HESI PN EXIT FINAL EXAM 2025 QUESTION AND ANSWERS WITH NGN|WELL
STRUCTURED|A+ GRADED|
The practical nurse enters a male client's room to administer
routine morning medications, and the client is on the phone.Which
action is best for the PN to take?
A. Ask another nurse to go back with the medication when the
client's hung up the phone
B
B. Wait for the client to excuse himself from the telephone conver-
sation, and observe the client taking the medication
C. Return the medication to the client's drawer on the cart and
document the client refused the dose
D. Leave the medication with the client, and let him take it when
he finishes the conversation.
A client is admitted to the postoperative surgical unit with two test
tubes after a left lobectomy. The ON observed that the chambers
are set at the prescribed suction of 20 cm water pressure and
tidying occurs with respirations and bubbling. What action should
the PN implement?
C
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest
The mother of a 9-month-child who was diagnosed with respira-
tory syncytial virus yesterday calls the clinic to inquire if it will be
all right to take her infant to the first birthday party of a friend's
child for the following day. Which response should the PN provide
the mother?
A. Do not expose other children as the virus is very contagious A
even without direct contact
B. The child will no longer be contagious, no need to take any
further precautions
C. The child can be around other children but should wear a mask
D. Make sure there are no children under the age of 5 months
around the infected child.
The practical nurse is assisting the nurse with the admission
of a young adult female Korean exchange student with acute
abdominal pain. Although the client has been able to easily answer
questions, when asked about sexual activity, she looks away. What
action should the PN take? D
A. Omit compelling this section of the assessment form
B. Ask her if she would like an interpreter to ask her the question
C. Reword the question in case the client did not understand
D. Watch the client's response when asked a different question
During immediate postoperative period following a total hip place-
ment, which intervention is most important for the PN to imple-
ment?
A. B
Encourage client to use walker or cane when ambulating
B. Keep client's hip aligned with knees abducted
C. Teach client to sit on the side of the bed before standing
D. Monitor urinary flow via indwelling catheter
A client confides to the PN that the client has been substituting
herbal supplements for high blood pressure instead of the pre-
scribed medication. How should the PN respond first?
A
A. Ask the client's reason for choosing to take herbs instead of
prescribed drugs
B. Reinforce that the healthcare provider prescribed the medica-
tion for a reason
,C. Have client use own words to describe complications of high
blood pressure
D. Point out the risks of not taking the herbal medications rather
than prescribed
The PN is assigned to administer medications in a long term
care facility. A disoriented resident has no identification band or
picture. What is the best nursing action for the PN to take prior
administering the medications this resident?
term-14
D
A. Ask a regular staff member to confirm the resident's identity
B. Hold the medication until a family member again
C. Re-orient the resident to name, place, and situation
D. Confirm the room and bed numbers with those on the medica-
tion record.
An adult client who weighs 150 pounds has partial-thickness and
full-thickness burns over 40% of the body from a house fire. After
admission, which observation is most important for the practical
nurse to report immediately?
D
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary Output of 20ml/hr
A 12-year-old child is receiving a blood transfusion per infusion
pump and begins to complain of "itchy" skin 15 minutes after the
unit of blood is started. The child appears flushed. What action
should the practical nurse take first?
B
A. Apply lotion to the skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain the vital signs
A PN is competing a focused assessment of an older adult's skin.
The PN notes a crusted 0.7 cm lesion on the client's forehead.
Which action should the PN take in response to this finding?
A. C
Report the finding to the healthcare provider
B. Place a clear occlusive dressing over the site
C. Apply a warm compress to remove the crusted area
D. Explain that this is a normal skin change with aging
While taking the vital signs of an older male client who takes
psychotropic medications, the PN notes that he has uncontrollable
hand movements and is excessively blinking his eyes. Which
information in the client's medical record should the PN review?
B
A. Prescription for lorazepam
B. History of Parkinson's disease
C. Screening for tardive dyskinesia
D. Recent urine drug screen report
The PN is caring for an elderly female client who tells the PN,
"When I sneeze, I wet my pants." After discussing the client's
complaint with the charge nurse, the PN plans to reinforce teach-
ing that the client has received about the importance of Kegel
exercises.WHat muscles are involved in these exercises? D
A. Pectoral muscles
B. Buttock muscles
C. Abdominal muscles
D. Pelvic floor muscles
, While providing oral care for a client who is unconscious, the nurse
positions the client laterally and uses a basin to collect secretions.
