HESI RN EXIT EXAM PREP / HESI EXIT RN &
PN EXAM TEST BANK WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED A+|EXPERT
VERIFIED FOR GUARANTEED PASS 2026-2027
The nurse caring for a client with acute renal fluid (ARF) has noted that the client has
voided 800 ml of urine in 4 hours. Based on this assessment, what should the nurse
anticipate that client will need?
a. Treatment for acute uremic symptoms within 24 hours
b. Change to a regular diet
c. Large amounts of fluid and electrolyte replacement.
d. Unrestricted sodium intake
c. Large amounts of fluid and electrolyte replacement.
Which intervention should the nurse include in the plan of care for a child with tetanus?
a. Open window shades to provide natural light
b. Reposition side to side every hour.
c. Minimize the number of stimuli in the room.
d. Encourage coughing and deep breathing
c. Minimize the number of stimuli in the room.
Suicide precautions are initiated for a child admitted to the mental health unit following
an intentional narcotic overdose. After a visitor leaves, the nurse finds a package of
cigarettes in the client's room. Which intervention is most important for the nurse to
implement?
a. Assign a sitter for constant observation
b. Screen future visitors for contraband
c. Document suicide monitoring frequently
d. Remove cigarettes for the client's room.
d. Remove cigarettes for the client's room.
A client with atrial fibrillation receives a new prescription for dabigatran. What
instruction should the nurse include in this client's teaching plan?
1|Page
,a. Keep an antidote available in the event of hemorrhage
b. Continue obtaining scheduled laboratory bleeding test
c. Eliminate spinach and other green vegetable in the diet.
d. Avoid use of nonsteroidal ant-inflammatory drugs (NSAID).
d. Avoid use of nonsteroidal ant-inflammatory drugs (NSAID).
A nurse with 10 years experience working in the emergency room is reassigned to the
perinatal unit to work an 8 hour shift. Which client is best to assign to this nurse?
a. A client who is leaking clear fluid
b. A mother who just delivered a 9 pounds boy
c. A mother with an infected episiotomy.
d. A client at 28- weeks' gestation in pre-term labor.
c. A mother with an infected episiotomy.
An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is
irritable and diaphoretic with jugular vein distention. Which prescription should the
nurse administer first?
a. Spironolactone
b. Potassium
c. Ampicillin sodium parental
d. Digoxin.
d. Digoxin.
The nursing staff on a medical unit includes a registered nurse (RN), practical nurse
(PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse
assign to the RN?
a. Supervise a newly hired graduate nurse during an admission assessment.
b. Transport a client who is receiving IV fluids to the radiology department.
c. Administer PRN oral analgesics to a client with a history of chronic pain
d. Complete ongoing focused assessments of a client with wrist restrain.
a. Supervise a newly hired graduate nurse during an admission assessment.
While teaching a young male adult to use an inhaler for his newly diagnosed asthma,
the client stares into the distance and appears to be concentrating on something other
than the lesson the nurse is presenting. What action should the nurse take
a. Remind the client that a rescue inhaler might save his life
b. Leave the client alone so that he can grieve his illness
c. Ask the client what he is thinking about at his time.
d. Gently touch the client then continue with teaching.
c. Ask the client what he is thinking about at his time.
2|Page
,The nurse caring for a 3-month-old boy one day after a pylorotomy notices that the
infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest.
What action should the nurse take?
a. Administer a prescribed analgesia for pain.
b. Increase IV infusion rate for rehydration
c. Provide additional blankets to increase body temperature
d. Feed one ounce of formula to correct hypoglycemia.
a. Administer a prescribed analgesia for pain.
The rapid response team's detects return of spontaneous circulation (ROSC) after 2 min
of continuous chest compressions. The client has a weak, fast pulse and no respiratory
effort, so the healthcare provider performs a successful oral, intubation. What action
should the nurse implement?
a. Perform bilateral chest auscultation.
b. Resume compression for 2 minutes
c. Administer a dose of epinephrine
d. Program the monitor for cardioversion.
a. Perform bilateral chest auscultation.
