HESI PN EXAM /ACTUAL PN HESI PROCTORED EXAM TEST
BANK 2026/2027 HIGH YIELD PRACTICE QUESTIONS &
STUDY GUIDE COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS WITH WELL ELABORATED ANSWERS AND
DETAILED RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |JUST RELEASED |INSTANT PDF
ACCESS
1. A practical nurse (PN) is caring for a client with a diagnosis of
Clostridium difficile. Which infection control precaution is most
important for the PN to implement?
A) Wear a mask when entering the room.
B) Place the client in a negative-pressure room.
C) Use an alcohol-based hand sanitizer after leaving the room.
D) Perform hand hygiene with soap and water. Correct Answer
Rationale: C. difficile spores are not killed by alcohol-based hand
sanitizers. The mechanical action of washing with soap and water is
necessary to physically remove the spores from the hands.
2. The PN is assessing a client with dark skin who is in respiratory
distress. Which client response should the nurse evaluate to
determine cyanosis in this particular client?
,A) Cyanosis in a client with dark skin is seen in the sclera.
B) Abnormal skin color changes in a client with dark skin cannot be
determined.
C) The lips and mucous membranes of a client with dark skin are
dusky in color. Correct Answer
D) Blanching the soles of the feet in a client with dark skin reveals
cyanosis.
Rationale: In clients with dark skin, cyanosis is best assessed by
inspecting the lips, mucous membranes, and nail beds for a dusky or
bluish coloration.
3. Which technique should the PN use to most accurately assess a
client's baseline blood pressure during a routine health exam?
A) Measure the pressure in each arm while the client sits with both
arms supported at heart level. Correct Answer
B) Calculate average BP using readings obtained in both arms.
C) Obtain BP first with client lying supine and then when standing.
D) Take additional measurements for readings with a 10 mm Hg
difference.
,Rationale: Measuring blood pressure in both arms with the client
seated and arms supported at heart level provides the most accurate
baseline assessment and helps detect discrepancies.
4. A client with gastroenteritis, nausea, and vomiting is currently on
nothing by mouth (NPO) status. The healthcare provider prescribes
oral intake to be advanced as tolerated. Which fluid should the
practical nurse offer first?
A) Tea
B) Broth
C) Water Correct Answer
D) Soda
Rationale: Water is the safest and most easily tolerated clear liquid to
offer first when advancing oral intake after NPO status.
5. An older client who is admitted to the hospital with dehydration
and electrolyte imbalance is confused and incontinent of urine.
Which action provides the best strategy for the PN to implement for
the client's incontinence?
A) Insert an indwelling urinary catheter.
B) Apply absorbent incontinence pads.
, C) Restrict fluids after the evening meal.
D) Establish a 2-hour voiding schedule. Correct Answer
Rationale: A scheduled voiding regimen helps restore bladder
control and reduces episodes of incontinence while preventing
complications associated with catheter use.
6. Which intervention should the PN implement to reduce the
incidence of urinary tract infections in a client with an indwelling
catheter?
A) Irrigate the catheter with sterile distilled water.
B) Dilute an antiseptic solution in the perineal wash.
C) Cleanse the perineal area with soap and water BID and PRN.
Correct Answer
D) Apply an antibiotic ointment around the urinary meatus BID.
Rationale: Routine perineal hygiene with soap and water twice daily
and as needed reduces bacterial colonization and the risk of catheter-
associated UTIs.
7. A client is placed in restraints. Which of the following is an
appropriate action by the PN? (Select all that apply)
BANK 2026/2027 HIGH YIELD PRACTICE QUESTIONS &
STUDY GUIDE COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS WITH WELL ELABORATED ANSWERS AND
DETAILED RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |JUST RELEASED |INSTANT PDF
ACCESS
1. A practical nurse (PN) is caring for a client with a diagnosis of
Clostridium difficile. Which infection control precaution is most
important for the PN to implement?
A) Wear a mask when entering the room.
B) Place the client in a negative-pressure room.
C) Use an alcohol-based hand sanitizer after leaving the room.
D) Perform hand hygiene with soap and water. Correct Answer
Rationale: C. difficile spores are not killed by alcohol-based hand
sanitizers. The mechanical action of washing with soap and water is
necessary to physically remove the spores from the hands.
2. The PN is assessing a client with dark skin who is in respiratory
distress. Which client response should the nurse evaluate to
determine cyanosis in this particular client?
,A) Cyanosis in a client with dark skin is seen in the sclera.
B) Abnormal skin color changes in a client with dark skin cannot be
determined.
C) The lips and mucous membranes of a client with dark skin are
dusky in color. Correct Answer
D) Blanching the soles of the feet in a client with dark skin reveals
cyanosis.
Rationale: In clients with dark skin, cyanosis is best assessed by
inspecting the lips, mucous membranes, and nail beds for a dusky or
bluish coloration.
3. Which technique should the PN use to most accurately assess a
client's baseline blood pressure during a routine health exam?
A) Measure the pressure in each arm while the client sits with both
arms supported at heart level. Correct Answer
B) Calculate average BP using readings obtained in both arms.
C) Obtain BP first with client lying supine and then when standing.
D) Take additional measurements for readings with a 10 mm Hg
difference.
,Rationale: Measuring blood pressure in both arms with the client
seated and arms supported at heart level provides the most accurate
baseline assessment and helps detect discrepancies.
4. A client with gastroenteritis, nausea, and vomiting is currently on
nothing by mouth (NPO) status. The healthcare provider prescribes
oral intake to be advanced as tolerated. Which fluid should the
practical nurse offer first?
A) Tea
B) Broth
C) Water Correct Answer
D) Soda
Rationale: Water is the safest and most easily tolerated clear liquid to
offer first when advancing oral intake after NPO status.
5. An older client who is admitted to the hospital with dehydration
and electrolyte imbalance is confused and incontinent of urine.
Which action provides the best strategy for the PN to implement for
the client's incontinence?
A) Insert an indwelling urinary catheter.
B) Apply absorbent incontinence pads.
, C) Restrict fluids after the evening meal.
D) Establish a 2-hour voiding schedule. Correct Answer
Rationale: A scheduled voiding regimen helps restore bladder
control and reduces episodes of incontinence while preventing
complications associated with catheter use.
6. Which intervention should the PN implement to reduce the
incidence of urinary tract infections in a client with an indwelling
catheter?
A) Irrigate the catheter with sterile distilled water.
B) Dilute an antiseptic solution in the perineal wash.
C) Cleanse the perineal area with soap and water BID and PRN.
Correct Answer
D) Apply an antibiotic ointment around the urinary meatus BID.
Rationale: Routine perineal hygiene with soap and water twice daily
and as needed reduces bacterial colonization and the risk of catheter-
associated UTIs.
7. A client is placed in restraints. Which of the following is an
appropriate action by the PN? (Select all that apply)
