EXIT HESI -PN EXAM A PRACTICE
QUESTIONS EXAM 2026 LATEST
UPDATE WITH VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
A nurse who has recently completed orientation is beginning work in the labor and deli
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very unit for the first time. When making assignments, which client should the charge
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nurse assign to this new nurse? zl zl zl zl zl
A.A primigravida who is 8 cm dilated after 14 hours of labor
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B.A client scheduled for a repeat cesarean birth at 38 weeks' gestation
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C.A client being induced for fetal demise at 20 weeks' gestation
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D.A multiparous client who is dilated 5 cm and 50% effaced - ANSWERS-D
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The new nurse should be assigned the least complicated client to gain experience an
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d confidence, as well as protect client safety. Of the clients available for assignment, (
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D) is progressing well and is the least complicated. (A, B and C) have actual or potenti
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al complications and should be assigned to a more experienced nurse.
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A client with human immunodeficiency virus (HIV) infection has white lesions in the or
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al cavity that resemble milk curds. Nystatin (Mycostatin) preparation is prescribed as
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a swish and swallow. Which information is most important for the nurse to provide the
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client?
A.Oral hygiene should be performed before the medication. B.Antifungal medications
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are available in tablet, suppository, and liquid forms.
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C.Candida albicans is the organism that causes the white lesions in the mouth.
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D.The dietary intake of dairy and spicy foods should be limited. - ANSWERS-A
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HIV infection causes depression of cell-
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mediated immunity that allows an overgrowth of Candida albicans (oral moniliasis), w
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hich appears as white, cheesy plaque or lesions that resemble milk curds. To ensure
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effective contact of the medication with the oral lesions, oral liquids should be consum
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ed and oral hygiene performed before swishing the liquid Mycostatin (A). (B and C) pr
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ovide the client with additional information about the pathogenesis and treatment of o
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pportunistic infections, but (A) allows the client to participate in self-
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care of the oral infection. Dietary restriction of spicy foods reduces discomfort associa
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ted with stomatitis, but restriction of dairy products is not indicated (D).
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A client who is admitted with emphysema is having difficulty breathing. In which positi
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on should the nurse place the client?
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A.High Fowler's position without a pillow behind the head
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B.Semi-Fowler's position with a single pillow behind the head
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C.Right side-lying position with the head of the bed elevated 45 degrees
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,D.Sitting upright and forward with both arms supported on an over the bed table -
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ANSWERS-D
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Adequate lung expansion is dependent on deep breaths that allow the respiratory mu
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scles to increase the longitudinal and anterior-
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posterior size of the thoracic cage. Sitting upright and leaning forward with the arms s
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upported on an over the bed table (D) allows the thoracic cage to expand in all four dir
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ections and reduces dyspnea. A high Fowler's position does not allow maximum expa
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nsion of the posterior lobes of the lungs (A). A semi-
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Fowler's position restricts expansion of the anterior-
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posterior diameter of the thoracic cage (B). Positioning a client on the right side with th
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e head of the bed elevated (C) does not facilitate lung expansion.
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A client with chronic renal insufficiency (CRI) is taking 25 mg of hydrochlorothiazide (
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HCTZ) PO and 40 mg of furosemide (Lasix) PO daily. Today, at a routine clinic visit, th
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e client's serum potassium level is 4 mEq/L. What is the most likely cause of this client
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's potassium level?
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A.The client is noncompliant with his medications.
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B.The client recently consumed large quantities of pears or nuts.
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C.The client's renal function has affected his potassium level.
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D.The client needs to be started on a potassium supplement. - ANSWERS-C
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The client has a normalized potassium level despite diuretic use (C). The kidney auto
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matically secretes 90% of potassium consumed, but in chronic renal insufficiency (CR
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I), less potassium is excreted than normal. Therefore, the two potassium-
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wasting drugs, a thiazide diuretic and loop diuretic, are not likely to affect potassium le
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vels. The normal potassium level is 3.5 to 5 mEq/L, and with a potassium level of 4 m
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Eq/L, there is no reason to believe that the client is noncompliant with his treatment (A
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). Pears and nuts do not affect the serum potassium level (B). There is no need for a p
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otassium supplement (D) because the client's potassium level is within the normal ran
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ge.
A registered nurse (RN) delivers telehealth services to clients via electronic communic
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ation. Which nursing action creates the greatest risk for professional liability and has t
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he potential for a malpractice lawsuit?