A client with hyperthyroidism is being treated with radioactive iodine (I-131). Which
explanation should be included in preparing this client for this treatment?
a. Explain the need for using lead shields for 2 to 3 weeks after the treatment
b. Describe the signs of goiter because this is a common side effect of radioactive
iodine
c. Explain that relief of the signs/symptoms of hyperthyroidism will occur immediately
d. Describe radioactive iodine as a tasteless, colorless medication administered by the
healthcare provider
d. Describe radioactive iodine as a tasteless, colorless medication administered by the
healthcare provider
After a colon resection for colon cancer, a male client is moaning while being
transferred to the Postanesthesia Care Unit (PACU). Which intervention should the
nurse implement first?
a. Assess the client's dressing for bleeding
b. Determine client's pulse, blood pressure, and respirations
c. Administer a PRN dose of IV Morphine
d. Check the client's orientation to time and place.
b. Determine client's pulse, blood pressure, and respirations
A male client with cirrhosis has ascites and reports feeling short of breath. The client is
in semi Fowler position with his arms at his side. What action should the nurse
3|Page
, implement?
a. Reposition the client in a side-lying position and support his abdomen with pillows.
b. Elevate the client's feet on a pillow while keeping the head of the bed elevated.
c. Raise the head of the bed to a Fowler's position and support his arms with a pillow
Place the client in a shock position and monitor his vital signs at frequent intervals
c. Raise the head of the bed to a Fowler's position and support his arms with a pillow
A client with a chronic health problem has difficulty ambulating short distance due to
generalized weakness but can bear weight on both legs. To assist with ambulation and
provide the greatest stability, what assistive device is best for this client?
a. A quad cane
b. Crutches with 2-point gait.
c. Crutches with 3-point gait.
d. Crutches with 4-point gait.
d. Crutches with 4-point gait.
A client with leukemia undergoes a bone marrow biopsy. The client's laboratory values
indicate the client has thrombocytopenia. Based on this data, which nursing
assessment is most important following the procedure?
a. Assess body temperature
b. Monitor skin elasticity
c. Observe aspiration site.
d. Measure urinary output
c. Observe aspiration site.
An 18-year-old female client is seen at the health department for treatment of
condylomata acuminate (perineal warts) caused by the human papillomavirus (HPV).
Which intervention should the nurse implement?
a. Tell the client that the vaccine for HPV is not indicated
b. Inform the client that warts do not return following cryotherapy
c. Recommended the use of latex condoms to prevent HPV transmission.
d. Reinforce the importance of annual papanicolaou (Pap) smears.
Reinforce the importance of annual papanicolaou (Pap) smears.
A client admitted to the psychiatric unit diagnosed with major depression wants to
sleep during the day, refuses to take a bath, and refuses to eat. Which nursing
intervention should the nurse implement first?
a. Assess the client's ability to communicate with the other staff members
b. Arrange a meeting with the family to discuss the client's situation
c. Administer the client's antidepressant medication as prescribed.
d. Establish a structured routine for the client to follow.
4|Page
PN EXAM TEST BANK WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED A+|EXPERT
VERIFIED FOR GUARANTEED PASS 2026-2027
The nurse caring for a client with acute renal fluid (ARF) has noted that the client has
voided 800 ml of urine in 4 hours. Based on this assessment, what should the nurse
anticipate that client will need?
a. Treatment for acute uremic symptoms within 24 hours
b. Change to a regular diet
c. Large amounts of fluid and electrolyte replacement.
d. Unrestricted sodium intake
c. Large amounts of fluid and electrolyte replacement.
Which intervention should the nurse include in the plan of care for a child with tetanus?
a. Open window shades to provide natural light
b. Reposition side to side every hour.
c. Minimize the number of stimuli in the room.
d. Encourage coughing and deep breathing
c. Minimize the number of stimuli in the room.
Suicide precautions are initiated for a child admitted to the mental health unit following
an intentional narcotic overdose. After a visitor leaves, the nurse finds a package of
cigarettes in the client's room. Which intervention is most important for the nurse to
implement?
a. Assign a sitter for constant observation
b. Screen future visitors for contraband
c. Document suicide monitoring frequently
d. Remove cigarettes for the client's room.
d. Remove cigarettes for the client's room.
A client with atrial fibrillation receives a new prescription for dabigatran. What
instruction should the nurse include in this client's teaching plan?
1|Page
,a. Keep an antidote available in the event of hemorrhage
b. Continue obtaining scheduled laboratory bleeding test
c. Eliminate spinach and other green vegetable in the diet.
d. Avoid use of nonsteroidal ant-inflammatory drugs (NSAID).
d. Avoid use of nonsteroidal ant-inflammatory drugs (NSAID).
A nurse with 10 years experience working in the emergency room is reassigned to the
perinatal unit to work an 8 hour shift. Which client is best to assign to this nurse?
a. A client who is leaking clear fluid
b. A mother who just delivered a 9 pounds boy
c. A mother with an infected episiotomy.
d. A client at 28- weeks' gestation in pre-term labor.
c. A mother with an infected episiotomy.
An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is
irritable and diaphoretic with jugular vein distention. Which prescription should the
nurse administer first?
a. Spironolactone
b. Potassium
c. Ampicillin sodium parental
d. Digoxin.
d. Digoxin.
