HESI PN Exit Practice Exam 2026 | Questions &
Answers | KHESI2 Version
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? - correct AnswersRemind 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? - correct AnswersInstructions 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? -
correct AnswersApply 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 - correct AnswersAuscultate 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? - correct AnswersDetermine if client has had difficulty hearing in the past
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which
immediate interventions should the practical nurse (PN) take? - correct AnswersTurn
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? - correct
AnswersObserve 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? - correct
Answers180
Which problem has happened in an older client with these issues? - correct
AnswersEvisceration
Which location should the practical nurse palpate to determine if a client submandibular
lymph node are enlarged? - correct AnswersBeneath 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. -
correct AnswersMaternal hypotension
Which person has the highest risk of developing laryngeal cancer? - correct AnswersA
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> -
correct AnswersReport suspected abuse to supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with pruritis? -
correct AnswersKeep fingernails trimmed short.
When gathering data about a client with dark skin tones which site should the practical
nurse (PN) observe? - correct AnswersFinger and toe nails
What important intervention does the nurse need to ensure? - correct AnswersMeasure
head circumference
If a baby is born to a diabetic mother what should the nurse encourage? - correct
AnswersOffer 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 . - correct Answersobtain 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? - correct AnswersImplement
ongoing assessments for signs of shortness or slowed breathing
The response of the practical nurse (PN) is based on understanding which prevalent
manifestations of the illness. The PN overhears the female client with crushing
syndrome telling her family to leave her room and not return. - correct AnswersMood
adherence
A child receiving chemotherapy develops a cough that productive of yellow tinged
sputum after determine that the client is afebrile which priority action for the practice
nurse (PN) to take? - correct AnswersProvide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a traumatic brain
injury what primary assessment should the PN evaluate - correct AnswersLevel of
consciousness
,The practical nurse (PN) is assigned to care for a client who had an endoscopic
procedure in which a local anesthetic was sprayed on their throat which priority action
should the PN include in this care of plan? - correct AnswersAssess the gag reflexes
What is the best course of action for the practical nurse (PN) to take when the parents
of a child with pre-diabetes inform the PN that the youngster wants to join the soccer
team? - correct AnswersReassure the patents that increased physical activity reduces
risk for diabetes
While assisting the RN with the admission of a toddler which intervention should the
practical nurse (PN) implement to make the experience lease stressful for the client -
correct AnswersRemove child's clothing down to the diaper
A client with hypertension complains of a persistent dry cough the practical nurse (PN)
should tell the client that this is a common side effect with what medication? - correct
AnswersQuinapril
In a noisy voice that the client and visitors might overhear, a practical nurse (Pn) is
recounting her social life, sexual activities, and alcohol use at the nurses station. -
correct AnswersSuggest going to the nurses lounge to discuss these topics
Which symptoms are the parents of a kid with acute glomerulonephritis describing to the
practical nurse (PN) as the ones that initially prompted them to seek medical attention?
- correct AnswersHematuria
A pleural effusion is visible on the chest x-ray of a patient who has been admitted with
pneumonia. When auscultating the upper lobe, what should the PN listen for? - correct
AnswersA rubbing pleural sound
A client receives ondansetron prior to chemotherapy treatment how should the practical
nurse evaluate the effectiveness of the medication? - correct AnswersMonitor the client
for nausea or vomiting following the treatment
A new protocol for fall prevention is being implemented on the medical unit during safety
rounds the practical nurse (PN) identifies that the UAP had omitted a vital component of
the protocol after implementing the missing component which action should the nurse
take? - correct AnswersSupervise the UAP after reviewing the protocol
What standard of care is acceptable in a nursing malpractice case? - correct
AnswersWhat would a responsible prudent nurse have done under similar
circumstances
The practical nurse (PN) administers a anticonvulsant that causes photosensitivity
which action should the PN take after admitting the medication? - correct
AnswersRemind the client to protect skin from sunlight
, What is a appropriate task for a UAP assisting the nurse for a dressing change? -
correct AnswersGather supplies
The practical nurse (PN) is changing the abdominal dressing of a male client who was
discharged home following a colon resection which information should the PN report to
the health care provider? - correct AnswersThe client reports the wound care is painful
and would like a prescription for an analgesic
When getting a blood glucose, what intervention should the practical nurse implement ?
