HESI PN Exit Exam Questions & Answers
1. The nurse is planning care for a client who has fourth degree midline
laceration that occurred during vaginal delivery of an 8 pound10 ounce
infant. What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
2. The nurse is palpating the right upper hypochondriac region of the
abdomen of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric
Pylorus
C. C. Liver
D. Spleen
3. A client comes to the antepartal clinic and tells the nurse that she is 6
weeks pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
4. A client's daughter phones the charge nurse to report that the night
nurse did not provide good care for her mother. What response should
the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
5. A hospitalized toddler who is recovering from a sickle cell crisis holdsa
toy and say's "mine". According to Erikson's theory of psychosocial
development, this child's behavior is a demonstration of which
developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
, C. initiative vs. Guilt
D. Trust vs. Mistrust
6. Which action should the nurse implement in caring for a client
following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
7. The nurse is caring for a 75- year-old male client who is beginning to
form a decubitus ulcer at the coccyx. Which intervention will be most
helpful in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
8. What is the homeostatic cellular transport mechanism that moves
water from a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. C. Osmosis
D. Active transport
9. The nurse is taking blood pressure of a client admitted with a possible
myocardial infarction. When taking the client's BP at the brachial
artery, the nurse should place the client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
10. What are the final parameters that produce blood pressure?(select
all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
11. A client begins an antidepressant drug during the second day of
hospitalization. Which assessment is most important for the nurse to
include in this client's plan of care while the client is taking the
antidepressant?
A. Appetite
, B. Mood
C. Withdrawal
D. Energy level
12. Based on the documentation in the medical record, which actionshould
the nurse implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain
13. A client is admitted to the hospital with a diagnosis of Pneumonia.
Which intervention should the nurse implement to prevent
complications associated with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
14. The practical nurse is preparing to administer a prescription for
cefazolin (kefzol) 600 mg IM every 6 hours. The available vial is labeled,
"Cefazolin (Kefzol) 1 gram and the instructions for reconstitution, "For
IM use add 2ml sterile water for injection. Total volume after
reconstruction = 2.5 ml. "when reconstituted, how manymilligrams are
in each mil of solutions (Enter numeric value only)
A. 15
15. Which nursing activity is within the scope of practice for the
practical nurse?
A. Complete an admission assessment in the normal newborn
nursery.
B. Discontinue a central venous catheter that has become
dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continuous narcotic epidural for a postoperative client
16. After morning dressing changes are completed, a male client whohas
paraplegia contaminates his ischial decubiti dressing with a diarrheal
stool. What activity is best for the nurse to assign to the unlicensed
assistive personnel?
A. Identify the need for additional supplies to provide an extra
dressing change
B. Provide perianal care and collect clean linens for the dressing
change
C. Document the diarrhea that necessitates an additional dressing
, change
D. Position the client for access to the decubiti sties and remove
dressings
17. The nurse is planning to evaluate the effectiveness of several drugs
administered by different routes. Arrange the routes of administration
in the order from fastest to slowest rate of absorption.
A. Intravenous
B. Sublingual
C. Intramuscular
D. Subcutaneous
E. Oral
18. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9weeks
gestation. At one-house post dilation and curettage (D&C) the nurse
assess the vital signs and vaginal bleeding. The client begins tocry
softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
19. A terminally ill male client and his family are requesting hospicecare
after discharge from the hospital and ask the nurse to explain what
kind of care they should expect. The nurse should indicate that hospice
philosophy focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
20. The nurse observes a wife shaving her husband's beard with a safety
razor by holding the skin taut and shaving in the direction of thehair
growth. What action should the nurse take?
A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. C. Encourage the wife to continue shaving her
husband
D. Demonstrate the correct procedure to the wife
21. To assess pedal pulse what arterial sites should the nurse
palpate? (select all that apply)
A. Posterior tibialis artery
B. Politeal artery
C. External femoral artery
1. The nurse is planning care for a client who has fourth degree midline
laceration that occurred during vaginal delivery of an 8 pound10 ounce
infant. What intervention has the highest priority?
A. Administer Prescribed stool softener
B. Administer prescribed PRN sleep medications.
C. Encourage breastfeeding to promote uterine involution
D. Encourage use of prescribed analgesic perineal sprays.
2. The nurse is palpating the right upper hypochondriac region of the
abdomen of a client. What organ lies underneath this area.
A. Duodenum
B. Gastric
Pylorus
C. C. Liver
D. Spleen
3. A client comes to the antepartal clinic and tells the nurse that she is 6
weeks pregnant. Which sign is she most likely to report?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia
4. A client's daughter phones the charge nurse to report that the night
nurse did not provide good care for her mother. What response should
the nurse make?