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A.Participating in telephone consultations with clients zl zl zl zl zl
B.Identifying oneself by name and title to clients in telehealth communications
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C.Sending medical records to health care providers via the Internet
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D.Answering a client-initiated health question via electronic mail - ANSWERS-C
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Sending medical records over the Internet, even with the latest security protection, cre
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ates the greatest risk for liability because of the high potential of breaching client confi
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dentiality and the amount of information being transferred (C). Client confidentiality is
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protected by federal wiretapping laws making telephone consultation (A) a private and
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protected form of communication. By stating one's name and credentials in telehealth
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communication (B), one is taking responsibility for the encounter. E-
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mail initiated by the client (D) poses less risk than sending records via the Internet.
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Which pathophysiologic response supports the contraindication for opioids, such as m
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orphine, in clients with increased intracranial pressure (ICP)?
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,A.Sedation produced by opioids is a result of a prolonged half- zl zl zl zl zl zl zl zl zl zl
life when the ICP is elevated.
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B.Higher doses of opioids are required when cerebral blood flow is reduced by an ele
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vated ICP. zl
C.Dysphoria from opioids contributes to altered levels of consciousness with an eleva
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ted ICP. zl
D.Opioids suppress respirations, which increases Pco2 and contributes to an elevate
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d ICP. - ANSWERS-D
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The greatest risk associated with opioids such as morphine (D) is respiratory depressi
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on that causes an increase in Pco2, which increases ICP and masks the early signs of
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intracranial bleeding in head injury. (A, B, and C) do not support the risks associated
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with opioid use in a client with increased ICP.
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The charge nurse of a medical surgical unit is alerted to an impending disaster requiri
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ng implementation of the hospital's disaster plan. Specific facts about the nature of thi
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s disaster are not yet known. Which instruction should the charge nurse give to the ot
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her staff members at this time?
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A.Prepare to evacuate the unit, starting with the bedridden clients. zl zl zl zl zl zl zl zl zl
B.UAPs should report to the emergency center to handle transports.
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C.The licensed staff should begin counting wheelchairs and IV poles on the unit.
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D.Continue with current assignments until more instructions are received. -
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ANSWERS-D
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When faced with an impending disaster, hospital personnel may be alerted but should
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continue with current client care assignments until further instructions are received (D
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). Evacuation is typically a response of last resort that begins with clients who are mos
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t able to ambulate (A). (B) is premature and is likely to increase the chaos if incoming
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casualties are anticipated. (C) is poor utilization of personnel. zl zl zl zl zl zl zl zl
The nurse assesses a client while the UAP measures the client's vital signs. The clien
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t's vital signs change suddenly, and the nurse determines that the client's condition is
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worsening. The nurse is unsure of the client's resuscitative status and needs to check
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the client's medical record for any advanced directives. Which action should the nurse
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implement?
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A.Ask the UAP to check for the advanced directive while the nurse completes the ass
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essment.
B.Assign the UAP to complete the assessment while the nurse checks for the advanc
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ed directive. zl
C.Check the medical record for the advanced directive and then complete the client a
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ssessment.
D.Call for the charge nurse to check the advanced directive while continuing to asses
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s the client. - ANSWERS-D
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Because the client's condition is worsening, the nurse should remain with the client an
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d continue the assessment while calling for help from the charge nurse to determine t
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he client's resuscitative status (D). (A and B) are tasks that must be completed by a n
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urse and cannot be delegated to the UAP. (C) is contraindicated.
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The nurse is preparing a client for surgery scheduled in 2 hours. A UAP is helping the
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nurse. Which task is important for the nurse to perform, rather than the UAP?
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, A.Remove the client's nail polish and dentures. zl zl zl zl zl zl
B.Assist the client to the restroom to void.
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C.Obtain the client's height and weight.
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D.Offer the client emotional support. - ANSWERS-D
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By using therapeutic techniques to offer support (D), the nurse can determine any clie
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nt concerns that need to be addressed. (A, B, and C) are all actions that can be perfor
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med by the UAP under the supervision of the nurse.
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Until the census on the obstetrics (OB) unit increases, an unlicensed assistive person
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nel (UAP) who usually works in labor and delivery and the newborn nursery is assigne
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d to work on the postoperative unit. Which client would be best for the charge nurse to
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assign to this UAP?
