PN HESI MED SURG EXAM PRACTICE
ASSESSMENT 2026 FULL QUESTIONS AND
ANSWERS GRADED A PLUS COMPLETE
REVISION GUIDE
◉ The practical nurse (PN) is reinforcing information to a older male
client with a history of coronary artery disease about his prescribed
daily medication regimen. Which medication is most likely to reduce
the client's risk factors?
Answer: D. A low-dose aspirin given daily.
◉ An adult client with otitis media has thick, yellow drainage from
the right ear canal. What additional findings should the practical
nurse (PN) expect to identify?
Answer: A. Pain relief after ear drainage begins.
◉ The practical nurse is caring for a client who is admitted with
signs of possible acute brain attack (Stroke) three hours ago. The
client's blood pressure is 170/96, regular radial pulse 76
beats/minute, respirations are nonlabored at 11 breaths/minute,
and a Sp02 of 99%. What action is most important for the PN to
implement?
Answer: C. Continue to monitor client's blood pressure.
,◉ A client who was hit in the head with a baseball is admitted to the
hospital for observation. Which finding requires the practical nurse
(PN) to follow-up with further assessment?
Answer: D. Reports the hospital room is an office.
◉ An older female client with osteoporosis asks the practical nurse
(PN) to explain why she is now 2 inches shorter than when she was
younger. What information is best for the practical nurse (PN) to
provide?
Answer: D. It is a combination of wear and tear and calcium loss that
causes the change.
◉ A practical nurse (PN) is coordinating the care of four clients on
an oncology unit. Which neutrophil count should the PN identify as a
risk for a life-threatening infection in one of the clients?
Answer: A. 500/mm3.
◉ An older client who has had a cataract in the right eye for several
years tells the practical nurse (PN), "Now I have lost the sight in my
right eye because I waited too long for treatment." What information
should the PN provide?
Answer: C. Surgery can restore vision with corrective lens implants
or glasses.
, ◉ The practical nurse (PN) is visiting a male client with diabetes
who has a new cast on his arm. The client's fingers are pale, cool,
slightly swollen, and the radial pulse is strong. What should the PN
do first?
Answer: D. Elevate the arm above the level of the heart.
◉ A client with epilepsy is having bilateral rhythmic jerking
movements of all extremities. After calling for help, which action
should the practical nurse (PN) do next?
Answer: 1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence.
◉ The practical nurse (PN) should place a client in which position
for a thoracentesis?
Answer: B. Sitting upright in a tripod position leaning on an overbed
table.
◉ Which action should the practical nurse take when handling a
sample of cerebrospinal fluid (CSF) collected for diagnostic testing
from a client?
Answer: A. Implement standard precautions with the CSF specimen.
ASSESSMENT 2026 FULL QUESTIONS AND
ANSWERS GRADED A PLUS COMPLETE
REVISION GUIDE
◉ The practical nurse (PN) is reinforcing information to a older male
client with a history of coronary artery disease about his prescribed
daily medication regimen. Which medication is most likely to reduce
the client's risk factors?
Answer: D. A low-dose aspirin given daily.
◉ An adult client with otitis media has thick, yellow drainage from
the right ear canal. What additional findings should the practical
nurse (PN) expect to identify?
Answer: A. Pain relief after ear drainage begins.
◉ The practical nurse is caring for a client who is admitted with
signs of possible acute brain attack (Stroke) three hours ago. The
client's blood pressure is 170/96, regular radial pulse 76
beats/minute, respirations are nonlabored at 11 breaths/minute,
and a Sp02 of 99%. What action is most important for the PN to
implement?
Answer: C. Continue to monitor client's blood pressure.
,◉ A client who was hit in the head with a baseball is admitted to the
hospital for observation. Which finding requires the practical nurse
(PN) to follow-up with further assessment?
Answer: D. Reports the hospital room is an office.
◉ An older female client with osteoporosis asks the practical nurse
(PN) to explain why she is now 2 inches shorter than when she was
younger. What information is best for the practical nurse (PN) to
provide?
Answer: D. It is a combination of wear and tear and calcium loss that
causes the change.
◉ A practical nurse (PN) is coordinating the care of four clients on
an oncology unit. Which neutrophil count should the PN identify as a
risk for a life-threatening infection in one of the clients?
Answer: A. 500/mm3.
◉ An older client who has had a cataract in the right eye for several
years tells the practical nurse (PN), "Now I have lost the sight in my
right eye because I waited too long for treatment." What information
should the PN provide?
Answer: C. Surgery can restore vision with corrective lens implants
or glasses.
, ◉ The practical nurse (PN) is visiting a male client with diabetes
who has a new cast on his arm. The client's fingers are pale, cool,
slightly swollen, and the radial pulse is strong. What should the PN
do first?
Answer: D. Elevate the arm above the level of the heart.
◉ A client with epilepsy is having bilateral rhythmic jerking
movements of all extremities. After calling for help, which action
should the practical nurse (PN) do next?
Answer: 1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence.
◉ The practical nurse (PN) should place a client in which position
for a thoracentesis?
Answer: B. Sitting upright in a tripod position leaning on an overbed
table.
◉ Which action should the practical nurse take when handling a
sample of cerebrospinal fluid (CSF) collected for diagnostic testing
from a client?
Answer: A. Implement standard precautions with the CSF specimen.
