complete next?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Ask the client about urinary frequency
vc vc vc vc vc
QUESTION 2 vc
An older adult client who resides in a long-
vc vc vc vc vc vc vc vc
term care facility has a friend of the opposite sex who often visits in the evenings. The pr
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
actical nurse (PN) enters the client's room to administer medications and finds the coupl
vc vc vc vc vc vc vc vc vc vc vc vc vc
e in bed together. Which action should the PN take?
vc vc vc vc vc vc vc vc vc
ANSWER
Exit the room and quietly close the door.
vc vc vc vc vc vc vc
QUESTION 3 vc
Which action by a practical nurse (PN) indicates the best understanding of the principles
vc vc vc vc vc vc vc vc vc vc vc vc vc v
related to medical asepsis and effective handwashing?
c vc vc vc vc vc vc
ANSWER
Hold your hands lower than your elbows to promote microbe removal.
vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
The practical nurse (PN) is removing the personal protective equipment (PPE) worn whe
vc vc vc vc vc vc vc vc vc vc vc vc
n caring for a client. Which PPE should be removed first?
vc vc vc vc vc vc vc vc vc vc
ANSWER
,gloves
QUESTION 5 vc
The practical nurse (PN) is caring for a primigravida five hours after a vaginal delivery.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
Which finding should the PN report immediately to the charge nurse?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Rubra lochia saturating three perineal pads per hour.
vc vc vc vc vc vc vc
QUESTION 6 vc
Following the dressing change of an abdominal surgical wound, a client expresses concer
vc vc vc vc vc vc vc vc vc vc vc vc
n to the practical nurse (PN) about the scar that might result from the wound. Which res
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ponse is best for the PN to provide?
vc vc vc vc vc vc vc
ANSWER
Tell me more about your concerns regarding an abdominal scar.
vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
When preparing to change a client's sterile dressing, the practical nurse (PN) opens a pa
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ckage of gauze pads as seen in the picture. Which action should the PN take next?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Pick up pads and place them on a sterile field.
vc vc vc vc vc vc vc vc vc
QUESTION 8 vc
A client experiences a muscle strain or sprain to the ankle. Which intervention should th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e practical nurse (PN) implement for an acute soft tissue injury?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Apply ice to the injured site at 15-minute intervals for the first 24 hours.
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
The practical nurse (PN) is assisting the nurse with the admission physical assessment of
vc vc vc vc vc vc vc vc vc vc vc vc vc
a client diagnosed with pneumonia. What symptom(s) is the client most likely to exhibit
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
?
ANSWER
,a. Dyspnea
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c. Lung crackles
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e. Painful cough
vc vc
QUESTION 10 vc
The practical nurse (PN) is working with a newly hired PN on a medical-
vc vc vc vc vc vc vc vc vc vc vc vc vc
surgical unit. Which action performed by the newly hired PN requires intervention by th
vc vc vc vc vc vc vc vc vc vc vc vc vc
e PN?
vc
ANSWER
Posting client names and healthcare providers on hospital room doors.
vc vc vc vc vc vc vc vc vc
QUESTION 11 vc
The practical nurse (PN) is caring for a 9-month-
vc vc vc vc vc vc vc vc
old infant with developmental dysplasia of the hip (DDH) after a closed reduction and hi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
p spica cast application. After application of the cast, which is the most important interve
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ntion in caring for the infant?
vc vc vc vc vc
ANSWER
Monitor the distal toes every 2 hours for movement, sensation, and circulation.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 12 vc
The practical nurse (PN) turns a client with right-
vc vc vc vc vc vc vc vc
sided paralysis from a supine to a left lateral position. Which bony prominence is most li
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
kely to manifest signs of erythema when first turned?
vc vc vc vc vc vc vc vc
ANSWER
Sacrum
QUESTION 13 vc
Which nursing intervention is most important to include in the plan of care for a child wi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
th acute glomerulonephritis?
vc vc
ANSWER
Weigh the child daily vc vc vc
QUESTION 14 vc
, An older adult female resident of a long-
vc vc vc vc vc vc vc
term care facility experiences frequent episodes of urinary incontinence. Which focused
vc vc vc vc vc vc vc vc vc vc vc
assessment is most important for the practical nurse (PN) to perform regularly in respon
vc vc vc vc vc vc vc vc vc vc vc vc vc
se to the resident's incontinence?
vc vc vc vc
ANSWER
Appearance of skin in perineal area. vc vc vc vc vc
QUESTION 15 vc
A client tells the practical nurse (PN) of being afraid about a scheduled surgery. How sho
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
uld the PN respond? It is normal to have some fears before surgery.
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Tell me what is making you feel afraid.
vc vc vc vc vc vc vc
QUESTION 16 vc
A client with a chronic medical condition tells the practical nurse (PN) of not wanting an
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
y heroics to prolong the client's life if anything should happen. Which action should the P
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
N take?
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ANSWER
Notify the client's healthcare provider of the client's wishes as soon as possible
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 17 vc
The practical nurse (PN) is reviewing results of a client's urinalysis. What results indicat
vc vc vc vc vc vc vc vc vc vc vc vc vc
e problems and should be reported by the PN to the healthcare provider? Select all that a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
pply.
ANSWER
* Positive for albumin or protein. * Bacteria present * Large count of red blood cells.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 18 vc
A client with paranoia is admitted to the mental health unit and immediately goes to the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
corner of the room and sits quietly without communicating. While approaching the client
vc vc vc vc vc vc vc vc vc vc vc vc
, which intervention should the practical nurse (PN) implement first?
vc vc vc vc vc vc vc vc vc
ANSWER
Describe functions of the practical nurse (PN).
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