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A.An adolescent who was readmitted to the hospital because of a postoperative infec
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tion
B.A woman with a new colostomy who requires discharge teaching
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C.A woman who had a hip replacement and may be transferred to the home care unit
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D.A man who had a cholecystectomy and currently has a nasogastric tube set to inter
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mittent suction - ANSWERS-C zl zl zl
The charge nurse will be responsible for providing a report to the home care unit if the
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transfer occurs (A). The client is infected and an employee who works on an OB unit s
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hould be assigned to clean cases in case the employee is required to return to the OB
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unit (B). This requires the skills of a registered nurse (RN) to do discharge teaching an
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d provide emotional support (D). This may require skills beyond the level of this UAP.
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A male client is admitted for observation after being hit on the head with a baseball bat
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. Six hours after admission, the client attempts to crawl out of bed and asks the nurse
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why there are so many bugs in his bed. His vital signs are stable, and the pulse oxime
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ter reading is 98% on room air. Which intervention should the nurse perform first?
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A.Administer oxygen per nasal cannula at 2 L/min. zl zl zl zl zl zl zl
B.Plan to check his vital signs again in 30 minutes.
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C.Notify the health care provider of the change in mental status.
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D.Ask the client why he thinks there are bugs in the bed. - ANSWERS-C
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One of the earliest signs of increased intracranial pressure (ICP) is a change in menta
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l status (C). It is important to act early and quickly when symptoms of increased ICP o
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ccur. Because his oxygen saturation is normal, the administration of oxygen (A) is not
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the top priority. Vital signs should be monitored frequently (B), but the client's confusio
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n should be reported immediately. (D) is not a useful intervention.
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The nurse is monitoring a client who is receiving bedside conscious sedation with mid
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azolam hydrochloride (Versed). In assessing the client, the nurse determines that the
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client has slurred speech with diplopia. Based on this finding, what action should the n
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urse take? zl
zl A.Open the airway with a chin lift-head tilt maneuver. zl zl zl zl zl zl zl zl
zl B.Obtain a fingerstick glucose reading. zl zl zl zl
zl C.Administer flumazenil (Romazicon). zl zl
zl D.Continue to monitor the client. - ANSWERS-D zl zl zl zl zl zl
QUESTIONS EXAM 2026 LATEST
UPDATE WITH VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
A nurse who has recently completed orientation is beginning work in the labor and deli
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very unit for the first time. When making assignments, which client should the charge
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nurse assign to this new nurse? zl zl zl zl zl
A.A primigravida who is 8 cm dilated after 14 hours of labor
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B.A client scheduled for a repeat cesarean birth at 38 weeks' gestation
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C.A client being induced for fetal demise at 20 weeks' gestation
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D.A multiparous client who is dilated 5 cm and 50% effaced - ANSWERS-D
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The new nurse should be assigned the least complicated client to gain experience an
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d confidence, as well as protect client safety. Of the clients available for assignment, (
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D) is progressing well and is the least complicated. (A, B and C) have actual or potenti
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al complications and should be assigned to a more experienced nurse.
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A client with human immunodeficiency virus (HIV) infection has white lesions in the or
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al cavity that resemble milk curds. Nystatin (Mycostatin) preparation is prescribed as
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a swish and swallow. Which information is most important for the nurse to provide the
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client?
A.Oral hygiene should be performed before the medication. B.Antifungal medications
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are available in tablet, suppository, and liquid forms.
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C.Candida albicans is the organism that causes the white lesions in the mouth.
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D.The dietary intake of dairy and spicy foods should be limited. - ANSWERS-A
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HIV infection causes depression of cell-
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mediated immunity that allows an overgrowth of Candida albicans (oral moniliasis), w
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hich appears as white, cheesy plaque or lesions that resemble milk curds. To ensure
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effective contact of the medication with the oral lesions, oral liquids should be consum
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ed and oral hygiene performed before swishing the liquid Mycostatin (A). (B and C) pr
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ovide the client with additional information about the pathogenesis and treatment of o
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pportunistic infections, but (A) allows the client to participate in self-
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care of the oral infection. Dietary restriction of spicy foods reduces discomfort associa
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ted with stomatitis, but restriction of dairy products is not indicated (D).
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A client who is admitted with emphysema is having difficulty breathing. In which positi
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on should the nurse place the client?