- correct AnswersDetermine what finger was used previously
A client diagnosed with c-diff which action should the practical nurse (PN) implement to
prevent the spread of the organism? - correct AnswersHand washing
A client had surgery 2 days ago complains of difficulty sleeping which initial intervention
is best for the practical nurse to implement? - correct AnswersReposition the client and
provide a back rub
The practical nurse (PN) plans to use distraction technique while client undergoes a
brief painful procedure which action should the PN implement during the procedure? -
correct Answersncourage the client to reminisce about a favorite past family event
Which interventions is within the scope of practice for a practical nurse (PN)? - correct
AnswersDemonstrating deep breathing and coughing to a post operative client
The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for
a tension headache, its ok to give Tylenol as long as you don't give a narcotic. - correct
AnswersFalse
When a practical nurse (PN) instructs a client on how to clean sputum, the client signals
that they have understood the process. The client collects the sputum after the PN has
left the room and alerts the PN. What steps ought to the PN take? - correct AnswersThe
PN should teach the client how to obtain a sputum specimen and the client does not
correctly collect the specimen the PN should assist the client is obtaining another
specimen cough directly into a sterile cup
What is pupil accomodation? - correct AnswersThe function of the accommodation
reflex is to coordinate visual attention to near objects
The practical nurse (PN) ask the UAP for feedback about assigned client instead the
UAP walks away from the PN ignoring the question what action is best for the PN to
take? - correct AnswersIn a private setting ask the other nurses for feedback about UAP
behaviors
A homecare client has a sodium level of 125 . What is to determine the cause of this
level ? - correct AnswersThe amount of salt used in meal preparation
Answers | KHESI2 Version
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? - correct AnswersRemind 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? - correct AnswersInstructions 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? -
correct AnswersApply 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 - correct AnswersAuscultate 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? - correct AnswersDetermine if client has had difficulty hearing in the past
A full term 24 hour old infant in the nursery regulates and suddenly turns cyanotic which
immediate interventions should the practical nurse (PN) take? - correct AnswersTurn
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? - correct
AnswersObserve 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? - correct
Answers180
Which problem has happened in an older client with these issues? - correct
AnswersEvisceration
Which location should the practical nurse palpate to determine if a client submandibular
lymph node are enlarged? - correct AnswersBeneath 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. -
correct AnswersMaternal hypotension
Which person has the highest risk of developing laryngeal cancer? - correct AnswersA
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> -
correct AnswersReport suspected abuse to supervisor and protective services
Which interventions should the practical nurse (PN) reinforce for a client with pruritis? -
correct AnswersKeep fingernails trimmed short.
When gathering data about a client with dark skin tones which site should the practical
nurse (PN) observe? - correct AnswersFinger and toe nails
What important intervention does the nurse need to ensure? - correct AnswersMeasure
head circumference
If a baby is born to a diabetic mother what should the nurse encourage? - correct
AnswersOffer 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 . - correct Answersobtain 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? - correct AnswersImplement
ongoing assessments for signs of shortness or slowed breathing
The response of the practical nurse (PN) is based on understanding which prevalent
manifestations of the illness. The PN overhears the female client with crushing
syndrome telling her family to leave her room and not return. - correct AnswersMood
adherence
A child receiving chemotherapy develops a cough that productive of yellow tinged
sputum after determine that the client is afebrile which priority action for the practice
nurse (PN) to take? - correct AnswersProvide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a traumatic brain
injury what primary assessment should the PN evaluate - correct AnswersLevel of
consciousness
,The practical nurse (PN) is assigned to care for a client who had an endoscopic
procedure in which a local anesthetic was sprayed on their throat which priority action
should the PN include in this care of plan? - correct AnswersAssess the gag reflexes
What is the best course of action for the practical nurse (PN) to take when the parents
of a child with pre-diabetes inform the PN that the youngster wants to join the soccer
team? - correct AnswersReassure the patents that increased physical activity reduces
risk for diabetes
While assisting the RN with the admission of a toddler which intervention should the
practical nurse (PN) implement to make the experience lease stressful for the client -
correct AnswersRemove child's clothing down to the diaper
A client with hypertension complains of a persistent dry cough the practical nurse (PN)
should tell the client that this is a common side effect with what medication? - correct
AnswersQuinapril
In a noisy voice that the client and visitors might overhear, a practical nurse (Pn) is
recounting her social life, sexual activities, and alcohol use at the nurses station. -
correct AnswersSuggest going to the nurses lounge to discuss these topics
Which symptoms are the parents of a kid with acute glomerulonephritis describing to the
practical nurse (PN) as the ones that initially prompted them to seek medical attention?
