Page 1 of 190
30 May 2026
PN HESI EXIT REAL EXAM TEST BANK WITH 800
EXAM QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) HESI PN EXIT EXAM TEST
BANK (BEST FOR EXAM PREPARATION)
The nurse assigned unlicensed assistive personnel (UAP) to apply antiembolism stockings to a
client. The nurse and UAP enters the room, the nurse observes the stockings that were applying by
the UAP. The UAP states that the client requested application of the stockings as seen on the
picture, for increased comfort. What action should the nurse take?
a. Ask the client if the stocking feel comfortable.
b. Supervise the UAP in the removal of the stockings.
c. Place a cover over the client's toes to keep them warm.
d. Discussed effective use of the stockings with the client and UAP - correct answer-d. Discussed
effective use of the stockings with the client and UAP
To prevent infection by auto contamination during the acute phase of recovery from multiple
burns, which intervention is most important for the nurse to implement?
a. Dress each wound separately.
b. Avoid sharing equipment between multiple clients.
c. Use gown, mask and gloves with dressing change.
d. Implement protective isolation. - correct answer-a. Dress each wound separately.
While changing a client's chest tube dressing, the nurse notes a crackling sensation when gentle
pressure is applied to the skin at the insertion site. What is the best action for the nurse to take?
a. Apply a pressure dressing around the chest tube insertion site.
b. Assess the client for allergies to topical cleaning agents.
c. Measure the area of swelling and crackling.
d. Administer an oral antihistamine per PRN protocol. - correct answer-c. Measure the area of
swelling and crackling.
A client with arthritis has been receiving treatment with naproxen and now reports ongoing
stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor?
a. Sed rate (ESR)
, Page 2 of 190
30 May 2026
b. Hemoglobin
c. Calcium
d. Osmolality. - correct answer-b. Hemoglobin
The nurse is preparing an intravenous (IV) fluid infusion using an IV pump. Within 30 seconds of
turning on the machine, the pump's alarm beeps "occlusion". What action should the nurse
implement first?
a. Flush the vein with 3 ml of sterile normal saline.
b. Assess the IV catheter insertion site for infiltration.
c. Verify the threading of the tubing through the IV pump.
d. Determine if the clamp on the IV tubing is released - correct answer-d. Determine if the clamp
on the IV tubing is released
After receiving the Braden scale findings of residents at a long-term facility, the charge nurse
should to tell the unlicensed assistive personnel (UAP) to prioritize the skin care for which client?
a. An older adult who is unable to communicate elimination needs.
b. An older man whose sheets are damped each time he is turned.
c. A woman with osteoporosis who is unable to bear weight.
d. A poorly nourished client who requires liquid supplement.
An older man whose sheets are damped each time he is turned. - correct answer-b. An older man
whose sheets are damped each time he is turned.
A nurse working on an endocrine unit should see which client first?
a. An adolescent male with diabetes who is arguing about his insulin dose.
b. An older client with Addison's disease whose current blood sugar level is 62mg/dl (3.44 mmol/l).
c. An adult with a blood sugar of 384mg/dl (21.31mmol/l) and urine output of 350 ml in the last
hour.
d. A client taking corticosteroids who has become disoriented in the last two hours. - correct
answer-d. A client taking corticosteroids who has become disoriented in the last two hours.
A client with acute renal failure (ARF) is admitted for uncontrolled type 1 diabetes Mellitus and
hyperkalemia. The nurse administers an IV dose of regular insulin per sliding scale. Which
intervention is the most important for the nurse to include in this client's plan of care?
, Page 3 of 190
30 May 2026
a. Monitor the client's cardiac activity via telemetry.
b. Maintain venous access with an infusion of normal saline.
c. Assess glucose via fingerstick q4 to 6 hours.
d. Evaluate hourly urine output for return of normal renal function - correct answer-a. Monitor the
client's cardiac activity via telemetry.
A client with C-6 spinal cord injury rehabilitation. In the middle of the night the client reports a
severe, pounding headache, and has observable piloerection or "goosebumps". The nurse should
asses for which trigger?
a. Loud hallway noise.
b. Fever
c. Full bladder
d. Frequent cough. - correct answer-c. Full bladder
Four hours after surgery, a client reports nausea and begins to vomit. The nurse notes that the
client has a scopolamine transdermal patch applied behind the ear. What action should the nurse
take?
a. Reposition the transdermal patch to the client's trunk.
b. Remove the transdermal patch until the vomiting subsides.
c. Notify the healthcare provider of the vomiting.
d. Explain that this is a side effect of the medication in the patch. - correct answer-c. Notify the
healthcare provider of the vomiting.