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A.High Fowler's position without a pillow behind the head
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B.Semi-Fowler's position with a single pillow behind the head
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C.Right side-lying position with the head of the bed elevated 45 degrees
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,D.Sitting upright and forward with both arms supported on an over the bed table -
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ANSWERS-D
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Adequate lung expansion is dependent on deep breaths that allow the respiratory mu
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scles to increase the longitudinal and anterior-
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posterior size of the thoracic cage. Sitting upright and leaning forward with the arms s
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upported on an over the bed table (D) allows the thoracic cage to expand in all four dir
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ections and reduces dyspnea. A high Fowler's position does not allow maximum expa
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nsion of the posterior lobes of the lungs (A). A semi-
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Fowler's position restricts expansion of the anterior-
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posterior diameter of the thoracic cage (B). Positioning a client on the right side with th
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e head of the bed elevated (C) does not facilitate lung expansion.
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A client with chronic renal insufficiency (CRI) is taking 25 mg of hydrochlorothiazide (
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HCTZ) PO and 40 mg of furosemide (Lasix) PO daily. Today, at a routine clinic visit, th
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e client's serum potassium level is 4 mEq/L. What is the most likely cause of this client
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's potassium level?
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A.The client is noncompliant with his medications.
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B.The client recently consumed large quantities of pears or nuts.
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C.The client's renal function has affected his potassium level.
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D.The client needs to be started on a potassium supplement. - ANSWERS-C
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The client has a normalized potassium level despite diuretic use (C). The kidney auto
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matically secretes 90% of potassium consumed, but in chronic renal insufficiency (CR
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I), less potassium is excreted than normal. Therefore, the two potassium-
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wasting drugs, a thiazide diuretic and loop diuretic, are not likely to affect potassium le
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vels. The normal potassium level is 3.5 to 5 mEq/L, and with a potassium level of 4 m
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Eq/L, there is no reason to believe that the client is noncompliant with his treatment (A
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). Pears and nuts do not affect the serum potassium level (B). There is no need for a p
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otassium supplement (D) because the client's potassium level is within the normal ran
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ge.
A registered nurse (RN) delivers telehealth services to clients via electronic communic
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ation. Which nursing action creates the greatest risk for professional liability and has t
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he potential for a malpractice lawsuit?
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A.Participating in telephone consultations with clients zl zl zl zl zl
B.Identifying oneself by name and title to clients in telehealth communications
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C.Sending medical records to health care providers via the Internet
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D.Answering a client-initiated health question via electronic mail - ANSWERS-C
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Sending medical records over the Internet, even with the latest security protection, cre
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ates the greatest risk for liability because of the high potential of breaching client confi
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dentiality and the amount of information being transferred (C). Client confidentiality is
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protected by federal wiretapping laws making telephone consultation (A) a private and
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protected form of communication. By stating one's name and credentials in telehealth
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communication (B), one is taking responsibility for the encounter. E-
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mail initiated by the client (D) poses less risk than sending records via the Internet.
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Which pathophysiologic response supports the contraindication for opioids, such as m
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orphine, in clients with increased intracranial pressure (ICP)?
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,A.Sedation produced by opioids is a result of a prolonged half- zl zl zl zl zl zl zl zl zl zl
life when the ICP is elevated.
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B.Higher doses of opioids are required when cerebral blood flow is reduced by an ele
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vated ICP. zl
C.Dysphoria from opioids contributes to altered levels of consciousness with an eleva
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ted ICP. zl
D.Opioids suppress respirations, which increases Pco2 and contributes to an elevate
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d ICP. - ANSWERS-D
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The greatest risk associated with opioids such as morphine (D) is respiratory depressi
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on that causes an increase in Pco2, which increases ICP and masks the early signs of
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intracranial bleeding in head injury. (A, B, and C) do not support the risks associated
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with opioid use in a client with increased ICP.
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The charge nurse of a medical surgical unit is alerted to an impending disaster requiri
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ng implementation of the hospital's disaster plan. Specific facts about the nature of thi
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s disaster are not yet known. Which instruction should the charge nurse give to the ot
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her staff members at this time?
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A.Prepare to evacuate the unit, starting with the bedridden clients. zl zl zl zl zl zl zl zl zl
B.UAPs should report to the emergency center to handle transports.
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C.The licensed staff should begin counting wheelchairs and IV poles on the unit.