Which intervention is best for the nurse to implement?
A. B
Swab the oral cavity with a washcloth
B. Use oral swabs with normal saline
C. Provide a Yankauer tip for oral suction
D. Support the head with a small pillow
The practical nurse and unlicensed assistive personnel are pro-
viding care for a client who exhibits signs of neglect syndrome
following a stroke affecting the right hemisphere. What action
should the PN implement?
A. Demonstrate to the UAP how to approach the client from the
client's left side A
B. Ask the UAP to leave the room and assess the client's body for
bruising
C. Carefully observe the interaction between the client and family
members.
D. Instruct the UAP to protect the client's left side when transferring
to chair
After administering pantoprazole to a client with gastroe-
sophogeal reflux disorder(GERD), which statement by the client
indicates to the practical nurse that the medication is producing
the desired effect?
A
A. After eating my meal, I did not experience any heartburn
B. I have a great appetite and am feeling really hungry
C. I should increase the amount of vitamin C in my diet
D. While eating, I had no difficulty swallowing any of the foods
During the last 30 days, an elderly client has exhibited a pro-
gressively decreasing appetite, is spending increasing amounts of
daytime hours in bed and refuses to participate in planned daytime
activities. Which action should the practical nurse take?
A. Record the findings and report the symptoms to the charge A
nurse
B. Ask the family members to visit more often to stimulate the
patient
C. Motivate the client by offering favorite foods as a prize
D. Withold any medications that may cause side effects
A male client who has been diagnosed with schizophrenia is
withdrawn, isolates himself in the day room, and answers question
with one or two word responses. This morning, the practical nurse
observes that he is diaphoretic and is pacing in the hall. Which
intervention is most important to the PN to implement?
D
A. Persuade the client to lie down
B. Provide a drink high in electrolytes
C. Observe the client during the shift
D. Measure appropriate vital signs
At 1200, the practical nurse learns that a client's 0900 dose of an
anticonvulsant was not given. The next scheduled dose is at 2100.
Which action should the PN take?
A. B
Administer half of the missed dose immediately
B. Administer the missed dose as soon as possible
C. Give the missed dose with the next scheduled dose
D. Withhold the mossed dose unless seizure activity occurs
STRUCTURED|A+ GRADED|
The practical nurse enters a male client's room to administer
routine morning medications, and the client is on the phone.Which
action is best for the PN to take?
A. Ask another nurse to go back with the medication when the
client's hung up the phone
B
B. Wait for the client to excuse himself from the telephone conver-
sation, and observe the client taking the medication
C. Return the medication to the client's drawer on the cart and
document the client refused the dose
D. Leave the medication with the client, and let him take it when
he finishes the conversation.
A client is admitted to the postoperative surgical unit with two test
tubes after a left lobectomy. The ON observed that the chambers
are set at the prescribed suction of 20 cm water pressure and
tidying occurs with respirations and bubbling. What action should
the PN implement?
C
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest
The mother of a 9-month-child who was diagnosed with respira-
tory syncytial virus yesterday calls the clinic to inquire if it will be
all right to take her infant to the first birthday party of a friend's
child for the following day. Which response should the PN provide
the mother?
A. Do not expose other children as the virus is very contagious A
even without direct contact
B. The child will no longer be contagious, no need to take any
further precautions
C. The child can be around other children but should wear a mask
D. Make sure there are no children under the age of 5 months
around the infected child.
The practical nurse is assisting the nurse with the admission
of a young adult female Korean exchange student with acute
abdominal pain. Although the client has been able to easily answer
questions, when asked about sexual activity, she looks away. What
action should the PN take? D
A. Omit compelling this section of the assessment form
B. Ask her if she would like an interpreter to ask her the question
C. Reword the question in case the client did not understand
D. Watch the client's response when asked a different question
During immediate postoperative period following a total hip place-
ment, which intervention is most important for the PN to imple-
ment?
A. B
Encourage client to use walker or cane when ambulating
B. Keep client's hip aligned with knees abducted
C. Teach client to sit on the side of the bed before standing
D. Monitor urinary flow via indwelling catheter
A client confides to the PN that the client has been substituting
herbal supplements for high blood pressure instead of the pre-
scribed medication. How should the PN respond first?
