HESI PN Exit Exam NCLEX-PN 2026 | Questions & Verified
Answers | Latest Update | Graded A+
1. A client is admitted with a WBC count of 85,000. The absolute neutrophil
count (ANC) is 750. What does the nurse determine as the client's priority
problem?
Sepsis related to unknown cause related to severely elevated WBC
Risk for altered tissue perfusion related to low number of clotting
factors
Altered tissue pefusion related to potential clot formation
Risk for infection related to moderately low ANC
2. Which information should the PN collect during admission assessment of a
terminally ill client to am acute care facility?
Contact information for client's next of kin
Name of funeral home to contact
Client's wishes regarding organ donation
Health care proxy information
3. Why is it critical for a practical nurse to monitor blood glucose levels in a
patient receiving TPN?
TPN is only given to patients with diabetes.
TPN has no impact on blood glucose levels.
TPN can cause fluctuations in blood glucose levels due to high
carbohydrate content.
TPN is administered through oral routes, affecting digestion.
,4. If a practical nurse administers an oil retention enema solution that is too
cold, what potential outcome might the patient experience?
Immediate relief from constipation
No change in bowel function
Increased absorption of the oil
Discomfort and ineffective bowel evacuation
5. If a postoperative client has a high risk of infection, what specific information
should the practical nurse (PN) emphasize to the UAP when providing
morning care instructions?
The importance of maintaining strict aseptic technique during care.
The requirement to administer medications during morning care.
The necessity of providing emotional support to the client.
The need to encourage the client to move around frequently.
6. The primary care practical nurse (PN) is working with a newly employed PN
to prioritize several unit procedures. When the primary PN evaluates the
decision, which selection indicates that the newly employed PN has
identified the priority task?
Managing time for all client care during the shift.
Completing care for clients scheduled for discharge.
Obtaining needed supplies for each client's room.
Evaluating clients who are unstable or most critical.
7. What is the first action a practical nurse should take when a patient reports
chest tightness and shortness of breath after surgery?
, Assist the patient to sit down.
Call the physician.
Administer oxygen immediately.
Assess the patient's vital signs.
8. What is the primary role of the practical nurse (PN) when communicating with
unlicensed assistive personnel (UAP) regarding patient care?
To provide clear instructions for patient care.
To perform all patient care tasks themselves.
To assess the UAP's performance only.
To supervise the UAP without providing instructions.
9. A patient is taking a statin drug. What important action should the nurse tell
this patient to take?
Have a hearing assessment done.
Take the medication with breakfast.
See a physiotherapist.
Report unexpected muscular pain
10. In a scenario where a PN observes a sudden change in a patient's vital signs,
what should be the PN's immediate course of action?
The PN should wait for the next scheduled assessment to report the
findings.
The PN should document the findings and inform the RN later.
The PN should attempt to manage the situation independently
without reporting.
, The PN should report the change in vital signs to the RN
immediately.
11. If a practical nurse identifies that an older adult has a history of multiple falls,
what intervention should be prioritized to enhance patient safety?
Increasing the patient's medication dosage
Implementing fall prevention strategies
Ignoring the history as it is not relevant
Limiting the patient's mobility
12. What term is used to describe pupils that respond to changes in light and
focus?
Pupils non-reactive
Pupils reactive to accommodation
Pupils constricted
Pupils dilated
13. The nurse is caring for a patient on total parenteral nutrition (TPN). What is
the nurse's priority intervention for the patient?
Assessing consistency of stool
Monitoring urinary output
Monitoring electrolytes
Assessing ability to swallow
14. Why is it important for practical nurses to assess a patient's history of falls
upon admission to a long-term care facility?
It only matters if the patient has a visible injury.
Answers | Latest Update | Graded A+
1. A client is admitted with a WBC count of 85,000. The absolute neutrophil
count (ANC) is 750. What does the nurse determine as the client's priority
problem?
Sepsis related to unknown cause related to severely elevated WBC
Risk for altered tissue perfusion related to low number of clotting
factors
Altered tissue pefusion related to potential clot formation
Risk for infection related to moderately low ANC
2. Which information should the PN collect during admission assessment of a
terminally ill client to am acute care facility?
Contact information for client's next of kin
Name of funeral home to contact
Client's wishes regarding organ donation
Health care proxy information
3. Why is it critical for a practical nurse to monitor blood glucose levels in a
patient receiving TPN?
TPN is only given to patients with diabetes.
TPN has no impact on blood glucose levels.
TPN can cause fluctuations in blood glucose levels due to high
carbohydrate content.
TPN is administered through oral routes, affecting digestion.
,4. If a practical nurse administers an oil retention enema solution that is too
cold, what potential outcome might the patient experience?
Immediate relief from constipation
No change in bowel function
Increased absorption of the oil
Discomfort and ineffective bowel evacuation
5. If a postoperative client has a high risk of infection, what specific information
should the practical nurse (PN) emphasize to the UAP when providing
morning care instructions?
The importance of maintaining strict aseptic technique during care.
The requirement to administer medications during morning care.
The necessity of providing emotional support to the client.
The need to encourage the client to move around frequently.
6. The primary care practical nurse (PN) is working with a newly employed PN
to prioritize several unit procedures. When the primary PN evaluates the
decision, which selection indicates that the newly employed PN has
identified the priority task?
Managing time for all client care during the shift.
Completing care for clients scheduled for discharge.
Obtaining needed supplies for each client's room.
Evaluating clients who are unstable or most critical.
7. What is the first action a practical nurse should take when a patient reports
chest tightness and shortness of breath after surgery?
, Assist the patient to sit down.
Call the physician.
Administer oxygen immediately.
Assess the patient's vital signs.
8. What is the primary role of the practical nurse (PN) when communicating with
unlicensed assistive personnel (UAP) regarding patient care?
To provide clear instructions for patient care.
To perform all patient care tasks themselves.
To assess the UAP's performance only.
To supervise the UAP without providing instructions.
9. A patient is taking a statin drug. What important action should the nurse tell
this patient to take?
Have a hearing assessment done.
Take the medication with breakfast.
See a physiotherapist.
Report unexpected muscular pain
10. In a scenario where a PN observes a sudden change in a patient's vital signs,
what should be the PN's immediate course of action?
The PN should wait for the next scheduled assessment to report the
findings.
The PN should document the findings and inform the RN later.
The PN should attempt to manage the situation independently
without reporting.
, The PN should report the change in vital signs to the RN
immediately.
11. If a practical nurse identifies that an older adult has a history of multiple falls,
what intervention should be prioritized to enhance patient safety?
Increasing the patient's medication dosage
Implementing fall prevention strategies
Ignoring the history as it is not relevant
Limiting the patient's mobility
12. What term is used to describe pupils that respond to changes in light and
focus?
Pupils non-reactive
Pupils reactive to accommodation
Pupils constricted
Pupils dilated
13. The nurse is caring for a patient on total parenteral nutrition (TPN). What is
the nurse's priority intervention for the patient?
Assessing consistency of stool
Monitoring urinary output
Monitoring electrolytes
Assessing ability to swallow
14. Why is it important for practical nurses to assess a patient's history of falls
upon admission to a long-term care facility?
It only matters if the patient has a visible injury.