- correct AnswersHematuria
A pleural effusion is visible on the chest x-ray of a patient who has been admitted with
pneumonia. When auscultating the upper lobe, what should the PN listen for? - correct
AnswersA rubbing pleural sound
A client receives ondansetron prior to chemotherapy treatment how should the practical
nurse evaluate the effectiveness of the medication? - correct AnswersMonitor the client
for nausea or vomiting following the treatment
A new protocol for fall prevention is being implemented on the medical unit during safety
rounds the practical nurse (PN) identifies that the UAP had omitted a vital component of
the protocol after implementing the missing component which action should the nurse
take? - correct AnswersSupervise the UAP after reviewing the protocol
What standard of care is acceptable in a nursing malpractice case? - correct
AnswersWhat would a responsible prudent nurse have done under similar
circumstances
The practical nurse (PN) administers a anticonvulsant that causes photosensitivity
which action should the PN take after admitting the medication? - correct
AnswersRemind the client to protect skin from sunlight
, What is a appropriate task for a UAP assisting the nurse for a dressing change? -
correct AnswersGather supplies
The practical nurse (PN) is changing the abdominal dressing of a male client who was
discharged home following a colon resection which information should the PN report to
the health care provider? - correct AnswersThe client reports the wound care is painful
and would like a prescription for an analgesic
When getting a blood glucose, what intervention should the practical nurse implement ?
- correct AnswersDetermine what finger was used previously
A client diagnosed with c-diff which action should the practical nurse (PN) implement to
prevent the spread of the organism? - correct AnswersHand washing
A client had surgery 2 days ago complains of difficulty sleeping which initial intervention
is best for the practical nurse to implement? - correct AnswersReposition the client and
provide a back rub
The practical nurse (PN) plans to use distraction technique while client undergoes a
brief painful procedure which action should the PN implement during the procedure? -
correct Answersncourage the client to reminisce about a favorite past family event
Which interventions is within the scope of practice for a practical nurse (PN)? - correct
AnswersDemonstrating deep breathing and coughing to a post operative client
The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for
a tension headache, its ok to give Tylenol as long as you don't give a narcotic. - correct
AnswersFalse
When a practical nurse (PN) instructs a client on how to clean sputum, the client signals
that they have understood the process. The client collects the sputum after the PN has
left the room and alerts the PN. What steps ought to the PN take? - correct AnswersThe
PN should teach the client how to obtain a sputum specimen and the client does not
correctly collect the specimen the PN should assist the client is obtaining another
specimen cough directly into a sterile cup
What is pupil accomodation? - correct AnswersThe function of the accommodation
reflex is to coordinate visual attention to near objects
The practical nurse (PN) ask the UAP for feedback about assigned client instead the
UAP walks away from the PN ignoring the question what action is best for the PN to
take? - correct AnswersIn a private setting ask the other nurses for feedback about UAP
behaviors
A homecare client has a sodium level of 125 . What is to determine the cause of this
level ? - correct AnswersThe amount of salt used in meal preparation