A
A. Ask the client's reason for choosing to take herbs instead of
prescribed drugs
B. Reinforce that the healthcare provider prescribed the medica-
tion for a reason
,C. Have client use own words to describe complications of high
blood pressure
D. Point out the risks of not taking the herbal medications rather
than prescribed
The PN is assigned to administer medications in a long term
care facility. A disoriented resident has no identification band or
picture. What is the best nursing action for the PN to take prior
administering the medications this resident?
term-14
D
A. Ask a regular staff member to confirm the resident's identity
B. Hold the medication until a family member again
C. Re-orient the resident to name, place, and situation
D. Confirm the room and bed numbers with those on the medica-
tion record.
An adult client who weighs 150 pounds has partial-thickness and
full-thickness burns over 40% of the body from a house fire. After
admission, which observation is most important for the practical
nurse to report immediately?
D
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary Output of 20ml/hr
A 12-year-old child is receiving a blood transfusion per infusion
pump and begins to complain of "itchy" skin 15 minutes after the
unit of blood is started. The child appears flushed. What action
should the practical nurse take first?
B
A. Apply lotion to the skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain the vital signs
A PN is competing a focused assessment of an older adult's skin.
The PN notes a crusted 0.7 cm lesion on the client's forehead.
Which action should the PN take in response to this finding?
A. C
Report the finding to the healthcare provider
B. Place a clear occlusive dressing over the site
C. Apply a warm compress to remove the crusted area
D. Explain that this is a normal skin change with aging
While taking the vital signs of an older male client who takes
psychotropic medications, the PN notes that he has uncontrollable
hand movements and is excessively blinking his eyes. Which
information in the client's medical record should the PN review?
B
A. Prescription for lorazepam
B. History of Parkinson's disease
C. Screening for tardive dyskinesia
D. Recent urine drug screen report
The PN is caring for an elderly female client who tells the PN,
"When I sneeze, I wet my pants." After discussing the client's
complaint with the charge nurse, the PN plans to reinforce teach-
ing that the client has received about the importance of Kegel
exercises.WHat muscles are involved in these exercises? D
A. Pectoral muscles
B. Buttock muscles
C. Abdominal muscles
D. Pelvic floor muscles
, While providing oral care for a client who is unconscious, the nurse
positions the client laterally and uses a basin to collect secretions.
Which intervention is best for the nurse to implement?
A. B
Swab the oral cavity with a washcloth
B. Use oral swabs with normal saline
C. Provide a Yankauer tip for oral suction
D. Support the head with a small pillow
The practical nurse and unlicensed assistive personnel are pro-
viding care for a client who exhibits signs of neglect syndrome
following a stroke affecting the right hemisphere. What action
should the PN implement?
A. Demonstrate to the UAP how to approach the client from the
client's left side A
B. Ask the UAP to leave the room and assess the client's body for
bruising
C. Carefully observe the interaction between the client and family
members.
D. Instruct the UAP to protect the client's left side when transferring
to chair
After administering pantoprazole to a client with gastroe-
sophogeal reflux disorder(GERD), which statement by the client
indicates to the practical nurse that the medication is producing
the desired effect?
A
A. After eating my meal, I did not experience any heartburn
B. I have a great appetite and am feeling really hungry
C. I should increase the amount of vitamin C in my diet
D. While eating, I had no difficulty swallowing any of the foods
During the last 30 days, an elderly client has exhibited a pro-
gressively decreasing appetite, is spending increasing amounts of
daytime hours in bed and refuses to participate in planned daytime
activities. Which action should the practical nurse take?
A. Record the findings and report the symptoms to the charge A
nurse
B. Ask the family members to visit more often to stimulate the
patient
C. Motivate the client by offering favorite foods as a prize
D. Withold any medications that may cause side effects
A male client who has been diagnosed with schizophrenia is
withdrawn, isolates himself in the day room, and answers question
with one or two word responses. This morning, the practical nurse
observes that he is diaphoretic and is pacing in the hall. Which
intervention is most important to the PN to implement?
D
A. Persuade the client to lie down
B. Provide a drink high in electrolytes
C. Observe the client during the shift
D. Measure appropriate vital signs
At 1200, the practical nurse learns that a client's 0900 dose of an
anticonvulsant was not given. The next scheduled dose is at 2100.
Which action should the PN take?
A. B
Administer half of the missed dose immediately
B. Administer the missed dose as soon as possible
C. Give the missed dose with the next scheduled dose
D. Withhold the mossed dose unless seizure activity occurs
