EXIT HESI PN Exam A Practice Questions 2026 | Questions
& Answers | Latest Update | Exam Prep
1. A client's vision is tested with a Snellen chart. The results of the test are
documented as 20/60. How should the nurse interpret this result?
The client can read at a distance of 20 feet what a client with normal
vision can read at 60 feet.
The client's vision is normal.
The client can read at a distance of 60 feet what a client with normal
vision can read at 20 feet.
The client is legally blind.
2. What does a visual acuity of 20/100 indicate about a client's vision?
This line should be seen clearly when the client wears corrective
lenses.
This visual acuity result is five times worse than that of a normal finding.
A client with normal vision can read at 100 feet what this client reads
at 20 feet.
This client can see at 20 feet what a client with normal vision can see
at 100 feet.
3. The client goes to surgery, where reduction and fixation is performed.
Following surgery, the client is transferred to the orthopedic nursing unit
where she will be in skeletal traction for several weeks.Upon arrival to the
unit, which nursing assessment has the greatest priority?
The condition of the dressing.
The pull of the traction on the pins.
The heart rate and blood pressure.
, Inspect the pin sites for redness.
4. Why is it necessary for the nurse to remove a client's nail polish and dentures
before surgery?
It is only necessary if the client requests it.
Removing nail polish and dentures prevents complications during
surgery and ensures proper monitoring.
It helps the client feel more comfortable before surgery.
It is a routine task that can be delegated to UAP.
5. What is the recommended position for a client with emphysema to aid in
breathing?
Semi-Fowler's position with a single pillow behind the head
Right side-lying position with the head of the bed elevated 45
degrees
Sitting upright and forward with both arms supported on an over
the bed table
High Fowler's position without a pillow behind the head
6. Why is it important for the nurse to involve the charge nurse when checking a
client's advanced directive during a worsening condition?
The charge nurse has more authority to make decisions regarding the
client's care.
The charge nurse can delegate the task to the UAP, allowing the nurse
to focus solely on the assessment.
The charge nurse is responsible for all documentation related to
advanced directives.
, Involving the charge nurse ensures that the advanced directive is
reviewed promptly and accurately while the nurse continues to
assess the client.
7. Discuss why opioids are contraindicated in patients with increased intracranial
pressure, focusing on their sedative effects.
Opioids enhance cerebral blood flow, making them safe for patients
with ICP.
Opioids do not affect the central nervous system and are safe for all
patients.
Opioids are used to decrease intracranial pressure effectively.
Opioids can cause sedation, which may lead to respiratory
depression and further increase intracranial pressure.
8. If a nurse observes a client with a head injury becoming increasingly agitated
and confused, what should the nurse prioritize in their response?
Conduct a full neurological assessment before taking further action.
Reassure the client and provide a distraction.
Notify the health care provider of the change in mental status.
Administer a sedative to calm the client.
9. Describe how the assessment finding of pink and intact oral mucosa relates
to the effectiveness of nystatin treatment for oral candidiasis.
Pink and intact oral mucosa is unrelated to the treatment outcome.
Pink and intact oral mucosa suggests the presence of a new infection.
Pink and intact oral mucosa means the medication is causing irritation.
, Pink and intact oral mucosa indicates that the fungal infection has
resolved and the mucosa is healing.
10. Describe why the sitting upright and forward position is beneficial for a
client with emphysema experiencing breathing difficulties.
This position helps to align the spine for better posture.
This position is primarily used for clients with heart conditions.
This position prevents the client from feeling anxious during
treatment.
This position allows for maximum lung expansion and reduces
pressure on the diaphragm.
11. A patient with small cell lung cancer is admitted with symptoms of confusion,
nausea and vomiting, weight gain, and severe thirst. Laboratory values
include serum sodium of 123 mEq/L, serum potassium of 3.8 mEq/L, serum
calcium of 9 mg/dL, serum creatinine of 0.4 mg/dL. The nurse prepares to
treat this patient for which of the following?
Tumor lysis syndrome
Acute renal failure
Syndrome of inappropriate antidiuretic hormone (SIADH)
Hypercalcemia of malignancy
12. Which client condition indicates the presence of colonized methicillin-
resistant Staphylococcus aureus (MRSA)?
Pneumonia, with a sputum culture of gram-negative bacteria
Culture of a diabetic foot ulcer shows gram-positive cocci
A stage 3 sacral pressure ulcer, with colonized methicillin-resistant
Staphylococcus aureus (MRSA)
& Answers | Latest Update | Exam Prep
1. A client's vision is tested with a Snellen chart. The results of the test are
documented as 20/60. How should the nurse interpret this result?
