EXAM A PRACTICE QUESTIONS: EXIT
HESI - COMPREHENSIVE PN,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
A client with human immunodeficiency virus (HIV) infection has
white lesions in the oral cavity that resemble milk curds. Nystatin
(Mycostatin) preparation is prescribed as a swish and swallow.
Which information is most important for the nurse to provide the
client? - CORRECT ANSWERS- Oral hygiene should be performed
before the medication.
The client with which fasting plasma glucose level needs the most
immediate intervention by the nurse?
A.50 mg/dL
B.80 mg/dL
C.110 mg/dL
D.140 mg/dL - CORRECT ANSWERS- A
The normal fasting plasma glucose level ranges from 70 to 105
mg/dL. A client with a low level, such as 50 mg/dL (A), requires
the most immediate intervention to prevent loss of
consciousness. Normal (B) and slightly elevated levels, such as
110 or 140 mg/dL (C and D), do not require immediate
intervention.
,A nurse who has recently completed orientation is beginning work
in the labor and delivery unit for the first time. When making
assignments, which client should the charge nurse assign to this
new nurse? - CORRECT ANSWERS- A multiparous client who is
dilated 5 cm and 50% effaced
A very busy hospital unit has had several discharges and the
census is unusually low. What is the best way for the charge
nurse to use the time of the nursing staff? - CORRECT ANSWERS-
Encourage staff to participate in online in-service education.
When the administration at a large urban medical center decides
to establish a unit to care for clients with infectious diseases, such
as severe acute respiratory syndrome (SARS) and the avian flu,
several employees express fear related to caring for these clients.
When choosing staff to work on this unit, which action is best for
the nurse-manager to take? - CORRECT ANSWERS- Conduct an
education program about infectious diseases and then assess the
staff's willingness to work with these clients.
A nurse is planning patient care and wants to verify the steps for
a specific client procedure. Which action should the nurse take? -
CORRECT ANSWERS- Consult the agency's policies and
procedures manual and follow the guidelines.
The nurse would be correct in withholding a dose of digoxin in a
client with congestive heart failure without specific instruction
,from the health care provider if which finding was documented? -
CORRECT ANSWERS- Serum potassium level is 2.5 mEq/L
Staff on a cardiac unit consists of an RN, two practical nurses
(PNs), and one UAP. Team 1's assignment includes two clients
who are both 1 day postangioplasty and two clients with unstable
angina. Team 2's assignment includes all stable clients, but two
clients are bedridden and incontinent. Which staffing plan
represents the best use of available staff? - CORRECT ANSWERS-
Team 1: RN team leader, PN; team 2, PN team leader, UAP
The nurse formulates a nursing diagnosis of pain related to
muscle spasms for a client with extreme lower back pain
associated with acute lumbosacral strain. Which is the best
intervention for the nurse to implement? - CORRECT ANSWERS-
Rest in bed with the head of the bed elevated 20 degrees and flex
the knees.
The nurse plans to evaluate the effectiveness of a bronchodilator.
Which assessment datum indicates that the desired effect of a
bronchodilator has been achieved? - CORRECT ANSWERS-
Increased oxygen saturation
A client with hemiparesis needs assistance transferring from the
bed to the wheelchair. The nurse assists the client to a sitting
position on the side of the bed. Which action should the nurse
implement next? - CORRECT ANSWERS- Allow the client to sit on
the side of the bed for a few minutes before transferring.
, When the nurse-manager posts a schedule for volunteers to be on
call, one staff member immediately signs up for all available 7-to-
3 day shifts. Other staff members complain to the charge nurse
that they were not permitted the opportunity to be on call for the
day shift. What action should the nurse-manager implement? -
CORRECT ANSWERS- Speak privately with the nurse.
A 40-year-old office worker who is at 36 weeks' gestation presents
to the occupational health clinic complaining of a pounding
headache, blurry vision, and swollen ankles. Which intervention
should the nurse implement first? - CORRECT ANSWERS- Check
the client's blood pressure.
A client with acute renal failure (ARF) starts to void 4 L/day 2
weeks after treatment is initiated. Which complication is
important for the nurse to monitor the client for at this time? -
CORRECT ANSWERS- Hypotension
A mother of a 12-year-old boy states that her son is short and she
fears that he will always be shorter than his peers. She tells the
nurse that her grown daughter only grew 2 inches after she was
12 years of age. To provide health teaching, which question is
most important for the nurse to ask this mother? - CORRECT
ANSWERS- "Did your daughter also start her menstrual period at
12 years of age?"
The nurse calls the primary health care provider to report the
status of a postsurgical client. Place the statements in the correct
SBAR communication format.