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D.Continue with current assignments until more instructions are received. -
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ANSWERS-D
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When faced with an impending disaster, hospital personnel may be alerted but should
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continue with current client care assignments until further instructions are received (D
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). Evacuation is typically a response of last resort that begins with clients who are mos
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t able to ambulate (A). (B) is premature and is likely to increase the chaos if incoming
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casualties are anticipated. (C) is poor utilization of personnel. zl zl zl zl zl zl zl zl
The nurse assesses a client while the UAP measures the client's vital signs. The clien
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t's vital signs change suddenly, and the nurse determines that the client's condition is
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worsening. The nurse is unsure of the client's resuscitative status and needs to check
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the client's medical record for any advanced directives. Which action should the nurse
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implement?
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A.Ask the UAP to check for the advanced directive while the nurse completes the ass
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essment.
B.Assign the UAP to complete the assessment while the nurse checks for the advanc
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ed directive. zl
C.Check the medical record for the advanced directive and then complete the client a
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ssessment.
D.Call for the charge nurse to check the advanced directive while continuing to asses
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s the client. - ANSWERS-D
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Because the client's condition is worsening, the nurse should remain with the client an
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d continue the assessment while calling for help from the charge nurse to determine t
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he client's resuscitative status (D). (A and B) are tasks that must be completed by a n
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urse and cannot be delegated to the UAP. (C) is contraindicated.
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The nurse is preparing a client for surgery scheduled in 2 hours. A UAP is helping the
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nurse. Which task is important for the nurse to perform, rather than the UAP?
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, A.Remove the client's nail polish and dentures. zl zl zl zl zl zl
B.Assist the client to the restroom to void.
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C.Obtain the client's height and weight.
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D.Offer the client emotional support. - ANSWERS-D
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By using therapeutic techniques to offer support (D), the nurse can determine any clie
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nt concerns that need to be addressed. (A, B, and C) are all actions that can be perfor
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med by the UAP under the supervision of the nurse.
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Until the census on the obstetrics (OB) unit increases, an unlicensed assistive person
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nel (UAP) who usually works in labor and delivery and the newborn nursery is assigne
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d to work on the postoperative unit. Which client would be best for the charge nurse to
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assign to this UAP?
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A.An adolescent who was readmitted to the hospital because of a postoperative infec
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tion
B.A woman with a new colostomy who requires discharge teaching
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C.A woman who had a hip replacement and may be transferred to the home care unit
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D.A man who had a cholecystectomy and currently has a nasogastric tube set to inter
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mittent suction - ANSWERS-C zl zl zl
The charge nurse will be responsible for providing a report to the home care unit if the
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transfer occurs (A). The client is infected and an employee who works on an OB unit s
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hould be assigned to clean cases in case the employee is required to return to the OB
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unit (B). This requires the skills of a registered nurse (RN) to do discharge teaching an
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d provide emotional support (D). This may require skills beyond the level of this UAP.
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A male client is admitted for observation after being hit on the head with a baseball bat
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. Six hours after admission, the client attempts to crawl out of bed and asks the nurse
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why there are so many bugs in his bed. His vital signs are stable, and the pulse oxime
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ter reading is 98% on room air. Which intervention should the nurse perform first?
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A.Administer oxygen per nasal cannula at 2 L/min. zl zl zl zl zl zl zl
B.Plan to check his vital signs again in 30 minutes.
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C.Notify the health care provider of the change in mental status.
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D.Ask the client why he thinks there are bugs in the bed. - ANSWERS-C
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One of the earliest signs of increased intracranial pressure (ICP) is a change in menta
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l status (C). It is important to act early and quickly when symptoms of increased ICP o
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ccur. Because his oxygen saturation is normal, the administration of oxygen (A) is not
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the top priority. Vital signs should be monitored frequently (B), but the client's confusio
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n should be reported immediately. (D) is not a useful intervention.
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The nurse is monitoring a client who is receiving bedside conscious sedation with mid
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azolam hydrochloride (Versed). In assessing the client, the nurse determines that the
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client has slurred speech with diplopia. Based on this finding, what action should the n
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urse take? zl
zl A.Open the airway with a chin lift-head tilt maneuver. zl zl zl zl zl zl zl zl
zl B.Obtain a fingerstick glucose reading. zl zl zl zl
zl C.Administer flumazenil (Romazicon). zl zl
zl D.Continue to monitor the client. - ANSWERS-D zl zl zl zl zl zl