The client can read at a distance of 20 feet what a client with normal
vision can read at 60 feet.
The client's vision is normal.
The client can read at a distance of 60 feet what a client with normal
vision can read at 20 feet.
The client is legally blind.
2. What does a visual acuity of 20/100 indicate about a client's vision?
This line should be seen clearly when the client wears corrective
lenses.
This visual acuity result is five times worse than that of a normal finding.
A client with normal vision can read at 100 feet what this client reads
at 20 feet.
This client can see at 20 feet what a client with normal vision can see
at 100 feet.
3. The client goes to surgery, where reduction and fixation is performed.
Following surgery, the client is transferred to the orthopedic nursing unit
where she will be in skeletal traction for several weeks.Upon arrival to the
unit, which nursing assessment has the greatest priority?
The condition of the dressing.
The pull of the traction on the pins.
The heart rate and blood pressure.
, Inspect the pin sites for redness.
4. Why is it necessary for the nurse to remove a client's nail polish and dentures
before surgery?
It is only necessary if the client requests it.
Removing nail polish and dentures prevents complications during
surgery and ensures proper monitoring.
It helps the client feel more comfortable before surgery.
It is a routine task that can be delegated to UAP.
5. What is the recommended position for a client with emphysema to aid in
breathing?
Semi-Fowler's position with a single pillow behind the head
Right side-lying position with the head of the bed elevated 45
degrees
Sitting upright and forward with both arms supported on an over
the bed table
High Fowler's position without a pillow behind the head
6. Why is it important for the nurse to involve the charge nurse when checking a
client's advanced directive during a worsening condition?
The charge nurse has more authority to make decisions regarding the
client's care.
The charge nurse can delegate the task to the UAP, allowing the nurse
to focus solely on the assessment.
The charge nurse is responsible for all documentation related to
advanced directives.
, Involving the charge nurse ensures that the advanced directive is
reviewed promptly and accurately while the nurse continues to
assess the client.
7. Discuss why opioids are contraindicated in patients with increased intracranial
pressure, focusing on their sedative effects.
Opioids enhance cerebral blood flow, making them safe for patients
with ICP.
Opioids do not affect the central nervous system and are safe for all
patients.
Opioids are used to decrease intracranial pressure effectively.
Opioids can cause sedation, which may lead to respiratory
depression and further increase intracranial pressure.
8. If a nurse observes a client with a head injury becoming increasingly agitated
and confused, what should the nurse prioritize in their response?
Conduct a full neurological assessment before taking further action.
Reassure the client and provide a distraction.
Notify the health care provider of the change in mental status.
Administer a sedative to calm the client.
9. Describe how the assessment finding of pink and intact oral mucosa relates
to the effectiveness of nystatin treatment for oral candidiasis.
Pink and intact oral mucosa is unrelated to the treatment outcome.
Pink and intact oral mucosa suggests the presence of a new infection.
Pink and intact oral mucosa means the medication is causing irritation.
, Pink and intact oral mucosa indicates that the fungal infection has
resolved and the mucosa is healing.
10. Describe why the sitting upright and forward position is beneficial for a
client with emphysema experiencing breathing difficulties.
This position helps to align the spine for better posture.
This position is primarily used for clients with heart conditions.
This position prevents the client from feeling anxious during
treatment.
This position allows for maximum lung expansion and reduces
pressure on the diaphragm.
11. A patient with small cell lung cancer is admitted with symptoms of confusion,
nausea and vomiting, weight gain, and severe thirst. Laboratory values
include serum sodium of 123 mEq/L, serum potassium of 3.8 mEq/L, serum
calcium of 9 mg/dL, serum creatinine of 0.4 mg/dL. The nurse prepares to
treat this patient for which of the following?
Tumor lysis syndrome
Acute renal failure
Syndrome of inappropriate antidiuretic hormone (SIADH)
Hypercalcemia of malignancy
12. Which client condition indicates the presence of colonized methicillin-
resistant Staphylococcus aureus (MRSA)?
Pneumonia, with a sputum culture of gram-negative bacteria
Culture of a diabetic foot ulcer shows gram-positive cocci
A stage 3 sacral pressure ulcer, with colonized methicillin-resistant
Staphylococcus aureus (MRSA)
