PN HESI EXIT EXAM 3 2026 PRACTICE TEST
BANK WITH EXPLANATIONS AND CONTENT
MASTERING GUIDE
◉ A newly admitted elderly client is severely dehydrated. When
planning care for this
client, which task is appropriate to assign to an unlicensed assistive
personnel (UAP)?
A) Converse with the client to determine if the mucous membranes
are impaired
B) Report hourly outputs of less than 30 ml/hr
C) Monitor client's ability for movement in the bed
D) Check skin turgor every 4 hours.
Answer: is B: Report output of less than 30 ml/hr
2
◉ The nurse has admitted a 4 year-old with the diagnosis of possible
rheumatic fever.
Which statement by the parent would cause the nurse to suspect an
association with this
disease?
A) Our child had chickenpox 6 months ago.
,B) Strep throat went through all the children at the day care last
month.
C) Both ears were infected over 3 months age.
D) Last week both feet had a fungal skin infection..
Answer: is B: Strep throat went through all the children at the day
care last
month.
2
◉ A nurse assigned to a manipulative client for 5 days becomes
aware of feelings for a
reluctance to interact with the client. The next action by the nurse
should be to
A) Discuss the feeling of reluctance with an objective peer or
supervisor
B) Limit contacts with the client to avoid reinforcement of the
manipulative behavior
C) Confront the client about the negative effects of behaviors on
other clients and staff
D) Develop a behavior modification plan that will promote more
functional behavior.
Answer: is A: Discuss the feeling of reluctance with an objective peer
or
supervisor
,2
◉ A client is being treated for paranoid schizophrenia. When the
client became loud and
boisterous, the nurse immediately placed him in seclusion as a
precautionary measure.
The client willingly complied. The nurse's action
A) May result in charges of unlawful seclusion and restraint
B) Leaves the nurse vulnerable for charges of assault and battery
C) Was appropriate in view of the client's history of violence
D) Was necessary to maintain the therapeutic milieu of the unit.
Answer: is A: May result in charges of unlawful seclusion and
restraint
2
◉ A client has been admitted to the Coronary Care Unit with a
myocardial infarction.
Which nursing diagnosis should have priority?
A) Pain related to ischemia
B) Risk for altered elimination: constipation
C) Risk for complication: dysrhythmias
D) Anxiety related to pain.
Answer: is A: Pain related to ischemia
, 2
◉ The provisions of the law for the Americans with Disabilities Act
require nurse
managers to
A) Maintain an environment free from associated hazards
B) Provide reasonable accommodations for disabled individuals
C) Make all necessary accommodations for disabled individuals
D) Consider both mental and physical disabilities.
Answer: is B: Provide reasonable accommodations for disabled
individuals
2
◉ A 42 year-old male client refuses to take propranolol
hydrochloride (Inderal) as
prescribed. Which client statement s from the assessment data is
likely to explain his
noncompliance?
A) "I have problems with diarrhea."
B) "I have difficulty falling asleep."
C) "I have diminished sexual function."
D) "I often feel jittery.".
Answer: is C: "I have diminished sexual function."
BANK WITH EXPLANATIONS AND CONTENT
MASTERING GUIDE
◉ A newly admitted elderly client is severely dehydrated. When
planning care for this
client, which task is appropriate to assign to an unlicensed assistive
personnel (UAP)?
A) Converse with the client to determine if the mucous membranes
are impaired
B) Report hourly outputs of less than 30 ml/hr
C) Monitor client's ability for movement in the bed
D) Check skin turgor every 4 hours.
Answer: is B: Report output of less than 30 ml/hr
2
◉ The nurse has admitted a 4 year-old with the diagnosis of possible
rheumatic fever.
Which statement by the parent would cause the nurse to suspect an
association with this
disease?
A) Our child had chickenpox 6 months ago.
,B) Strep throat went through all the children at the day care last
month.
C) Both ears were infected over 3 months age.
D) Last week both feet had a fungal skin infection..
Answer: is B: Strep throat went through all the children at the day
care last
month.
2
◉ A nurse assigned to a manipulative client for 5 days becomes
aware of feelings for a
reluctance to interact with the client. The next action by the nurse
should be to
A) Discuss the feeling of reluctance with an objective peer or
supervisor
B) Limit contacts with the client to avoid reinforcement of the
manipulative behavior
C) Confront the client about the negative effects of behaviors on
other clients and staff
D) Develop a behavior modification plan that will promote more
functional behavior.
Answer: is A: Discuss the feeling of reluctance with an objective peer
or
supervisor
,2
◉ A client is being treated for paranoid schizophrenia. When the
client became loud and
boisterous, the nurse immediately placed him in seclusion as a
precautionary measure.
The client willingly complied. The nurse's action
A) May result in charges of unlawful seclusion and restraint
B) Leaves the nurse vulnerable for charges of assault and battery
C) Was appropriate in view of the client's history of violence
D) Was necessary to maintain the therapeutic milieu of the unit.
Answer: is A: May result in charges of unlawful seclusion and
restraint
2
◉ A client has been admitted to the Coronary Care Unit with a
myocardial infarction.
Which nursing diagnosis should have priority?
A) Pain related to ischemia
B) Risk for altered elimination: constipation
C) Risk for complication: dysrhythmias
D) Anxiety related to pain.
Answer: is A: Pain related to ischemia
, 2
◉ The provisions of the law for the Americans with Disabilities Act
require nurse
managers to
A) Maintain an environment free from associated hazards
B) Provide reasonable accommodations for disabled individuals
C) Make all necessary accommodations for disabled individuals
D) Consider both mental and physical disabilities.
Answer: is B: Provide reasonable accommodations for disabled
individuals
2
◉ A 42 year-old male client refuses to take propranolol
hydrochloride (Inderal) as
prescribed. Which client statement s from the assessment data is
likely to explain his
noncompliance?
A) "I have problems with diarrhea."
B) "I have difficulty falling asleep."
C) "I have diminished sexual function."
D) "I often feel jittery.".
Answer: is C: "I have diminished sexual function."