The nursing staff on a medical unit includes a registered nurse (RN), practical nurse
(PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse
assign to the RN?
a. Supervise a newly hired graduate nurse during an admission assessment.
b. Transport a client who is receiving IV fluids to the radiology department.
c. Administer PRN oral analgesics to a client with a history of chronic pain
d. Complete ongoing focused assessments of a client with wrist restrain.
a. Supervise a newly hired graduate nurse during an admission assessment.
While teaching a young male adult to use an inhaler for his newly diagnosed asthma,
the client stares into the distance and appears to be concentrating on something other
than the lesson the nurse is presenting. What action should the nurse take
a. Remind the client that a rescue inhaler might save his life
b. Leave the client alone so that he can grieve his illness
c. Ask the client what he is thinking about at his time.
d. Gently touch the client then continue with teaching.
c. Ask the client what he is thinking about at his time.
2|Page
,The nurse caring for a 3-month-old boy one day after a pylorotomy notices that the
infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest.
What action should the nurse take?
a. Administer a prescribed analgesia for pain.
b. Increase IV infusion rate for rehydration
c. Provide additional blankets to increase body temperature
d. Feed one ounce of formula to correct hypoglycemia.
a. Administer a prescribed analgesia for pain.
The rapid response team's detects return of spontaneous circulation (ROSC) after 2 min
of continuous chest compressions. The client has a weak, fast pulse and no respiratory
effort, so the healthcare provider performs a successful oral, intubation. What action
should the nurse implement?
a. Perform bilateral chest auscultation.
b. Resume compression for 2 minutes
c. Administer a dose of epinephrine
d. Program the monitor for cardioversion.
a. Perform bilateral chest auscultation.
A client with hyperthyroidism is being treated with radioactive iodine (I-131). Which
explanation should be included in preparing this client for this treatment?
a. Explain the need for using lead shields for 2 to 3 weeks after the treatment
b. Describe the signs of goiter because this is a common side effect of radioactive
iodine
c. Explain that relief of the signs/symptoms of hyperthyroidism will occur immediately
d. Describe radioactive iodine as a tasteless, colorless medication administered by the
healthcare provider
d. Describe radioactive iodine as a tasteless, colorless medication administered by the
healthcare provider
After a colon resection for colon cancer, a male client is moaning while being
transferred to the Postanesthesia Care Unit (PACU). Which intervention should the
nurse implement first?
a. Assess the client's dressing for bleeding
b. Determine client's pulse, blood pressure, and respirations
c. Administer a PRN dose of IV Morphine
d. Check the client's orientation to time and place.
b. Determine client's pulse, blood pressure, and respirations
A male client with cirrhosis has ascites and reports feeling short of breath. The client is
in semi Fowler position with his arms at his side. What action should the nurse
3|Page
, implement?
a. Reposition the client in a side-lying position and support his abdomen with pillows.
b. Elevate the client's feet on a pillow while keeping the head of the bed elevated.
c. Raise the head of the bed to a Fowler's position and support his arms with a pillow
Place the client in a shock position and monitor his vital signs at frequent intervals
c. Raise the head of the bed to a Fowler's position and support his arms with a pillow
A client with a chronic health problem has difficulty ambulating short distance due to
generalized weakness but can bear weight on both legs. To assist with ambulation and
provide the greatest stability, what assistive device is best for this client?
a. A quad cane
b. Crutches with 2-point gait.
c. Crutches with 3-point gait.
d. Crutches with 4-point gait.
d. Crutches with 4-point gait.
A client with leukemia undergoes a bone marrow biopsy. The client's laboratory values
indicate the client has thrombocytopenia. Based on this data, which nursing
assessment is most important following the procedure?
a. Assess body temperature
b. Monitor skin elasticity
c. Observe aspiration site.
d. Measure urinary output
c. Observe aspiration site.
An 18-year-old female client is seen at the health department for treatment of
condylomata acuminate (perineal warts) caused by the human papillomavirus (HPV).
Which intervention should the nurse implement?
a. Tell the client that the vaccine for HPV is not indicated
b. Inform the client that warts do not return following cryotherapy
c. Recommended the use of latex condoms to prevent HPV transmission.
d. Reinforce the importance of annual papanicolaou (Pap) smears.
Reinforce the importance of annual papanicolaou (Pap) smears.
A client admitted to the psychiatric unit diagnosed with major depression wants to
sleep during the day, refuses to take a bath, and refuses to eat. Which nursing
intervention should the nurse implement first?
a. Assess the client's ability to communicate with the other staff members
b. Arrange a meeting with the family to discuss the client's situation
c. Administer the client's antidepressant medication as prescribed.
d. Establish a structured routine for the client to follow.
4|Page