The nurse identifies an electrolyte imbalance, an elevated pulse rate, and elevated BP for a client
with chronic kidney disease. Which is the most important action for the nurse to take? a.
Monitor daily sodium intake.
b. Record usual eating patterns.
c. Measure ankle circumference.
d. Auscultate for irregular heart rate. - correct answer-d. Auscultate for irregular heart rate.
A client with persistent low back pain has received a prescription for electronic stimulator (TENS)
unit. After the nurse applies the electrodes and turns on the power, the client reports feeling a
tingling sensation. How should the nurse respond?
, Page 4 of 190
30 May 2026
a. Determine if the sensation feels uncomfortable.
b. Decrease the strength of the electrical signals.
c. Remove electrodes and observe for skin redness.
d. Check the amount of gel coating on the electrodes. - correct answer-a. Determine if the
sensation feels uncomfortable.
A female client is extremely anxious after being informed that her mammogram was abnormal
and needs to be repeated. Client is tearful and tells the nurse her mother died of breast cancer.
What action should the nurse take?
a. Provide the client with information about treatment options for breast cancer.
b. Reassure the client that the final diagnosis has not been made.
c. Encourage the client to continue expressing her fears and concerns.
d. Suggest to the client that she seek a second opinion. - correct answer-c. Encourage the client to
continue expressing her fears and concerns.
The charge nurse is planning for the shift and has a registered nurse (RN) and a practical nurse (PN)
on the team. Which client should the charge nurse assign to the RN?
a. A 64-year-old client who had a total hip replacement the previous day.
b. A 75-year-old client with renal calculi who requires urine straining.
c. An adolescent with multiple contusions due to a fall that occurred 2 days ago.
d. A 30-year-old depressed client who admits to suicide ideation. - correct answer-d. A 30-year-old
depressed client who admits to suicide ideation.
A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious
when admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of
closed head injury. Which assessment finding is indicative of a developing epidural hematoma?
a. Altered consciousness within the first 24 hours after injury.
b. Cushing reflex and cerebral edema after 24 hours
c. Fever, nuchal rigidity and opisthotonos within hours
d. Headache and pupillary changes 48 hours after a head injury - correct answer-a. Altered
consciousness within the first 24 hours after injury.
30 May 2026
PN HESI EXIT REAL EXAM TEST BANK WITH 800
EXAM QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) HESI PN EXIT EXAM TEST
BANK (BEST FOR EXAM PREPARATION)
The nurse assigned unlicensed assistive personnel (UAP) to apply antiembolism stockings to a
client. The nurse and UAP enters the room, the nurse observes the stockings that were applying by
the UAP. The UAP states that the client requested application of the stockings as seen on the
picture, for increased comfort. What action should the nurse take?
a. Ask the client if the stocking feel comfortable.
b. Supervise the UAP in the removal of the stockings.
c. Place a cover over the client's toes to keep them warm.
d. Discussed effective use of the stockings with the client and UAP - correct answer-d. Discussed
effective use of the stockings with the client and UAP
To prevent infection by auto contamination during the acute phase of recovery from multiple
burns, which intervention is most important for the nurse to implement?
a. Dress each wound separately.
b. Avoid sharing equipment between multiple clients.
c. Use gown, mask and gloves with dressing change.
d. Implement protective isolation. - correct answer-a. Dress each wound separately.
While changing a client's chest tube dressing, the nurse notes a crackling sensation when gentle
pressure is applied to the skin at the insertion site. What is the best action for the nurse to take?
a. Apply a pressure dressing around the chest tube insertion site.
b. Assess the client for allergies to topical cleaning agents.
c. Measure the area of swelling and crackling.
d. Administer an oral antihistamine per PRN protocol. - correct answer-c. Measure the area of
swelling and crackling.
A client with arthritis has been receiving treatment with naproxen and now reports ongoing
stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor?
a. Sed rate (ESR)
, Page 2 of 190
30 May 2026
b. Hemoglobin
c. Calcium
d. Osmolality. - correct answer-b. Hemoglobin
The nurse is preparing an intravenous (IV) fluid infusion using an IV pump. Within 30 seconds of
turning on the machine, the pump's alarm beeps "occlusion". What action should the nurse
implement first?
a. Flush the vein with 3 ml of sterile normal saline.
b. Assess the IV catheter insertion site for infiltration.
c. Verify the threading of the tubing through the IV pump.
d. Determine if the clamp on the IV tubing is released - correct answer-d. Determine if the clamp
on the IV tubing is released
After receiving the Braden scale findings of residents at a long-term facility, the charge nurse
should to tell the unlicensed assistive personnel (UAP) to prioritize the skin care for which client?
a. An older adult who is unable to communicate elimination needs.
b. An older man whose sheets are damped each time he is turned.
c. A woman with osteoporosis who is unable to bear weight.
d. A poorly nourished client who requires liquid supplement.