HESI - COMPREHENSIVE PN,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
A client with human immunodeficiency virus (HIV) infection has
white lesions in the oral cavity that resemble milk curds. Nystatin
(Mycostatin) preparation is prescribed as a swish and swallow.
Which information is most important for the nurse to provide the
client? - CORRECT ANSWERS- Oral hygiene should be performed
before the medication.
The client with which fasting plasma glucose level needs the most
immediate intervention by the nurse?
A.50 mg/dL
B.80 mg/dL
C.110 mg/dL
D.140 mg/dL - CORRECT ANSWERS- A
The normal fasting plasma glucose level ranges from 70 to 105
mg/dL. A client with a low level, such as 50 mg/dL (A), requires
the most immediate intervention to prevent loss of
consciousness. Normal (B) and slightly elevated levels, such as
110 or 140 mg/dL (C and D), do not require immediate
intervention.
,A nurse who has recently completed orientation is beginning work
in the labor and delivery unit for the first time. When making
assignments, which client should the charge nurse assign to this
new nurse? - CORRECT ANSWERS- A multiparous client who is
dilated 5 cm and 50% effaced
A very busy hospital unit has had several discharges and the
census is unusually low. What is the best way for the charge
nurse to use the time of the nursing staff? - CORRECT ANSWERS-
Encourage staff to participate in online in-service education.
When the administration at a large urban medical center decides
to establish a unit to care for clients with infectious diseases, such
as severe acute respiratory syndrome (SARS) and the avian flu,
several employees express fear related to caring for these clients.
When choosing staff to work on this unit, which action is best for
the nurse-manager to take? - CORRECT ANSWERS- Conduct an
education program about infectious diseases and then assess the
staff's willingness to work with these clients.
A nurse is planning patient care and wants to verify the steps for
a specific client procedure. Which action should the nurse take? -
CORRECT ANSWERS- Consult the agency's policies and
procedures manual and follow the guidelines.
The nurse would be correct in withholding a dose of digoxin in a
client with congestive heart failure without specific instruction
,from the health care provider if which finding was documented? -
CORRECT ANSWERS- Serum potassium level is 2.5 mEq/L
Staff on a cardiac unit consists of an RN, two practical nurses
(PNs), and one UAP. Team 1's assignment includes two clients
who are both 1 day postangioplasty and two clients with unstable
angina. Team 2's assignment includes all stable clients, but two
clients are bedridden and incontinent. Which staffing plan
represents the best use of available staff? - CORRECT ANSWERS-
Team 1: RN team leader, PN; team 2, PN team leader, UAP
The nurse formulates a nursing diagnosis of pain related to
muscle spasms for a client with extreme lower back pain
associated with acute lumbosacral strain. Which is the best
intervention for the nurse to implement? - CORRECT ANSWERS-
Rest in bed with the head of the bed elevated 20 degrees and flex
the knees.
The nurse plans to evaluate the effectiveness of a bronchodilator.
Which assessment datum indicates that the desired effect of a
bronchodilator has been achieved? - CORRECT ANSWERS-
Increased oxygen saturation
A client with hemiparesis needs assistance transferring from the
bed to the wheelchair. The nurse assists the client to a sitting
position on the side of the bed. Which action should the nurse
implement next? - CORRECT ANSWERS- Allow the client to sit on
the side of the bed for a few minutes before transferring.
, When the nurse-manager posts a schedule for volunteers to be on
call, one staff member immediately signs up for all available 7-to-
3 day shifts. Other staff members complain to the charge nurse
that they were not permitted the opportunity to be on call for the
day shift. What action should the nurse-manager implement? -
CORRECT ANSWERS- Speak privately with the nurse.
A 40-year-old office worker who is at 36 weeks' gestation presents
to the occupational health clinic complaining of a pounding
headache, blurry vision, and swollen ankles. Which intervention
should the nurse implement first? - CORRECT ANSWERS- Check
the client's blood pressure.
A client with acute renal failure (ARF) starts to void 4 L/day 2
weeks after treatment is initiated. Which complication is
important for the nurse to monitor the client for at this time? -
CORRECT ANSWERS- Hypotension
A mother of a 12-year-old boy states that her son is short and she
fears that he will always be shorter than his peers. She tells the
nurse that her grown daughter only grew 2 inches after she was
12 years of age. To provide health teaching, which question is
most important for the nurse to ask this mother? - CORRECT
ANSWERS- "Did your daughter also start her menstrual period at
12 years of age?"
The nurse calls the primary health care provider to report the
status of a postsurgical client. Place the statements in the correct
SBAR communication format.