A. Ask for a description of what happened during the night
B. Tell the daughter to talk to the unit's nurse manager
C. Reassure the daughter that the mother will get better care.
D. Explain that all the staff are doing the best they can.
5. A hospitalized toddler who is recovering from a sickle cell crisis holdsa
toy and say's "mine". According to Erikson's theory of psychosocial
development, this child's behavior is a demonstration of which
developmental stage?
A. Autonomy vs. Shame and doubt.
B. Industry vs. Inferiority
, C. initiative vs. Guilt
D. Trust vs. Mistrust
6. Which action should the nurse implement in caring for a client
following an electroencephalogram (EEG)?
A. Monitor the client's vital signs q4h
B. Assess for sensation in the client's lower extremities
C. Instruct the client to maintain bed rest for eight hours
D. Wash any paste from the client's hair and scalp
7. The nurse is caring for a 75- year-old male client who is beginning to
form a decubitus ulcer at the coccyx. Which intervention will be most
helpful in preventing further development of the decubitus?
A. Encourage the client to eat foods high in protein
B. Assess the client with daily range of motion exercises
C. Teach the family how to perform sterile wound care
D. Ensure the IV fluids are administered as prescribed
8. What is the homeostatic cellular transport mechanism that moves
water from a hypotonic to a hypertonic fluid space?
A. Filtration
B. Diffusion
C. C. Osmosis
D. Active transport
9. The nurse is taking blood pressure of a client admitted with a possible
myocardial infarction. When taking the client's BP at the brachial
artery, the nurse should place the client's arm in which position?
A. Slightly above the level of the heart
B. At the level of the heart
C. At the level of comfort for the client
D. Below the level of the heart
10. What are the final parameters that produce blood pressure?(select
all that apply)
A. Heart rate
B. Stroke volume
C. Peripheral resistance
D. Neuroendocring hormones
E. Muscle tone
11. A client begins an antidepressant drug during the second day of
hospitalization. Which assessment is most important for the nurse to
include in this client's plan of care while the client is taking the
antidepressant?
A. Appetite
, B. Mood
C. Withdrawal
D. Energy level
12. Based on the documentation in the medical record, which actionshould
the nurse implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blood type result
D. Administer Vicodin one tablet for pain
13. A client is admitted to the hospital with a diagnosis of Pneumonia.
Which intervention should the nurse implement to prevent
complications associated with Pneumonia?
A. Encourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids
14. The practical nurse is preparing to administer a prescription for
cefazolin (kefzol) 600 mg IM every 6 hours. The available vial is labeled,
"Cefazolin (Kefzol) 1 gram and the instructions for reconstitution, "For
IM use add 2ml sterile water for injection. Total volume after
reconstruction = 2.5 ml. "when reconstituted, how manymilligrams are
in each mil of solutions (Enter numeric value only)
A. 15
15. Which nursing activity is within the scope of practice for the
practical nurse?
A. Complete an admission assessment in the normal newborn
nursery.
B. Discontinue a central venous catheter that has become
dislodged
C. Observe a client rotate the subcutaneous site for an insulin pump
D. Monitor a continuous narcotic epidural for a postoperative client
16. After morning dressing changes are completed, a male client whohas
paraplegia contaminates his ischial decubiti dressing with a diarrheal
stool. What activity is best for the nurse to assign to the unlicensed
assistive personnel?
A. Identify the need for additional supplies to provide an extra
dressing change
B. Provide perianal care and collect clean linens for the dressing
change
C. Document the diarrhea that necessitates an additional dressing
, change
D. Position the client for access to the decubiti sties and remove
dressings
17. The nurse is planning to evaluate the effectiveness of several drugs
administered by different routes. Arrange the routes of administration
in the order from fastest to slowest rate of absorption.
A. Intravenous
B. Sublingual
C. Intramuscular
D. Subcutaneous
E. Oral
18. A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9weeks
gestation. At one-house post dilation and curettage (D&C) the nurse
assess the vital signs and vaginal bleeding. The client begins tocry
softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possibility of abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding
19. A terminally ill male client and his family are requesting hospicecare
after discharge from the hospital and ask the nurse to explain what
kind of care they should expect. The nurse should indicate that hospice
philosophy focuses on what aspect of health care?
A. Enhance symptom management to improve end of life quality
B. facilitates assisted suicide with the client's consent
C. Offers ways to postpone the death experience at home
D. Provide training for family members to care for the client.
20. The nurse observes a wife shaving her husband's beard with a safety
razor by holding the skin taut and shaving in the direction of thehair
growth. What action should the nurse take?
A. Advise the wife to shave against the hair growth
B. Teach the wife to keep the skin loose to avoid cuts
C. C. Encourage the wife to continue shaving her
husband
D. Demonstrate the correct procedure to the wife
21. To assess pedal pulse what arterial sites should the nurse
palpate? (select all that apply)
A. Posterior tibialis artery
B. Politeal artery
C. External femoral artery