An older man whose sheets are damped each time he is turned. - correct answer-b. An older man
whose sheets are damped each time he is turned.
A nurse working on an endocrine unit should see which client first?
a. An adolescent male with diabetes who is arguing about his insulin dose.
b. An older client with Addison's disease whose current blood sugar level is 62mg/dl (3.44 mmol/l).
c. An adult with a blood sugar of 384mg/dl (21.31mmol/l) and urine output of 350 ml in the last
hour.
d. A client taking corticosteroids who has become disoriented in the last two hours. - correct
answer-d. A client taking corticosteroids who has become disoriented in the last two hours.
A client with acute renal failure (ARF) is admitted for uncontrolled type 1 diabetes Mellitus and
hyperkalemia. The nurse administers an IV dose of regular insulin per sliding scale. Which
intervention is the most important for the nurse to include in this client's plan of care?
, Page 3 of 190
30 May 2026
a. Monitor the client's cardiac activity via telemetry.
b. Maintain venous access with an infusion of normal saline.
c. Assess glucose via fingerstick q4 to 6 hours.
d. Evaluate hourly urine output for return of normal renal function - correct answer-a. Monitor the
client's cardiac activity via telemetry.
A client with C-6 spinal cord injury rehabilitation. In the middle of the night the client reports a
severe, pounding headache, and has observable piloerection or "goosebumps". The nurse should
asses for which trigger?
a. Loud hallway noise.
b. Fever
c. Full bladder
d. Frequent cough. - correct answer-c. Full bladder
Four hours after surgery, a client reports nausea and begins to vomit. The nurse notes that the
client has a scopolamine transdermal patch applied behind the ear. What action should the nurse
take?
a. Reposition the transdermal patch to the client's trunk.
b. Remove the transdermal patch until the vomiting subsides.
c. Notify the healthcare provider of the vomiting.
d. Explain that this is a side effect of the medication in the patch. - correct answer-c. Notify the
healthcare provider of the vomiting.
The nurse identifies an electrolyte imbalance, an elevated pulse rate, and elevated BP for a client
with chronic kidney disease. Which is the most important action for the nurse to take? a.
Monitor daily sodium intake.
b. Record usual eating patterns.
c. Measure ankle circumference.
d. Auscultate for irregular heart rate. - correct answer-d. Auscultate for irregular heart rate.
A client with persistent low back pain has received a prescription for electronic stimulator (TENS)
unit. After the nurse applies the electrodes and turns on the power, the client reports feeling a
tingling sensation. How should the nurse respond?
, Page 4 of 190
30 May 2026
a. Determine if the sensation feels uncomfortable.
b. Decrease the strength of the electrical signals.
c. Remove electrodes and observe for skin redness.
d. Check the amount of gel coating on the electrodes. - correct answer-a. Determine if the
sensation feels uncomfortable.
A female client is extremely anxious after being informed that her mammogram was abnormal
and needs to be repeated. Client is tearful and tells the nurse her mother died of breast cancer.
What action should the nurse take?
a. Provide the client with information about treatment options for breast cancer.
b. Reassure the client that the final diagnosis has not been made.
c. Encourage the client to continue expressing her fears and concerns.
d. Suggest to the client that she seek a second opinion. - correct answer-c. Encourage the client to
continue expressing her fears and concerns.
The charge nurse is planning for the shift and has a registered nurse (RN) and a practical nurse (PN)
on the team. Which client should the charge nurse assign to the RN?
a. A 64-year-old client who had a total hip replacement the previous day.
b. A 75-year-old client with renal calculi who requires urine straining.
c. An adolescent with multiple contusions due to a fall that occurred 2 days ago.
d. A 30-year-old depressed client who admits to suicide ideation. - correct answer-d. A 30-year-old
depressed client who admits to suicide ideation.
A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious
when admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of
closed head injury. Which assessment finding is indicative of a developing epidural hematoma?
a. Altered consciousness within the first 24 hours after injury.
b. Cushing reflex and cerebral edema after 24 hours
c. Fever, nuchal rigidity and opisthotonos within hours
d. Headache and pupillary changes 48 hours after a head injury - correct answer-a. Altered
consciousness within the first 24 hours after injury.
